My mom recently had a hemorrhagic brain stroke (One month before). Her hearts EF is 41 %. After surgery of her brain she was OK after 20 days. suddenly a severe pain developed in her left lower limb. we did the duplex test it says there is:
1. Moderate to severe atherosclerotic changes with moderate to severe reduction of blood flow in the arteries of left lower limb."
2. Collateral type of blood flow in the left dorsalis paedis and posterior tibial arteries.
3. Venous return is correspondingly within normal limit
4. No DVT in left lower limb.
My moms leg is getting brown day by day and still she feels the same pain. We are giving her some medicine:
If the situation is beyond medication alone, then perhaps laser treatment is the best course of action. Laser technology has come a long way in the last decade or so. The laser is guided along the inside of the artery, along a guidewire and it uses different intensities to destroy the plaque causing the blockage. Some of the newer lasers can now be guided from the rear with no need for a guide wire, meaning perforation of the vessel is much less risky.
My Mother had a brain hemorrhage and was never allowed general anaesthetic after that. She even had to endure a hip replacement with local anaesthetic only. So Angioplasty laser sounds ideal as the next step if medication fails.
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