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Suggest Treatment For Renal Dysfunction After Angiogram
Question: Father had an angiogram last night and stint put in place. There were complications. Now has some renal dysfunction and low blood pressure, hr 50. Expected? Doctor suggested open heart surgery. Also concerns may have stroke or accelerated dementia because of procedure
Brief Answer:
Renal damage, stroke&heart attack are angiogram most common complications.
Detailed Answer:
Hi XXXX,
I read your query very carefully and would like to say that what your father is experiencing may be related to angiogram procedure. The only part that has nothing to do with angiogram procedure and coronary stenting is accelerated dementia.
Before giving my comments can you specify for me the reason why your father went for angiogram? Can you specify if he had a previous heart attack? What was the report of angiogram? How many closed heart arteries (in the report is written as one, two or three vessel disease) he has?
The principal complications of angiogram are as follow:
1- Renal damage (dysfunction) that in rare cases lead to acute renal failure. This complication is caused by use of i.v contrast (dye) and is more common in elderly patient with previous renal damage (even if they are asymptomatic patients). This is why the checking of BUN and creatinine blood levels is a routine examination before angiogram. Can you upload this data for me?
2- Stroke is a common complication of procedure. Atherosclerosis of body arteries is the principal cause that leads to cardiovascular events including chest pain and stroke. This is why a neurologist consultation if there's any neurological sign should be done.
3- Heart attacks and open heart surgery. If your father hasn't a previous heart attack but only a severe ischemic heart disease with two or three vessels disease, the procedure may be complicated with a heart attack. I would like to say that heart attack per se isn't from procedure but a consequence of diffuse coronary arteries disease.
Hope you will find this somehow helpful.
Wish you and your father health!
Dr. Benard
Renal damage, stroke&heart attack are angiogram most common complications.
Detailed Answer:
Hi XXXX,
I read your query very carefully and would like to say that what your father is experiencing may be related to angiogram procedure. The only part that has nothing to do with angiogram procedure and coronary stenting is accelerated dementia.
Before giving my comments can you specify for me the reason why your father went for angiogram? Can you specify if he had a previous heart attack? What was the report of angiogram? How many closed heart arteries (in the report is written as one, two or three vessel disease) he has?
The principal complications of angiogram are as follow:
1- Renal damage (dysfunction) that in rare cases lead to acute renal failure. This complication is caused by use of i.v contrast (dye) and is more common in elderly patient with previous renal damage (even if they are asymptomatic patients). This is why the checking of BUN and creatinine blood levels is a routine examination before angiogram. Can you upload this data for me?
2- Stroke is a common complication of procedure. Atherosclerosis of body arteries is the principal cause that leads to cardiovascular events including chest pain and stroke. This is why a neurologist consultation if there's any neurological sign should be done.
3- Heart attacks and open heart surgery. If your father hasn't a previous heart attack but only a severe ischemic heart disease with two or three vessels disease, the procedure may be complicated with a heart attack. I would like to say that heart attack per se isn't from procedure but a consequence of diffuse coronary arteries disease.
Hope you will find this somehow helpful.
Wish you and your father health!
Dr. Benard
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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