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Complications from Femoral (Leg) Catheterization, Angiogram or Angioplasty

(2009 archive)

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Comments about nerve damage and/or other complications from the femoral (groin) puncture site that is made during an angiogram or angioplasty.

Other postings can be found here: current, 2012, 2011, 2010, 2008, 2007, 2006, 2005 and earlier.

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Archived Postings from 2009 on This Page (83):

• 8 months after cardio cath I have right side pain and swelling (with the groin and leg the most intense) and feel the femoral nerve was hit. Like all I have read, the test results showed "normal" I still have pockets of what feels like fluid that keeps coming up in my right leg to the knee, the right hip and pelvic area and even under my breast all with associated pain. My right arm will also have occasional pains. The numbness/tingling also affects the right side of my face. Like everyone else the surgeon "has never heard of this before". The neurologist had no answer except don't do anything that I think makes it worse. Does anyone have this numbness on all of right side or get the pockets of fluid?
Linda, Texas, USA, December 29, 2009

• My Husband had angiogram done, few day later, he developed swelling to left scrotum. His cardiologist is consulted, he ordered Ultrasound of the left femoral incision area and the left scrotum and referral to Urologist. He said the swelling will go down. My husband still have the swelling, now complaining of pain. I am always skeptical of invasive procedure and the possible complications. I hope this does not develop into a problem for a young man with multiple medical issues.What can i expect from the doctor and what question should i be concern with at this time. I am a registered Nurse
Rosemary, Merced, California, USA, December 19, 2009

• I had a cardiac catheterization Oct. 23, 2009. They put a stent in my LAD for a clogged artery. I am experiencing leg pain & cramping in my front right thigh and my right calf and some numbing and tingling sensations in my right foot. I had bad bruising on the inside of my right leg almost down to my knee after the cath. I developed a blood clot at the sight of cath the day after but it has been gone for a while now. I have been seen by a vascular surgeon and a neurologist to try and determine why I am still having leg pain. I have good blood flow in my leg determined by the vascular doctor. The only thing the neurologist can come up with is the bruising I sustained in my leg is the culprit of my pain. The bruising has been gone for a good 5 or 6 weeks. He doesn't want to do an EMG until I am off my Coumadin. Is this answer possible? How long could I have this leg pain?
Marcia, St. Louis, Missouri, USA, December 15, 2009

• I had an angiogram to rule out an aneurysm. Since then my left thigh has been numb, along with leg pain, sometimes the pain is intense. The right side is where puncture site is, it also hurts ,but the pain on the left side is more intense and constant. I called the neurosurgeon and his nurse said he said to contact my primary care physician.
Clairol, Columbus, Ohio, USA, December 15, 2009

• David -- never heard of a "noroma". Anyone else?? But nerve trauma is not unknown in catheter-based procedures, especially femoral, as you can see by the number of posts here.
Angioplasty.Org Staff, Angioplasty.Org, December 15, 2009

• Had a left leg catheterization [as needed for heart pump] on Oct. 19, 2009 and as of now Dec. 14 I still have on a pain scale of 1-10 a constant 8 for 24/7. Surgeon says femoral nerve was damaged in the process. Have had several injections to the nerve starting at L2 in my back. Surgeon says now that it is probably a "Noroma?'' in the nerve and will have to find it and have it removed. Anyone heard of this one before?
David S., Berwick, Maine, USA, December 14, 2009

• I had a femoral angioplasty done due to blockage in my right thigh. Everything was great for 3-4 weeks.then it came back. I went into surgery, they installed a sheath. A little while later as i was in ICU my leg from the knee down swelled up,got rock hard,and hurt so bad I told them to cut it off. THey took me back into surgery and did whatever needed to be done and everything seemed to be ok.That was 6 weeks ago and what they say is nerve damage in my foot is still hurting. Is this normal or should I get help?
David, Jefferson City, Missouri, USA, December 3, 2009

• Deborah -- A blockage or clot would most likely cause pain. See the posting below about nerve trauma from catheterization. Perhaps this might explain something, but please let the Forum know what you find out from her appointments.
Angioplasty.Org Staff, Angioplasty.Org, December 3, 2009

• I am a nurse and am confused with a complication my mom experienced 1 day post angiogram. She acutely experienced bilateral leg weakness and numbness causing her to fall. She went to the ER. A CT, echocardiogram and labs were done. No change from the previous tests a week ago. Its 4 days post angio and she continues with bilateral leg weakness and numbness and complains about sacral numbness. Could this be plaque or a clot that lodged in her lower spine? She is seeing her cardiologist and primary MD today. Thank you.
Deborah S., Michigan, USA, December 2, 2009

• Daniela -- some people are highly allergic to contrast media. There are different types, formulations and brands. The hospital or cath lab should be able to provide you and your mother with the exact brand and concentration used of contrast agent (it's part of the patient record/report) so this type can be avoided if any future procedures are warranted.
Angioplasty.Org Staff, Angioplasty.Org, December 1, 2009

• My mother was submitted to an angiogram procedure. She had a severe immunological reaction - anaphylactic shock - to the radio-opaque contrast agent. Nobody was able to tell me what is the radio-opaque contrast agent. I really would like to know. Besides, is there any chance of finding the same compound in any other circumstances? She really can't be in contact with that compound.
Daniela, Cambridge, Massachusetts, USA, November 23, 2009

• For readers who are still having tingling, numbness or similar pain -- if you read through this topic and the archive, you'll find similar stories. This may be due to nerve trauma -- the femoral nerve runs parallel to the femoral artery and it is possible that between the needle stick and catheter manipulations that nerve can become irritated or inflamed -- or even damaged. Hopefully this is temporary in most cases (and it's relatively uncommon to begin with). But this is not an unknown complication of femoral access catheterization.
Angioplasty.Org Staff, Angioplasty.Org, November 20, 2009

• Beginning on 2nd day following angiogram (access from right femoral artery) and worsening now on 4th day. Started as mild cold, tingling, numbness both legs and feet. Progressed to pain in left groin same spot as insertion of catheter on right, left leg and foot are very hot, right leg and foot are cold, also on right leg pinching pain in area of femoral artery below insertion point, definitely more pain and pressure on left side. Left area feels like its vibrating and tingling in groin and down the left leg. Could there a be a blockage on right forcing more blood to go down the left side? Maybe it doesn't work that way. Please advise.
Callie R., California, USA, November 13, 2009

• I HAD ANGIOPLASTY DONE LAST YEAR. THEY WENT THROUGH THE RIGHT GROIN. AFTER THEY PULLED THE WIRE OUT, LIKE THE NEXT DAY, THERE WAS AN EXTREMELY LARGE BUMP PLUS IT HURT A LOT. THEY SAID IT WAS A HEMATOMA. WHY AFTER A YEAR DO I STILL HAVE IT? THE PAIN IS GONE.
Joyce L, Waterville, New York, USA, November 10, 2009

• Last Wednesday I had an angiogram via right femoral artery. I went home three hours after it was done. It has a collagen plug. Thursday I felt a pop and had horrific pain and couldn't move, we called 911 and went to ER. They did ultrasound and found a pseudoaneurysm and applied pressure using the ultrasound wand. It was very painful- worse than childbirth. The ultrasound showed they stopped the leak and I was sent home with 3 days bed rest and off work for a week. I still have pain on my right side however my cardiologist doesn't think it is another hematoma as the pain is deep inside and is soft tissue, and higher up, near appendix. It doesn't make sense to me that the pain would be unrelated to the procedure or the pressure applied at the ER. When I cough or sneeze its very painful, if I rest and don't move I don't have any pain. I have been bloated the past few days too. Any thoughts on what this could be? Thanks.
Lisa, Marketing, Roseville, California, USA, November 9, 2009

• It’s Russian roulette I had a cerebral angiogram done in 1990 It damaged my eye sight with Retinal bleeding and the whole left side of my body has been in unbelievable pain every since. It feels like the catheter is still lodged in my leg and even to this day I’m discovering more vascular complication due to this prouder. A word of advice please read every line of the fine print on the consent form before having one done.
David W., Arizona, USA, November 4, 2009

• Susan from Georgia -- we assume your angiogram was done from the femoral artery (not the wrist). If so, what side was used? Usually it's the right femoral (groin) artery in which case it would seem that the swelling in your left foot is unrelated. Some medicines, including BP meds, can cause swelling of the extremities. Did you start taking any new meds since the cath was done?
Angioplasty.Org Staff, Angioplasty.Org, August 26, 2009

• I had a cardiac cath 7 weeks ago and left ankle and foot is swollen and sore and sometimes cannot feel. Never had any swelling before. They found a blockage but trying to control with BP meds. I never has sxs and was just trying to get knee surgery. I am afraid now to get open heart surgery as my cardiologist is unhelpful about my left leg (couldn't walk for a couple weeks). Is it common to have such problems?
Susan H., Georgia, USA, August 26, 2009

• Connie -- as you can see from the many postings here, a bruise, a.k.a. hematoma, is not an uncommon complication from angio procedures. Bleeding fro the arterial site can be serious, so you certainly did the right thing. We assume the bleeding complication was stabilized. Bleeding complications occur in about 3 out of 100 procedures, although we believe there are more because many minor ones never get reported. The purple bruising is the blood that leaked and should reabsorb into the body in a few weeks at most. If the pain continues, let your cardiologist know. And let the Forum know.
Angioplasty.Org Staff, Angioplasty.Org, August 25, 2009

• I had an Angiogram recently and the result showed that one of my arteries was very thin and that is what had lead to the procedure in the first place. I had a stress test which indicated possibly a blockage. I was told this procedure was very simple and should cause no problems at all. Two days after the procedure I had a severe pain in my groin which sent me to the floor and the pain continued. Actually I had pain from the minute I got home from the hospital. The next day I was sent back to the ER and they found blood leaking from a tear in the artery. An ultrasound was done and it is now one week later and I have bruising from my groin to my knee and almost completely around the leg, pain continues in the leg and in my back. I called the doctor and they said this is normal. What do I do now?
Connie Burns, Gilbert, Arizona, USA, August 25, 2009

• Can abdominal distention be related to vagioseal [angioseal?] complications. I had a body rash that resembled a heat rash and now have abdominal distention.
Mark, South Dakota, USA, August 14, 2009

• Dear Wayne,I can understand how you feel. I have been posting about my fathers scrotum hematoma. He finally was released from the hospital and is doing very well. This all started on July 21st. His hematoma was the size of a large melon. I never saw someone in so much pain before. It has been 25 days now and it is about half the size. We have him up and walking. He can even walk up and down stairs now. The pain is pretty much gone but he still has the large problem between his legs. It is more of an inconvenience now as far as sitting down and walking. He still keeps his ice packs on it and keeps it elevated as much as possible. That's pretty much all he can do until it goes away. I wish you luck and patience!
Pamela Lopez, New Iberia, Louisiana, USA, August 15, 2009

• I recently had a RS Transfemoral Cath with negative result. A couple of hours following discharge I experienced what almost can be described as a "pop" followed by intense pain at the puncture site and rapid swelling. I immediately went into the ER (could barely walk or move. A vascular sonogram was done to rule out a pseudoaneurysm and was negative. The doc said it was local internal bleeding which would stop (it did but I wasn't too convinced) and my now huge hematoma would resolve in a few weeks. The hematoma extended from above puncture site to anus and filled the scrotum.
Wayne K., Virginia, USA, August 13, 2009

• Patricia -- read our related Forum Topic on Vascular Closure Devices -- you'll find similar stories. And Judy -- we currently have over 1,000 postings in these two topics alone, so your experience is certainly not unknown.
Angioplasty.Org Staff, Angioplasty.Org, August 10, 2009

• I had a diagnostic angiogram more than a year ago, and I still am having a lot of pain from it! About 22 hours after the angiogram was done, first thing in the morning, my nurse was in my room dispensing my am meds. I was sitting, doing nothing, when all of a sudden I felt like someone had sliced the entire inside of my right thigh with a branding iron! Within a few seconds I had a golf ball lump where the angiogram was done. That quickly grew even bigger. I was whisked down to have an ultrasound and they found nothing! That was repeated a couple of days later and they found a small aneurysm but didn't do anything with it! From that time on, the pain was just intense! Pain killers was all I was offered! Over the next week the bruising began to appear. At it's peak it about encompassed most of my right thigh from the groin to with in a few inches of my knee and about wrapped around my leg. This lasted for about 4 months. They said this was normal!? After reading the stories on here I am no longer wondering why I am still experiencing the pain I am in. I can also see if this were so common, there would be many more stories like mine! I can not stand for long periods of time at all!
Judy, I am a patient, Texas, USA, August 4, 2009

• Had an angiogram in Nov. '07 the very next day I had an appointment with the doctor who performed the surgery. When I got out of bed to get ready I had excruciating pain in the right leg, needed assistance to get to the car, I explained the problem to the physician and she just looked at the site where the angioseal was at and then replied that this type of pain occurs in about one in every three hundred patients. Well this is August '09 and I'm still in pain whenever I have to walk more than half a block,walk fast or any other kind of exertion to the leg. So, after seeing four other doctors about this dilemma,one sent me to a vascular surgeon who explained that I need to have an aorto-iliac bypass surgery, which requires a four to five day stay at the hospital which will cost me 20% of what my insurance co. doesn't pay,not to mention the pain from the surgery site. I totally feel this is all due to incompetence on the doctors part. Do I have a valid law suit.
Patricia, Tennessee, USA, August 4, 2009

• Jan -- you write that you had an "angio". Is that an angiogram (diagnostic) or an angioplasty (balloon or stent) -- and where were they looking: heart or legs (we understand that the catheter was introduced through the femoral, or groin, artery)? What were the results?
Angioplasty.Org Staff, Angioplasty.Org, July 31, 2009

• i had an angio in 1997, about 6 months later the center of the ball of my right foot started getting numb. over some time it spread about the foot and then to the left foot. i have since had surgery on both feet, putting a stint in the foot and scar tissue removed from the main nerve. not much luck so far. i take 150mg. lyrica in the morning and 1 at night. Now 11 years later, diagnosed with diabetes. mild case. can correct it. but taking lite dose of metformin. does anyone think this sounds familiar? can anything be done.
Jan, Macomb, Michigan, USA, July 31, 2009

• Kerry -- a hematoma (bruising) is a minor complication of catheterization from the groin approach. The concern is if the hematoma is getting larger, indicating that bleeding is occurring. If not, a hematoma can take up to several weeks to disappear. If you're in pain, however, and cannot sit upright, that's something else again, and should be addressed. As for finding no disease, that's good(!!) that you have no coronary artery disease -- FYI, more than a third of patients who undergo catheterization get the same diagnosis: no disease.
Angioplasty.Org Staff, Angioplasty.Org, July 31, 2009

• I posted this thread (see below), but still having swelling and still not able to get into a "sitting position" and wondered if this is usual?? Has anybody else encountered this situation. Just hoping to find help, and if so, how much longer until it gets better??? I had a heart cath done 7/19 and still in pain. Swelling of both legs & feet (burning sensation there) with more prominence in right leg where done. Had slight bruising around area, but now a week later have more bruising (and yellowish bruising)on upper thigh and some down slightly on inside of thigh. Ultrasound showed a hematoma, but have a cardiologist who can't explain why I have swelling, nor give any info as to how long I have to deal with this hematoma. The cath showed no blockage & absolutely no plaque anywhere. So now I'm much worse than before I let them do this to me!! I've got a doctor who is useless and doesn't even return my calls...just has a nurse call to say "it takes time". Somebody PLEASE help.....
Kerry, State of Pain (Orlando), Florida, USA, July 30, 2009

• I posted an entry on July 26th about my father developing a scrotal hematoma. We had to bring him to emergency on July 28th because he started running a fever of 101.2. He is now back in the hospital in severe pain and has a bladder infection on top of all the other complications. His cardiologist doesn't care or hasn't visited him or even called to check up on his condition since he was discharged from the hospital. The emergency room doctor called in a Urologist. He agreed with her that the hematoma can not be drained. He did schedule an ultrasound because it is hard to tell if it is new or old blood. I read up on this on this web-site and it has helped me a lot I think he should have been given antibiotics before leaving the hospital. They still can't do anything for him but give him pain pills every four hour, antibiotics for the infection and when the infection is gone they will send him back home. It has been 1 week as of yesterday that they placed the stent. We have a whole 2 months to go. I hope know one ever has to go through this. If I learn anything else, I will place another post.
Pam L., New Iberia, Louisiana, USA, July 29, 2009

• I had a heart cath done 7/19 and still in pain. Swelling of both legs & feet (burning sensation there) with more prominence in right leg where done. Had slight bruising around area, but now a week later have more bruising (and yellowish bruising)on upper thigh and some down slightly on inside of thigh. Ultrasound showed a hematoma, but have a cardiologist who can't explain why I have swelling, nor give any info as to how long I have to deal with this hematoma. The cath showed no blockage & absolutely no plaque anywhere. So now I'm much worse than before I let them do this to me!! I've got a doctor who is useless and doesn't even return my calls...just has a nurse call to say "it takes time". Somebody PLEASE help.....
Kerry, State of Pain (Orlando), Florida, USA, July 27, 2009

• My father went in for a simple stent to his right leg and ended up with a scrotal hematoma the size if a large melon. The cardiologist said that we would just have to wait 2 months for it to disappear. Meanwhile, he is in very bad pain and cannot walk. The urologist said the if the cardiologist would have went in a little higher, this wouldn't have happened. Is there anything else he can do other than ice packs and pain pills? He can not even stand up on his own and has to use both hands to hold up this area because it is so large and heavy.
Pam L., New Iberia, Louisiana, USA, July 26, 2009

• I had a cerebral angiogram through the groin on July 17th. A couple minutes after the puncture, I could feel a deep pain in my leg. While in recovery, I told the nurse about this pain and she said it was probably due to laying in that position for so long. They put in a star clip closure device [StarClose] which I DID not even know about. I have had continued pain all the way from my buttocks down my entire leg since..along with abdominal cramping every day since...No bruising, no complications?? They let me go home 3 hours after procedure. I just wondered if anyone else has had this pain.
Ve, Arizona, USA, July 26, 2009

Deb in Fla. I have worked in surgery for 36yrs. You should report the staff to the nursing administrator for your humiliation - that should "never" happen. Patients must always be covered and you should have been ask if you wanted to listen to music and what type. I have been on both ends. Just had my 4th cath 2 wks ago, (after stents and bypass), everything was good. But this time I am having terrible groin and back pain. Dr.said it was probably from the angioseal aggravating the nerve. Getting an epidural in my back next wk, hopefully will relieve nerve pain.
Deb D., Georgia, USA, July 23, 2009

• Multiple replies -- Linda from Arizona, check out our topic, "Alternative to Angiogram?" -- some cardiologists believe that a non-invasive Multislice CT Angiogram (CTA) may have benefit in specific situations where tests have been inconclusive but the patient is having symptoms. The CTA is highly accurate in ruling out coronary artery disease. One-third of invasive angiograms (a.k.a. catheterizations) show no disease. Also, please remember that when you read comments in this Forumtopic, you are for the most part, looking at the Complaint Dept. -- people who have had problems post here -- there are over a million angiograms done annually in the U.S. and the complication rate is low in percentage. Obviously one shouldn't do a test or procedure that is unwarranted, but catheterization has been around a long time and is considered a safe procedure.

D. Hayes from Florida -- look at our related topic on "Vascular Closure Devices" -- you're not alone.

Finally, Ruth from Florida -- we hope the information you've found on Angioplasty.Org has helped. Read our comments above -- although it sounds like you have already had your cath. Let us know how things went.
Angioplasty.Org Staff, Angioplasty.Org, July 18, 2009

• I'm new here and hoping to gain some insight and relief. My new doctor seems to be very precautionary. He suspects based on nuclear stress test results that there might be something to be concerned about. He recommended I see a cardiologist. The cardiologist seems to think that based on my health history, and my family history (no heart problems) he thinks it might be a shadow or artifact rather a sign of a real problem. HOWEVER the cardiologist suggests I have a cardiac catheterization to "be sure".I am so nervous about doing this. I more afraid of causing damage to the heart by having the procedure than I am of finding out there is a problem.Can anyone shed some light on this procedure. Is it very painful? Did you have any bad after effects (like did it cause a heart attack)? Will I be able to carry on with my normal exercise routine (as long as there are no problems found)? Any help will be greatly appreciated...I'm trying to calm myself down before having the procedure tomorrow. Thanks!
Ruth, Florida, USA, July 13, 2009

• I had an cardiac catheterization on five days ago, 7/8; I was told by my surgeon that since I had no heart blockage and needed no stents that in two-three days I could return to my normal activities. I have noticed that when I stand too long, sit too long upright and/or go up stairs I have excruciating pain in my groin and the leg that the angioseal was put in. I am contemplating returning to the ER or my primary doctor for advice if it continues, is this normal?
D. Hayes, Florida, July 13, 2009

• My Cardiologist wants me to get an Angiogram, because he thinks he sees a blockage in my heart. He's not sure if it's a blockage after seeing the results of my Stress Test and Echocardiogram. After reading these letters from other people, I don't want to do it. Does anyone know of and Alternative Medicine or Procedures. I don't like pain at all. I also have a very bad fear on dying doing this procedure. or even afterwards.
Linda, Payson, Arizona, USA, July 13, 2009

• Thank you for your reply Forum Editor. Actually Dr. Hopkins works at the same facility as the doctor I am seeing, Dr. Levy. Yes, I have asked about alternatives. I requested that the nurse ask the doctor (when he gets back from vacation this week) if an MRA would be okay instead of the Angio. I have already had an MRI. She said there's a good chance that he won't let me do the MRA because it is not as clear of an image and if they can't see what they need to, they may have to do the angio anyway. It would make it so much easier if they could just put you out for it! Being awake is the part that makes me too nervous to go through with it.
Jenn, Buffalo, New York, USA, July 9, 2009

• As we wrote a few days ago, complications from cardiac catheterization are small in percentage -- bleeding complications have much to do with problems from the femoral "stick", but age, diseased vessels, etc. increase the risk as well. A typical minor bleeding complication is a hematoma, essentially a large bruise. If the hematoma gets bigger, it may indicate internal bleeding and should be looked after immediately. Otherwise the purple area will be reabsorbed into the body over time, much like a bruise disappears.

A note for Jenn -- have you discussed alternatives to an invasive angiogram, such as a multislice CT or MRI? Since you're in Buffalo, you might want to read our exclusive interview with Dr. "Nick" Hopkins of Millard Fillmore.
Angioplasty.Org Staff, Angioplasty.Org, July 8, 2009

• My doctors wants me to go for a cerebral angiogram to rule out an AVM. After reading these postings, I am not sure I want to do it. I wish I knew the ages of the patients listed in these postings. I am a relatively healthy 26 year old so I would hope my risk of complication would be lower than that of more elderly patients.
Jenn, Buffalo, New York, USA, July 6, 2009

• I had a heart catheterization on June 15, 2009. No blockage was found. However, on follow up visit to Dr. on June 25, a small hematoma was discovered. As I was leaving town for three months, my Dr. said for me to watch the hematoma and see a Dr. if it should grow or become painful. I don't think it has grown, and is not painful. What are the chances of this hematoma dissolving on it's own and how long will it take. If it does not dissolve on it's own, what action should I take?
Cliff, Colorado, USA, July 5, 2009

• To all -- most posts in this topic involve either bleeding complications (which include hematomas -- black and blue bruises near the groin insertion site) or what seem like nerve problems. In caths and interventional procedures (PCI) the complication rates are relatively low in the 3-5% range -- major complications are much lower. However, no complication is low if you happen to be the complication! You should definitely report these problems to your interventional cardiologist -- the physician who performed the procedure. He/she may be able to help, but your interventionalist also needs to hear the feedback about any complications that have occurred -- because complications often do not manifest until AFTER the patient leaves the hospital and the problems are dealt with by the patient's personal doctor, or a clinical cardiologist. In other words, the interventional cardiologist may never know about the complication. If this feedback is gotten, procedures may be changed or refined to reduce future problems for others. If you read our section on the Transradial Approach (through the wrist, not the groin) you'll hear from a number of cardiologists who have switched to the wrist, in order to lower bleeding complications and nerve injuries.
Angioplasty.Org Staff, Angioplasty.Org, July 5, 2009

• Had heart attack at age 36 which was 2 1/2 years ago. Had cardiac cath done with stent placement. Had chest pain at the end of May, Cardiologist repeated my cath and found that my stent was occluded with scar tissue. Had another stent placed with an angioseal. Since my discharge on June 1, I have had extreme right leg pain. Cardiologist said take some Aleve it was nothing we did. Called my family doctor did not want to get involved felt it was something the cardiologist did during the cardiac cath. I finally got an appointment with Physical Therapy which I go to 3 times a week. Saw a PMR doctor who said I have an obturator nerve injury. Currently taking 900mg of Neurontin daily have tens unit and still can't get rid of pain or return to work as a nurse. Anybody have any suggestions?
Cheri T., Reading, Pennsylvania, USA, July 4, 2009

• I had an angiogram done yesterday 6/30/09 on both legs. I went in to have my right leg done but the vascular surgeon looked at my left leg and stented that one as well. All day today I have had terrible pain in my left thigh. It feels like a throbbing toothache. I'm worried about this because my left leg did not hurt this bad, ever, before the surgery. Can anyone tell me what this may be? He wants me to come in in the morning to make sure everything is ok. But I am very scared.
Tracey N., Smithfield, North Carolina, USA, July 1, 2009

• I had an angiogram some two weeks ago and have been in severe pain since, my scrotum swell like a football and my groin area is black and blue,back hurts upon touch, scrotum hurts like hell but the swelling has reduced.Got discharged with severe pain and told to take pain killers.
Vijay Shah, London, United Kingdom, June 28, 2009

• I had two angiogram's in 2007. One in the right leg and one in the left leg. I have had a stent in the right groin since 1998 and a new stent put in the left iliac in 2007. Ever since these two angiograms I have lived in severe pain. The left leg has burning and tingling pain from the groin, across the hip and down the thigh to the knee. The right leg is much worse. The pain goes from the groin and hip and all the way down the leg and into the foot. This pain is constant. Sometimes it hurt to even walk because the pain in my right foot is so bad. I have been to many doctor's and tried many things. The only thing that helped the pain at all was a drug called topamax, but it caused my blood pressure to drop to dangerous levels and other side effects that were unbearable. I now have more blockage and am afraid of what to do next.
Pat, Austin, Texas, USA, June 26, 2009

• My Aunt had a femoral coronary cath on June 12th, Friday. 2 hours after the cath, the nurse told that she was not bleeding and that she could get up and go home. She went to the bathroom and started bleeding profusely at insertion site. The 'nurse' then held the appropriate pressure for 15-20 minutes for the bleeding to stop. She did not notify the MD. Of course, my aunt still has recovering ecchymosis all the way around her thigh and down almost to the knee. Now, she has a very hard knot at the insertion site that is approx 4" in diameter. There is no softness noted within knot and definite ridges at edge. She has been lying down every couple of hours with an ice pack to allow swelling and pain to decrease. Do not believe that this is normal, but may not be dangerous. Awaiting anxiously for your reply.
Joy R., New Mexico, USA, June 22, 2009

• My mother recently had an angiogram to look at her heart. A week later she has a kidney infection and extreme pain in the back and a shooting pain up and down her leg. The angiogram was inserted in the right groin. No complications were found in the angiogram. Her back is still hurting bad. Can this be from the angiogram? Could they have hit a nerve or something?
Josh, Wisconsin, USA, June 20, 2009

• I'm currently being treated for a fungal infection in my right lung. About a week ago, I had to have a pulmonary angiogram through my right groin to stop some bleeding in my right lung. Afterwards, I had to lay in bed for 6 hours. After the end of the six hour period, I could barely walk. Both legs were weak that day and the following day when I was discharged. For the past six days, I've been able to walk but the left side of my body from under my left pectoral muscle down to the toes on my left foot have lost some sensation. The area is not completely numb but it is less sensitive than the right side of my body. Even the left side of my genitalia has lost some sensation while the right side is fine. During intercourse, I am capable of achieving and maintaining an erection but unable to ejaculate. I didn't have this problem before the procedure. My left leg is still somewhat weak. I am going to see a neurologist if the condition doesn't improve. Is this something that will resolve over time or is the damage likely to be permanent?
John F., Kentucky, USA, June 20, 2009

• Victoria -- if the femoral (groin) puncture site is not completely healed and heavy stress is placed on it, it might start to leak. This is hard to say. What did your doctor say about your exercising. Certainly, we'd suggest taking it a bit easier after your next one. Just a thought -- have your doctors mentioned the possibility of going in through the wrist (radial)? And KK -- you are describing something that a number of posters have reported -- a trauma to the femoral nerve (which lies along side of the femoral artery). They have reported a number of attempts and treatments -- some have worked and sometimes this can resolve itself over time if there's been no irreversible damage to the nerve. Again, this complication is relatively low in occurrence, but it can happen.
Angioplasty.Org Staff, Angioplasty.Org, June 19, 2009

• Hi I had two Angiograms performed and am expected to return for a third on July 8th, however after reading everyone's posts I'm starting to reconsider returning. On May 13th I was was entered in Neurosurgery for a cerebrum hemorrhage and the doctors could not find the cause---hence the two angiograms. I didn't experience the hematoma pain until this past weekend (two weeks after the last procedure) Kind of weird, huh? The delay stumped the doctors in the er also but the ultrasound showed that the hematoma was the size of baseball (approx 4 in) in my groin area. Its been four days and 6 ice packs later and I feel better--cannot work out but can move around better. What I would like to know if working out on the treadmill and elliptical could have caused the hematoma? One week after release from being hospitalized in May, I began exercising 40 min a day for the last two weeks then the pain occurred the 3rd week.what do you think?
Victoria, Chicago, Illinois, USA, June 17, 2009

• I had a stent inserted in April of 2006. They hit my femoral nerve and since then I have had no feeling from the area of insertion to just above my knee. Always feels like pins and needles. In the past month I went through rotator Cuff surgery and while sleeping in a chair it started waking me up with sharp pains in the numb area like someone was stabbing me with a long needle. Over the past three weeks the pain has intensified to the point of intense and when I walk I feel the needle. I am scheduled for an EMG next week but wondered if anyone else has had this experience and what they did.
KK, Clinton Township, Michigan, USA, June 16, 2009

• Had brain aneurysm surgery in 2000 and four angiograms in my right femoral artery. The third angiogram had caused too much scar tissue and they had to re-cut before giving the fourth. About 8 months ago, started feeling a weird sensation (not pain, but a tightness or feeling in the artery) in right thigh. Can the artery be clogged and the blood not going through?
Sheila M., Queen Creek, Arizona, USA, June 13, 2009

• I had angiogram last week 5-29 had angio-seal following day had sharp pain that went down my leg and felt numb and tingled could not walk or put pressure on my leg. Dr. told me to go to ER, they checked for aneurysm and it was clear and sent home with Percocet then had continued pain all week and after a week black and blue all over from groin area to knee why did it turn black and blue after one week? and still have pain do not want to go to ER if not necessary again can someone help or have had this problem. My cardiologist is sending me to vascular Doctor on Monday....
LM, New York, USA, June 6, 2009

• I had a RT iliofemoral Endarterectomy & goretex patch angioplasty done two weeks ago and a week prior to that an angiogram which has been the source of progressive lower back and left groin pain since the procedures. The incision site seems to be doing well but the left groin was attempted to be used for the dye injection and after failing attempts to insert the probe they resorted to my left upper arm to inject the dye. i am concerned about the sharp grabbing pain in my left groin at the failure injection site that travels around my left hip and down my leg when i walk with my cane. The lower back pain is worse lying and in the AM when I rise and goes from hip to hip if i flex my lower back. It eases if i sit and when it is most severe in the AM I DO GET ADULL PAIN UP THE LEFT HIP TO AND AROUND THE KIDNEY AREA. THIS SEEMS TO EASE OVER THE FIRST HOUR OR I AM UP. any input would be appreciated.
Bill D., Somerville, Massachusetts, USA, June 6, 2009

• Had a femoral cardiac cath done on 5/25/09 what a nightmare. I laid on the table with my privates exposed, the staff while waiting for the cardiologist to arrive thought they would listen to the radio. So there I laid naked from waist down through the entire Brittany song ( if you seek amy song which if you know the lyrics was so inappropriate) It was humiliating for to lay there like that while 5 complete strangers laughed and talked about going dancing and fav restaurants. When the doc arrived the radio had been turned way down, it was at this point I was finally covered and the real nightmare began. I was given IV moderate sedation which lasted until the doctor started the cath in my artery. It hurt so bad. The doc said I would only feel pressure..the pain was crazy bad. I'm home now, and pain is radiating around to the back by my right kidney. Groin is still very sore hip is sore. How long will this hurt? I will never go through another cath again! The entire thing was horribly painful and humiliating.
Deb, Florida, USA, May 31, 2009

• to JBD in Texas, blood in the urine is always a sign of a bladder infection (or worse) and is NOT related to the catheterization or closure devices. Please call your MD ASAP.
T.L., New York, USA, May 18, 2009

• Had femoral cath 2 days ago w/AngioSeal. Still limp from pain in groin but seems to be abating. Only just began walking this evening (any distance) but will stay conservative based on some of the comments here. Was thinking that I was being a big baby when the pain was causing me to limp - my GP was thinking I'd be running in a day or so. Think I will wait!
Mary L., New York, USA, May 16, 2009

• To all -- if you have had a procedure done via the groin/femoral artery and have a suspicion of internal bleeding post-angiogram/angioplasty, call your cardiologist ASAP. In a small percentage of cases, the arterial access site doesn't heal and close up. Sometimes this bleeding goes backward into the retroperitoneal cavity and is difficult to diagnose in the recovery room. It may be nothing, but better to be sure than not.
Angioplasty.Org Staff, Angioplasty.Org, May 16, 2009

• I had a cerebral angiogram done Friday 13 March 2009. Difficulties following this angiogram were minimal.

Friday - three days ago - 8 May 2009 - a second angiogram was done using the same right groin artery. This time I suffered right away with swelling at the back of my tongue and throat tightening, extreme shortness of breath and greatest difficulties trying to breathe, pain in the groin site and artery that continues down the leg to the top of the knee, extreme eye and brain pain immediately continuing through today, and severe back and kidney pain that is worsening today. I also experienced a raised temperature of three and a half degrees while in the recovery area Friday and have been chilling and cannot get warm since. Temperature Saturday was four degrees higher than normal and last night it was still two degrees higher. The arteries on both sides of my neck and into my chest and abdomen are visibly swollen and very sore. The left artery is "stiff" feeling and there is much pain and soreness at the base of my spine/head on the left side and on the right side the soreness in the artery continues through into the brain. My left eye orbit is very swollen and sore with much pain from the very moment the dye was injected to present. I have what to me feels like 'wet' lungs and difficulties in a odd type of a cough at times and wheezing with burning lungs.The only thing I had before the angiogram Friday was good health and a c-c fistula left side.At the hospital ONE nurse recognized these symptoms and tried to get someone to help with them above her, but she was unsuccessful with all of those who could have helped saying it is "just anxiety"! WRONG! why would I be anxious? I was fine they just did not want to acknowledge that I was in difficulties and it is their problem!I had the friend that took me for the angiogram stop by on the way back at the primary care doctor. He saw and knew I was in severe difficulties but told me to take the support supplements and try to rest and keep him informed. Fine. He is gone for the weekend by the next half hour. I have suffered greatly all Friday Saturday Sunday and continues today. I know there is something very wrong connected to the angiogram. It seems with the rash, fever, diarrhea and chilling with sore arteries and back pain with all of it together and shortness of breath difficulties with such things that it may be some form of vasculitis or something. I just do not want to do as the reports from the various medical sites say with these symptoms and die from a stupid procedure. I would rather die from the actual health concerns.

Please if anyone can help with what this is and what I can do I really appreciate it. And if I must try to obtain the medical "professionals" assistance What is it that they WILL hear and how do I tell them what is happening so they are alarmed and actually take me seriously?

The discharge instructions say if there is shortness of breath and so forth well that was going on at the time and ignored so was the pain and other difficulties they refused to acknowledge. Thanks.
VL, Provo, Utah, USA, May 11, 2009

• I had a catheterization on March 30, 2009. For the past three days have been having pain in the groin/abdomen area. I am now bleeding with urination. I do have frequent bladder infections, but this seems to be a lot more blood. Could the angio seal be leaking and bleeding into my bladder?
JDB, Texas, USA, May 8, 2009

• I had a DES in Sept. 08 and a very short time after I had pains in my chest and was puffing well on exertion. In Feb this year I had another Angio procedure and although the blood was flowing through the stent it appears an Aneurysm was also found. I went to the Munich Heart Centre and asked advice (and they were excellent) and they said they saw a lot of these aneurysms and mine was very low risk but it needed monitoring. It is apparently caused by a reaction to the DES or to the drug which the stent elutes or to Plavix..more probably a combination of the lot!! Interestingly he said the 'Angina' pain I was feeling was not from my heart but from my Bowels...and after I took the advice of changing the time in the day I took Plavix and did some detox treatment and took more exercise the pain in my chest has now gone and my breathing on exertion is slowly improving. I was also told that the pain I would expect to feel if something was wrong with my heart was as if a band was being tightened across my chest....then head for the nearest emergency hospital!!My aneurysm is being checked every once in a while but I am assured that the procedure used to treat this (should it be necessary..if it gets bigger) has been very successful. Another stent is inserted inside the first stent and the aneurysm disappears. (an aneurysm is caused when the stent does not imbed itself into the artery wall properly...the drug which the stent elutes which works to stop restenosis actually works against you).Apparently the other treatment involves blocking off the artery with something similar to a stent but not actually a stent and this is very high risk and I was advised not to have this done ever!Other things I should mention is that I have a known sensitivity to some drugs and have a blood clotting problem(probably genetic)and have a high cholesterol family problem.(also genetic).which was unknown to me and probably caused the restenosis in the first place!! Apart from being last in the queue for good genes I am happy and feel good. I am 67...So exercise, eat properly, watch those bowels, take as few pills as you can get away with (I take Plavix and huge doses of Lipitor and an aspirin a day) then forget your heart...Hope his helps somebody!!
Rosemary P., Sussex, United Kingdom, May 8, 2009

DW -- very sorry for your loss. This might have been what is known as a retroperitoneal bleed, where bleeding happens at the femoral site (could be due to a number of things) but the bleeding happens interiorly, back into the abdominal cavity, and sometimes it is not obvious to the eye. It's a serious complication and in some rare cases, like your relative's, can lead to death. Dr. John Coppola, in his interview with Angioplasty.Org, discusses how this led him (and others) to learn the radial approach where the wrist artery is used. But there might be other reasons for the bleeding in your mother-in-law's case -- strong anticoagulation is usually used during interventional procedures -- these can cause bleeding as well.
Angioplasty.Org Staff, Angioplasty.Org, April 18, 2009

• I had a heart catheterization test which came out negative but a month later I am having pain above the site area like pulling or needles and when moving, walking faster, I feel like I need to press and hold it from moving. I had a CT Scan to see if vein, etc. problems but it came out normal. What could this me?
JT, Tennessee, USA, April 14, 2009

• My mother in law died recently from massive internal bleeding following her stent procedure. She had the stent procedure done on Friday early morning and was discharged Friday evening. Following the procedure she vomited and her blood pressure dropped. Supposedly she was cleared for discharge though as her blood pressure remained stable for several hours. Upon returning home she started to feel very nauseous and have extreme back pain. When the doctor was called he said she was fine. At 1:00 AM she was rushed to the hospital due to difficulty breathing and remaining in excruciating pain. Although they believed by Saturday AM that her bleeding had stopped too much damage had been done - kidney failure, etc. She died Sunday evening. Does any of this make sense? There was no bruising at the site so we do not believe the bleeding was caused by that. She had a history of internal bleeding - does anyone have any info?
DW, New Jersey, USA, April 14, 2009

• Glen -- the bruising is known as a hematoma (very common to postings on this Forum topic). It is caused by blood under the skin. If it grows in size, definitely have it seen by the cardiologist. Has anyone at Mayo mentioned the transradial approach from the wrist??
Angioplasty.Org Staff, Angioplasty.Org, March 27, 2009

• My husband had an angiogram done on 3/17/09 at the Mayo Clinic in Rochester, MN. They were not able to unblock the 100% blocked artery, but will try again in a couple weeks. However,that night after they turned him, he had a blow out & after much pressure put on it & blood pressure & heart rate dropped they were able to get everything back to normal. We came home the next day, but now one week later there is a 3 inch long, skinny hardening along the site of the artery, near the injection site. Also the bruising is approx. the size of a football, which is probably normal. Should we be concerned & get this long lump checked out?
Glen M., Minnesota, USA, March 25, 2009

• I had a femoral angiogram done on 03/17/09 in edmonton, alberta. I am 50 yrs old and suffer from angina, my family history has almost everyone dying of heart attacks, after my procedure the nurses had problems stopping the bleeding, after extended time used in applying pressure the bleeding stopped, twice while on bed rest I started to bleed again. The bruising around my injection site has increased in size and I still have a lot of pain, plus I still have a large hard lump at the site.
Stuart Affleck, Grande Prairie, Alberta, Canada, March 20, 2009

• I had a heart catheterization in March 2008. My genitofemoral nerve has been damaged - the pain has been excruciating for one year. It has caused all sorts of other problems, but that was the original problem. Instead of using a closure device as I had had other times, they did compressions - but on the surgical table instead of a bead after you lay flat for 6-10 hours. The steel table hurt my back as well. Is it possible that that nerve could have been damaged - "nicked" as they say - since it is right beside that femoral nerve that they go in? Please Help me try to find a way to get my life back.
Peggy Patterson, Olathe, Kansas, USA, March 12, 2009

• I had an angiogram on July 13 2008. I was told that in 2 hours I should get up to use the bathroom and in 4 hours I could go home. 3 hours after the procedure I got a pain in my thigh that was so bad it made me vomit violently. I never even got out of the parking lot before I was rushed back into the ER. The first doctor told me straight to my face he thought I wanted pain meds. and there was nothing wrong, but the pain persisted. I was finally taken back and they did a sonogram and told me I had a blood clot in my leg in the same place they did the angiogram. For three days I was given blood thinners, shots in my stomach, pills, and IV. the pain was so bad after three days I was sure I was dead. At last a surgeon did a cat scan and found that I didn't have a blood clot but a hematoma the size of my fist. At first I was so glad to rid of the pain that is just indescribable that I thought it was over, of course I was wrong. When the feeling in my leg started to come back 4 months later I found I had another problem the nerves in my leg must be jumbled. I still have severe pain and cramps in my leg and its caused me to loose my job and ins. for my family. By the way I'm was only 30 and have 2 children under 6, I also am out of money and options. was told there is NOTHING I could do about it.
Gary F., Louisiana, USA, February 27, 2009

• 1 week ago I had an angiogram the entry was made in my upper arm. I have now a bruise from my armpit to my wrist. The bruising continued for 5 days. I just wondered if it was normal for the bruise to extend so far below the entry site? It covers almost 1/2 of my forearm. Seems to be subsiding now but still is slightly swelled and sore.
Perry, Smoke-N-Guns, Cottonwood, Arizona, USA, February 26, 2009

• I had a heart cath done on Dec. 13, 2008 with a stent in my main back artery (85% blocked). Everything was going well with the procedure until they put in my Angio Seal and I felt a horrible pain that brought tears to my eyes. As I laid in my bed for 4 hours afterwards, the nurses told me I was ok to move around. The next day they released me still having this pain. On the 2nd day after surgery I began feeling a pain in my groin, a burning sensation along with numbness in my right leg. I returned to my doctor 2 days later with a bruise from my belly button, around my right side and down my inter thigh past my knee. The pain and burning was so bad I couldn't walk. The nurse looked at it and told me to go home and put a heating pad on it and elevate my leg for 72 hours. On Jan 19, 2009 the doctor finally had an ultrasound done and told me that I had a very large hemorrhage and scheduled me for surgery the next day. When I arrived for my surgery the surgeon did another ultrasound and said he didn't see it and refused to do the surgery. The surgeon told me that the pain might go away in 2-3 days or 2-3 months. But gave me nothing for the pain. And because of all this I have lost my job because I am unable to work a full week. I am out of money and don't know where else to turn for help. The doctors and nurses have made me feel almost as if it is all in my head.
Donna, Gladstone, Missouri, USA, February 7, 2009

• I had my initial catheterization in July of 2007 and received a stent for the discovered blockage. In June of 2008, I experienced chest pains again, and underwent another cath procedure. The good news was, I had no additional blockage and the stent was clear. The bad news, when my doctor was removing the catheter, I vaguely remember jerking my leg and him telling me to stay still. It was more sore at the entry site than I remember the original incision being, which I kind of expected, given my movement, but now, in February 2009, my groin still feels tender. It actually feels more like a pulled groin tendon. It doesn't impair my movement at all, it just hurt a little bit. Should I be worried about this enough to go get it looked at? Will the minor pain go away in time? Thanks in advance for your answers! BTW, I think my cardiologist rocks. It wasn't his fault that I moved when I shouldn't have!
Jackie Hudson, Boulder, Colorado, USA, February 4, 2009

• Sounds like a hematoma. It's a bleeding complication from the femoral puncture. It may be minor and go away. If the bruise gets larger or the pain continues, call your cardiologist.
Angioplasty.Org Staff, Angioplasty.Org, February 4, 2009

• I had an angiogram in the groin and about 6 hours later upon rising, felt a "pop" in the groin followed by intense pain. I went to the ER and had an ultrasound to check for a pseudoaneurysm. Nothing was found. Six days later, I found black/purple bruising around site and down 6 inches on the thigh. Now, my groin still hurts and feels like I have packing in it and my entire leg gets discolored like I have a circulation problem. What is going on?
Pam, Arizona, USA, February 4, 2009

• Kevin -- your mom had a serious bleeding complication from the femoral puncture. Happens about 3% of the time. Maybe more. Any further bleeding should be checked immediately.
Angioplasty.Org Staff, Angioplasty.Org, February 2, 2009

• my mom went in for her second stent and had problems after the procedure. she bled a lot where the catheter was inserted. the had to put a lot of pressure on it for about 10 to 15 min. for the bleeding to stop. Her blood pressure dropped fast and they had to put something in her i.v. to make her b.p. go back up. she stayed over night in the a.c.c. and blood pressure dropped again...75 over 15. they gave her a blood transfusion of two pints. she came home the following day. now, she has a hard egg shaped ball where the catheter was started. it has grown some, and the doctor has not called her back. what could it be? and should she go to the emergency room? concerned son!
Kevin Snedecor, concerned son, Austin, Texas, USA, January 27, 2009

• Four months back my father suffered heart attack and we did his coronary angiography. Since his angiography my father is suffering from following problems - a) severe burning sensation in feet (cannot put his shoes on due to pain) b) pains / severe pricking sensation radiating from ankle to leg c) foot turning red at night d) pain invariably worsens at night and he can't sleep. e) cannot walk due to pain f) Very less sensation in feet

My father is diabetic patient and suffers from varicose veins. Have done following diagnostics test - a) Nerve conduction test (Electromyo graph) b) MRI scan c) Doppler test of right leg Doctors have told following things - a) Diabetic neuropathy (peripheral) b) Lumbar stenosis c) Peripheral arterial disease Taken following treatments - For Lumbar stenosis: Traction for eight days, IFT, long wave and laser therapy. Result: Pain that radiated from hip to leg reduced. For nerve pain: Since the foot was looking red and looking swollen Dr put him on steroids for 4 days. They said he might have "Complex Regional Pain Syndrome" or "Raynauds Syndrome" and discharged. Steroids stopped and gabapentin is started. PAD: Dr has advised another angiography of leg. But we are wary to do this as this might trigger another pain. Dr advised to wear stockings for his varicose veins Before angiography his walking was limited due to pain in legs, but after some rest he was able to walk again. But this angiography has broken down something and Dr is not able to diagnose the burning pain in his right feet. He has very less sensation and cannot even wear his shoes as it pains. Can some one please help? Thanks.
Sumeet, Pune, India, January 26, 2009

• Pauline -- when you lay on your back for an extended time, especially afterwards while the femoral puncture site heals, you anbd many others experience back pain --it's one reason we are advocating greater use of the radial artery in the wrist -- patients can sit up and walk almost immediately after the procedure.
Angioplasty.Org Staff, Angioplasty.Org, January 17, 2009

• i had a heart attack in sept and had an angiogram done and a stent put in . now january i had another angiogram done no stent put in my question is has anyone suffered back pain from this procedure?
Pauline Lawless, a mum, Dublin, Ireland, January 14, 2009

• My husband had an angiogram (no stenting) some two months ago and all has progressed well but he occasionally experiences slight spasms in the chest (midline and to the right) which only last a few moments but can be quite unnerving. These spasms can occur at any time and are not particularly painful. Has anyone had similar experiences?
G.D., Ballarat, Australia, January 8, 2009

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