Question for doctors - angiogram
Discussion
Fort Jefferson said:
Richyboy said:
Why would a surgeon recommend an angiogram when the patient has a history of kidney problems and is too frail to endure bypass surgery?
Because they can have Angioplasty, instead of a bypass.
Also, even if definitive surgical treatment really isn't possible (although I reckon FJ's right on the money here - angioplasty only needs a local anaesthetic), knowing what's going on will help to inform other supportive care, non-surgical treatment if any exists, work out when to formally involve palliative care if appropriate etc.
Affirmative by above response.
Although the risk of further Kidney insult from the dye from the coronary angiogram is difficult to avoid, by using less dye and hydrating the patient before the risk can be minimise....valuable information is obtained in finding out the anatomical cause/disease of the coronary arteries which causes heart attacks/heart failure/angina. If necessary can be treated with balloons and stents in the same sitting....all under local anaethetic....Avoiding a Coronary Bypass operation which it self requires 2-3 months recovery if the patient survives.
SS
Although the risk of further Kidney insult from the dye from the coronary angiogram is difficult to avoid, by using less dye and hydrating the patient before the risk can be minimise....valuable information is obtained in finding out the anatomical cause/disease of the coronary arteries which causes heart attacks/heart failure/angina. If necessary can be treated with balloons and stents in the same sitting....all under local anaethetic....Avoiding a Coronary Bypass operation which it self requires 2-3 months recovery if the patient survives.
SS
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