Treatment of Diabetic Angiopathy in Israel

Professor Yehuda Wolf

Vascular surgeon, specialist in endovascular surgery and carotid stenting

Many patients prefer to undergo treatment for diabetic angiopathy abroad, and Israel is one of the most sought-after destinations. This is due not only to the state-of-the-art methods used by Israeli doctors but also to the collegial review of each case, which allows for the most reasoned and effective decisions to be made.

95%

of patients received the necessary treatment

94%

of patients underwent a modern diagnostic program

1732

patients successfully underwent various surgical interventions

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Table of contents

Treatment methods

Diagnosis

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One of the leading clinics where patients can expect such attention to detail is Ichilov, which offers excellent accommodation conditions for comfortable recovery. Modern technologies, combined with an individualized approach and a high level of service, make treatment in Israel particularly attractive.

About the Disease

Diabetic angiopathy is damage to blood vessels caused by chronic elevated blood glucose levels in diabetes. It affects both small vessels (microangiopathy) and large arteries (macroangiopathy), which can lead to various complications, including impaired blood supply to organs and tissues.

Causes

• Prolonged high blood sugar levels (hyperglycemia).
• High blood pressure.
• Smoking, which exacerbates vascular conditions.
• High levels of cholesterol and fats in the blood.
• Genetic predisposition.

Symptoms

• Numbness and tingling in the limbs (especially the legs).
• Cold or bluish limbs.
• Decreased sensitivity in the legs.
• Vision deterioration (in cases of retinal vessel damage).
• Slow-healing wounds, especially on the legs and feet.
• Pain in the limbs when walking (intermittent claudication).

Treatment Methods for Diabetic Angiopathy

At Ichilov Clinic, treatment methods for diabetic angiopathy are selected based on an individual assessment of the patient's condition, considering the degree of vascular damage and the presence of comorbidities. The team of specialists develops a personalized plan based on diagnostic results and the specific needs of the patient.

Medication Therapy

This method is used in the early stages of angiopathy or with moderate vascular damage. The use of medications aims to stabilize blood sugar levels, lower blood pressure, and improve circulation. Medication therapy helps slow the progression of the disease and prevents further complications.

Endovascular Surgery

This method is applied in cases of severe blood supply disturbances when there is a need to restore the patency of large vessels. The essence of the procedure is to widen narrowed sections of arteries using balloon angioplasty or stent placement. This method improves blood flow and allows the patient to avoid amputation.

Bypass Surgery

Bypass surgery is used in cases of critical vessel narrowing when medication and minimally invasive treatment are ineffective. The procedure involves creating a detour for blood flow using a vascular graft. Bypass surgery improves blood circulation in the affected limbs and helps restore their normal function.

Laser Therapy

This method is used for damage to small vessels, especially in cases of diabetic retinopathy. Laser treatment aims to coagulate pathological vessels, preventing their further destruction. Laser therapy helps preserve vision and slows the development of complications.

Hyperbaric Oxygenation

This method is used for ulcers, poorly healing wounds, and critical blood supply disturbances in the limbs. The patient is placed in a special chamber where they breathe oxygen under high pressure. Hyperbaric oxygenation improves tissue oxygen saturation, accelerates wound healing, and enhances the overall condition of the vessels.

Thrombolytic Therapy

This method is used for thrombosis, which often accompanies diabetic angiopathy, causing vessel obstruction. The essence of the method is the administration of medications that dissolve clots and restore blood flow in the affected vessels. This treatment ensures rapid elimination of acute vascular insufficiency.

Plasmapheresis

This method is used in severe forms of diabetic angiopathy with significant blood abnormalities, such as elevated lipid levels or metabolic products. Plasmapheresis involves cleansing the patient's blood of toxic substances and inflammatory products, which helps improve vascular condition and reduce the inflammatory process.

Preventive Treatment and Rehabilitation

This approach is used to prevent further disease progression and improve the patient's quality of life. Preventive measures include regular monitoring of blood sugar levels, lifestyle changes, and specialized physiotherapy programs. This treatment stabilizes the patient's condition and prevents new complications.

Diagnostic Methods for the Disease

Correct diagnosis is extremely important, as it serves as the basis for developing an effective treatment plan aimed at preventing complications and improving the patient's quality of life. At Ichilov Clinic, special attention is paid to the diagnostic stage. All studies are conducted on modern high-precision equipment and interpreted by experts with international training. Diagnostic procedures at the clinic are planned in advance and are typically completed within three days.

First Day

Upon arrival at the clinic, the patient is directed to a consultation with the attending physician, who collects a detailed medical history, assesses the overall condition, and conducts a physical examination. At this stage, the doctor identifies the main symptoms and risk factors, after which recommendations for necessary studies are provided. These studies will help obtain a complete picture of the condition of the vessels and internal organs, which is crucial for the correct choice of further treatment tactics.

Second Day

The second day is entirely dedicated to laboratory and instrumental studies:

Laboratory Studies:

• Complete blood count
• Biochemical blood analysis
• Glycated hemoglobin (HbA1c)
• Lipid profile blood test
• Coagulation profile
• Urine test for microalbuminuria

Instrumental Studies:

• Ultrasound Doppler examination (USDG) of vessels
• Angiography (if necessary with contrast)
• Magnetic resonance angiography (MRA)
• Computed tomography of vessels (CT angiography)
• Ophthalmoscopy to assess the condition of retinal vessels
• Electrocardiogram (ECG)
• Echo cardiography
• MRI of lower limbs (if vascular damage is suspected)

Third Day

Based on the results of all studies, a therapeutic plan is developed on the third day. This plan is created with the participation of cardiologists, vascular surgeons, endocrinologists, and other specialists who collegially discuss the patient's condition and select the most effective treatment methods. A multidisciplinary approach allows for consideration of all aspects of the patient's health, reducing the risks of complications and achieving maximum treatment effectiveness, which is especially important in complex diseases such as diabetic angiopathy.

How Much Does Treatment Cost in Israel

Advantages of Treatment in Israel

1. Use of advanced medical technologies.
2. Highly qualified specialists.
3. Individual approach to each patient.
4. Accurate and rapid diagnosis.
5. Comfortable accommodation conditions, personal assistance services.

Do not ignore the signs of the disease — timely treatment can save your health. Even before arriving at the Israeli clinic, you can order a consultation with the necessary specialist via Skype or Zoom, providing the results of preliminary studies. This will allow you to receive specific recommendations and learn which treatment methods in world medicine are best suited for your case.