The Circulatory System

The blood vessels that comprise the vascular system are part of the circulatory, or cardiovascular, system. The heart is the major organ of this system. With each beat, it pumps blood into the vessels and through the body, bringing oxygen and other nutrients necessary to the life to the cells. As the blood circulates, it also removes waste products, toxins and other harmful substances. The circulatory system works with many other systems. It plays an especially important role in:

* The Respiratory System. Blood circulates through the lungs where it exchanges carbon dioxide and oxygen.

* The Digestive System. Blood circulates through the intestines where it absorbs nutrients from food that was eaten and digested.

* The Excretory System. Blood circulates through the kidneys which filter out wastes that are removed from the body in the urine.

* Temperature Control. As the blood flows, heat moves back and forth between the blood and the cells. This constant exchange of heat keeps all the body parts at the same temperature. This explains why people with circulatory problems often have cold feet or hands, or spots where the skin is warm to the touch.

The Blood Vessels

There are three types of vessels that aid in the transport of blood, and in keeping it in constant circulation from the heart to the body, and back to the heart:

* Arteries

* Veins

* Capillaries

The blood vessels are more than simple tubes through which blood flows. Each has its own characteristics, depending on the role it plays in the circulatory system.

Arteries are strong, flexible blood vessels that must expand to accept the blood pumped into them with each beat of the heart, and contract to squeeze blood into the veins when the heart relaxes.

Veins

The veins that return blood to the heart are less “active” and elastic than the arteries. Veins have valves that open to let blood through, and close to prevent blood from pooling in the legs and elsewhere due to the pull of gravity. There are three types of veins:

Superficial veins lie near the surface of the skin. Larger veins that usually are buried in the muscles or deep compartments of the body are called Deep Veins. Blood vessels that connect the superficial and deep veins are called “communicating” or Perforating Veins.


Capillaries, which look more like webs than vessels or tubes, lie in tangled “beds” in the tissues of the body. They are so tiny that blood cells must pass through them in single file. The exchange between the blood and the cells of the body takes place in the capillary beds. Here, blood takes oxygen from the cells and gives up carbon dioxide. Special capillaries in the kidneys, liver and elsewhere take waste products that are excreted from the body. As

the capillaries spread out of their beds, they thicken and merge into small vessels called “venules” that, in turn, lead to larger veins that return blood to the heart.


Preventing Vascular Disease

The best way to prevent vascular disease is to live a “heart healthy” lifestyle – don’t smoke; eat nutritious, low fat foods; exercise; control risk factors and maintain a healthy weight.

Life style changes. The single most effective steps you can take to prevent vascular disease are to quit smoking and control high blood pressure, high cholesterol, diabetes and other factors that contribute to vascular disease. Regular exercise, eating a balanced diet and maintaining a healthy weight also are important.

Types of Vascular (Blood Vessel) Disease

Most vascular diseases are caused by conditions that clog or weaken blood vessels, or damage valves that control the flow of blood in and out of the veins. Most vascular disease is caused by arteriosclerosis, often called “hardening of the arteries” (although veins also can be affected).

In this condition, a sticky substance called "plaque" builds up inside the blood vessels. Over time, the blood vessels may weaken or become so clogged that the blood supply to affected parts of the body is reduced or blocked. The flow of blood also may be affected when a blood clot (thrombus) gets stuck in a blood vessel.

Arterial Disease and Venous Disease


It is called "arterial disease" when arteriosclerosis, blood clots and other vascular conditions occur in the arteries. Problems that occur in the veins are called “venous disease.” Some vascular conditions occur only in arteries, others are unique to the veins. Some can affect either type of vessel, such as aneurysms and arteriovenous malformations (AVM) (abnormalities in the brain or elsewhere in which the blood vessels are tangled and distended). Aneurysm and AVMS are called “silent killers” because they often produce no symptoms until they rupture.

Aneurysms are weakened areas in the blood vessels that bulge like balloons when blood flows through them. Once they grow to a certain size, there is a risk of rupture and life-threatening bleeding.

Arterial Disease

Common diseases affecting the arteries include:

* Peripheral vascular disease (PVD) (sometimes called peripheral arterial disease, or PAD) is a condition where the arteries that carry blood to the legs (and, less frequently, the arms) become narrow or clogged.

* Carotid artery disease is a condition in which the arteries in the neck that supply blood to the brain become clogged and may cause a stroke.

* Abdominal aortic aneurysm (AAA), or Triple A, is an area in the main artery of the heart (the aorta) that is weakened and bulges like a balloon. If it grows large enough, the aneurysm can rupture and cause life-threatening bleeding. Males over the age of 60 who smoke or have ever smoked and people with a history of AAA in their family are at highest risk for this disease.


Courtesy of Society of Interventional Radiology