Archived Postings from 2008 on This Page (97):
Shane,
You should visit your GP I think and see what he/she thinks. In any event,
you should be called back to the hospital at 6 weeks for a protocol check
of the site etc... but from my experience if you don't get called back,
contact your referring Neurosurgeon/ Neurologist/ other Consultant if you
are still experiencing problems after 6 weeks (or before if it worsens)
and inform them of your problems with the groin site. The sooner you get
seen the better
your outcome...
Anon, United Kingdom, December 26, 2008
S.T. -- thanks for sharing your experience with
a chiropractic treatment for groin pain. Just wanted to alert readers that,
as our disclaimer states, "Opinions and recommendations expressed
on the FORUM are solely those of their authors." There are a
variety of causes of groin pain after an angiogram -- what may work for
one situation, may not for another. But we're glad that in your case, you
found relief. We'd urge other readers who have found solutions to share
them as well. Sounds like you've also found another solution -- getting
your next angiogram done via transradial access through the wrist artery.
As you may know, Angioplasty.Org hosts an entire section on the Radial
Approach, which has been shown to have much less complications.
Angioplasty.Org Staff, Angioplasty.Org, December 11, 2008
For ALL OF YOU that are in "groin pain" from an
angiogram, I found a treatment that has almost totally relieved my pain.
The treatment is called ART or Active Release Technique. My doctor is a
Board Certified Chiropractor. It is a very simple treatment of gentle stretching
and massaging. For me it has been a miracle. (In just 5 treatments). I
went in for stents Dec. 4th 2007. Almost immediately I knew I had a problem
when my "hurried doctor" hit something I should never have felt. I had
the procedure once before, so I was a little familiar with how things should
go. The pain in my groin became unbearable. I couldn't get off the couch
without yelling in pain. I couldn't roll over in my sleep without being
awakened by this unbearable pain. Then, one of my clients, who is very
active in sports, told me of her groin injury,and how it is completely
gone due to this treatment called ACTIVE RELEASE TECHNIQUE. My doctor,
Dr. A. Scott Mollica at 200 Old Sunrise Highway, Massapequa, NY 11758 (516)
541 2005 is the best! No matter where you are in the country, perhaps Dr.
Mollica can give you some insight into the treatment if you contact his
office. Before you have surgeries, PLEASE look into this simple painless
treatment. I just couldn't believe getting rid of the pain could be so
simple! If you have any questions, I won't be available till Sat. 12/13.
I'll be in the hospital again, this time getting the angiogram through
the wrist. Good Luck to you all!
S.T., Babylon, New York, USA, December 10, 2008
I had a cerebral
angiogram done last week. I personally felt the lady carrying out the exam
seemed completely incompetent, as the angiogram itself was extremely painful.
This is not something I expected and thought it would just be a tad uncomfortable.
Instead the pain in my groin was immense throughout the whole procedure.
I have now been over it a week and the site is very badly bruised, very
sore to touch and I still am limping. I also have a twitch in my leg that
seems only to have started since... Could anyone give me any advice?
Shane G, Dublin, Ireland, December 8, 2008
T. in Houston -- while we deal here mainly with
coronary angiograms, contrast dye definitely feels warm -- but in certain
individuals it is possible that it may escalate to what you felt. Not sure
if this should continue however. It's possible that a nerve was sensitized,
but if this continues, definitely contact your doctor because it may be
due to something else.
Angioplasty.Org Staff, Angioplasty.Org, December 8, 2008
2 days ago I had a cerebral angiogram through
the right femoral artery. Toward the end of the procedure, I was awakened
to excruciating, burning, sharp pain along my trap muscle. The dr said
it was just the dye. I began having pain in the same area when i woke up
the next morning ( like I had slept funny on that side). Now this morning
the pain woke me up and has gotten progressively worse. Can this be related.
I did not feel that I slept any differently on this side.
T., Houston, Texas, USA, December 7, 2008
G in Arizona -- you might also want to check out
our just-posted
interview with Dr. Mehrdad Saririan of Maricopa Medical Center in Phoenix.
Angioplasty.Org Staff, Angioplasty.Org, November 22, 2008
UPDATE
from April 7, 2008 This is to confirm that yes, indeed Radial Access
is available at Banner Good Samaritan Medical Center in Phoenix, Arizona.
I was told that they do have some doctors that perform Radial Access.
I was able to get the phone numbers of three different Cardiologist offices
directly from the Cardiology Department Cath Lab. I apologize for the
delay in letting you know but my condition that brought me to this site
has not improved.
G, Arizona, USA, November 22, 2008
27-Feb-07 my wife underwent a very painful angiogram.
For the next year she was given drugs to overcome the pain in her right
leg, to no resolve. Apr-08 nerve surgeon contracted on our own stated that
the femoral nerve was badly damaged and attempted reconstructive surgery
May-08. As of Nov-08 still experiencing a lot of pain and activity very
limited. To date we have exhausted our personal funds on medical bills
and don't know where else to turn.
Wayne T., Texas, USA, November 20, 2008
I am a 52 year old woman. I have had pain in my
left leg when walking for several years and it seems to be getting worse.
After numerous test they have diagnosed me as having PAD , The Doctors
say I can treat it conservatively with Lifestyle changes or aggressively
with an arteriogram with possible angioplasty or stenting if necessary.
After reading these posts I am concerned that having the procedure will
give me good results and wonder if it would be best to forget the procedure
and try lifestyle changes so as to avoid the complications of the procedure
listed here. Any advice would be appreciated. I am scheduled for the procedure
in 2 weeks. Best of luck to all of you.
Deb L, Michigan, USA, November 20, 2008
W.T.M. -- you don't mention if you are okay now?
Hematomas are one of the most oft-experienced complications from cardiac
catheterization, somewhere in the 3-5% range. Minor hematomas usually disappear
on their own and cause no lasting problem. A hematoma occurs when the femoral
access site "leaks" blood under the skin -- this is often hard
to detect, especially in obese patients. But your unflattering descriptions
of the attendants in your hospital are really unwarranted -- we're sure
they were doing their best to help the pain and see via ultrasound if there
was any problem. But they weren't the cause of the hematoma.
Angioplasty.Org Staff, Angioplasty.Org, November 19, 2008
I had a heart cath. last Oct 2007 and ended up
with a super large hematoma from my groin down to my right knee and around
to the right side of my butt. The pain was unbearable and the female that
was attending me "could not speak English" I kept saying and crying from
the pain and all she could or would say is: "sorry ms m." in a major accent.
They finally gave me something for the pain, but it took two of what ever
it was. Then here comes 2 "young girl" (at least English) with the ultra
sound machine. Now these two kept asking each other " (pointing) what is
this, what is that?" So two procedures in a row with 3 people doing the "DA
thing" I have asked the hospital to take responsibility, and after several
phone calls and once a month written request; still no answer to this situation.
The worst part is this is the MOST rep Hospital in Atlanta...DA W.T.M
W.T.M., my personal demize, Georgia, USA, November 17, 2008
Kyrie (and others) -- options to the standard
diagnostic cath might be a 64 slice CT angiogram -- assuming your cardiologist
feels that you fall in the guidelines. The test is VERY accurate for ruling
out coronary artery disease. But if the likelihood of disease is high,
cath is probably the way to go, because you'd wind up with a cath anyway,
possibly an angioplasty or stent, as well. As for caths, there is an alternative
to the femoral/groin/leg access -- and that is the radial access through
the wrist artery. Angioplasty.Org has an entire section about this the Transradial
Approach, including a Hospital
Locator -- which is necessary because only a few percent of
U.S. cardiologists use this approach, although the number is growing. It
is very useful in obese patients, or other patients where access through
the leg may be difficult or risky. It also avoid 99% of bleeding and nerve
complications.
Angioplasty.Org Staff, Angioplasty.Org, November 15, 2008
what are the other options to this surgery? especially
when the arteries are hardened and there are many other problems of the
patient to consider, such as the ones listed above that resulted in the
complications listed in the prior postings. What would be the complications
of releasing the blood flow thru the vessels, if it could not be returned
to the heart? Thank you.
Kyrie, Washington, USA, November 12, 2008
an elderly, wheel chair bound parent is facing
this surgery at a nearby hospital in the greater seattle area. They have
assured him that there are no side effects besides minor temporary bruising.
The surgeon could barely even bring himself to examine the injured leg
which was covered with a rash and infection. He also had not really read
the referral doctor's report as he thought the patient was a hospital transfer
and we had to tell him what the current diagnosis was. Among other issues,
the 73 yr old male patient had been diagnosed with PVD, COPD (from years
of smoking), hardening of the arteries, eclampsia(?) swelling of the extremity
from fluids not being able to get back up the leg. (The patient is resistant
to getting the legs up for any length of time on a regular daily basis
due to pain in other parts of the body when the legs are elevated.) The
patient is on oxygen at all times, as well as a nebulizer, and two inhalers,
several times a day. The patient is wheelchair bound because of severe
arthritis in the feet and legs which have curled up and crippled the feet.
He also has a slight enlargement of part of the heart. He has digestive
disorder and severe constipation from the pain killers he is currently
on from the other problems. From what I have read he seems like he should
be a high risk patient for this surgery. The referring doctor was just
wanting to know what was possible and what the risks were. The surgeon
was ready to rush him thru and get surgery scheduled without even seriously
looking at all the other risks involved, which both he and his scheduling
person assured us were practically non existent as his breathing and other
problems would be under constant monitoring so he would be in no danger.
They assured us that the infections and leg problems which were recurring
would continue to occur unless he had this surgery done. The patient is
very well insured and so can afford almost anything they decide to do to
him. Is there any way to find out what the success (and patient loss) rates
were for this hospital and this doctor? Thank you for your time.
Kyrie, Washington, USA, November 12, 2008
Seven weeks ago, I had my catheterization, which
found small blockage requiring only medication, but my real problem began
as I took my first step after the procedure. It was 2:00am when I was cleared
to walk and it felt like one large nail was driven from my right heal to
hip. The nurse blew it off and signed me out but I was waiting for my doctor
the next morning. He admitted he screwed up and said all would be fine
in three to four weeks while offering numerous drugs to deal with the pain.
Not all is fine and the cost of doctors, test and drugs are adding up as
they continue to search for some other cause to my pain, which radiates
from the femoral nerve. What, if any, options do I have as I try to deal
with the pain in my leg.
Tom, Northern Carolina, USA, November 6, 2008
Barbara -- manual pressure is used to achieve
hemostasis -- stopping of bleeding. In your case there may have been bleeding
anyway (hence the bruises, a.k.a. hematoma). If the pain or bruises don;t
go away, talk to your physician.
Angioplasty.Org Staff, Angioplasty.Org, November 5, 2008
I had a cardiac cath done on Oct 30th. Ten days
later I still have huge, painful bruises down my thing about 8-9 inches
and a big, painful bruise and lump (walnut sized now) in the inguinal region.
After the procedure, which showed NO vessel disease, the nurse was showing
some new nurses how to manage the site. She kept firm pressure over the
femoral artery-where she thought he had made the puncture and used the
other hand to palpate the area. She kept saying one of the medial muscles
in my thigh was tight and she had me press hard against her hand with my
foot. This was painful. She did this about 5 times and then turned the
site over to the novice. She told the novice "we usually keep pressure
on the site for 5-15 minutes. Keep pressure on this for 5 minutes. The
novice did that and several times she again made me press my foot against
her free hand. I am thinking all this pressing made me develop this hematoma.
What was she trying to accomplish?
Barbara K., Nevada, USA, November 2, 2008
Leslie -- actually you weren't one of the "lucky
ones" --your story is the norm. Unfortunately many of the other posters
on this Forum are among the "unlucky ones". Catheterization is
considered a very safe procedure. More than 90% of patients who have invasive
catheterizations have no complications whatsoever, major or minor. About
3-5% do have what could be called significant complications: bleeding,
nerve damage, need for transfusion, etc. and very very rarely stroke or
death (1 in a 1,000). Of course, these numbers won't make you feel any
better if you are the one with the complication. So this Forum is quite
skewed towards those with complications -- not many patients write in,
like yourself, when they experience a favorable outcome. Thank you for
letting our readers know.
Angioplasty.Org Staff, Angioplasty.Org, November 2, 2008
I am currently seeing a vascular surgeon who wants
to schedule an angioplasty on my left iliac artery due to 80% blockage
to my left leg. Before proceeding, I needed cardiac clearance for the procedure.
Due to an abnormal stress test, I was sent for a cardiac cath on October
23rd. It has only been a week, but I must report that I am just fine. I
was "somewhat" awake during the procedure, but I believe I dozed off near
the end. I felt no pain during the procedure and since then have had absolutely
no pain or even discomfort. I have a bruise on my right groin, maybe 1/4" wide
and 2" long that does not cause me any trouble whatsoever. I suppose I
am one of the very lucky ones. I feel so bad for the problems some of you
have faced, but I also wanted to report a favorable outcome as well.
Leslie, Brick, New Jersey, USA, October 29, 2008
Doris -- check out the Forum Topic on "Vascular
Closure Devices" for comments on collagen plugs. You might be
allergic, or hypersensitive, to bovine collagen -- that's the only "drug" in
the collagen plug, which should be absorbed by the body within 90 days.
Angioplasty.Org Staff, Angioplasty.Org, October 28, 2008
I HAD AN ANGIOGRAM ON AUG 18TH,2008...... ABOUT
60 DAYS AFTER I HAVE A TERRIBLE RASH ON MY STOMACH & IN THE GROIN AREAS.
ITCHY, BURNING SENSATIONS. WAS WONDERING IF ANYONE ELSE HAS EXPERIENCED
ANY OF THESE SYMPTOMS AFTER AN ANGIOGRAM.... HAD A COLLAGEN PLUG PUT IN....
DOES THAT HAVE ANY DRUGS IN IT........ IF SO...WHAT ARE THEY?
Doris O., Burke, South Dakota, USA, October 24, 2008
There is hope! Update for numbness and pain in
right leg after angiogram. Immediately after I got up off the recovery
table the inside of my right leg was completely numb. For three weeks I
experienced moderate pain, weakness and residual numbness. Angiogram was
done on September 25 2008 Today I feel occasional twinges with certain
movements in my groin but little else. Explanations:
- The local anesthetic stick was a bit too close to
the femoral nerve and created temporary damage.
- For immediate or shooting pain and long-term pain,
the femoral nerve was nicked during the procedure. Pain may last a year
or more.
- I would find it nearly impossible for someone to
not be able to distinguish between the femoral nerve and artery, but
I suppose it could be possible at a teaching hospital.
Anyway i just wanted to provide some hope for recent
angiogram patients. Many of the symptoms I have read on this forum can
only be unrelated to this procedure. All of your symptoms are most likely
to be confined to your right leg after an angiogram. Although in rare instances
someone may throw a clot and suffer a stroke or pulmonary embolism. This
would be obvious right away.
I do have long-term concerns with the Starclose procedure
though.
- I was not told I would receive a permanent inorganic
implant before the procedure.
- The body tends to calcify foreign objects in the
body and a 3mm disc may turn into a 5mm or larger calcific ball. Partial
occlusion may occur in the femoral artery.
- An eddy current may result and cause a greater incident
for a clot.
- If you don't think 3mm can cause trouble, try walking
around with a BB in your shoe for a week or two.
IMO there is no reason an organic material shouldn't
be used which will dissolve over time. (like collagen) Nonetheless, there
is no procedure which rivals the angiogram to determine the status of the
coronary arteries. BTW: Never forget the letters TPA. They may save your
life.
a doctor, Missouri, USA, October 21, 2008
My father has had an extensive heart history
including 2 CABG's, multiple stent placements and so forth however he is
very healthy and active otherwise. He had a cath. done in June with a stent
placement LAD. Two weeks later he had recurrent chest pain and had a 2nd
cath which they used a collagen plug. It failed and they clamped him for
14 hours (he is on coumadin). The 2nd cath was normal. He developed a yeast
infection in the groin. He was placed on Neurontin for nerve pain in his
chest wall that resolved all chest pain. After 4-5 weeks he began having
severe pain in the rectum, & groin which goes into his thigh and calf.
He is only able to sit for 5-10 minutes before the pain is too severe and
the pain is actually better when he is walking. He has pain when he tries
to lie down also. He is absolutely miserable, has lost weight and beginning
to lose interest in life. He has had a negative GI consult (colonoscopy
negative), urology negative, negative ultrasound of femoral artery, coccyx
X-ray and CT of abd/pelvis was negative (they were not able to use contrast
d/t iodine allergy). There has to be something causing his pain. His life
has totally halted because of this pain and I wish we could figure out
what is causing this so that he may get back to his normal wonderful self!
Thanks all!
Jill S., Ohio, USA, October 20, 2008
My husband had a heart attack 7/4/08 while cycling.
After a successful stent for 100% closed artery he experienced internal
bleeding at the site due to artery nick by the Dr. which he admitted. A
C Clamp was put on for 22 hrs. He complained all nite and received pain
killers. The next day it was removed, the femoral nerve is now damaged-
he can not walk, stand drive, exercise, work (he is a hairdresser and must
stand), cycle, hike-NOTHING. Attorney has been contacted and we're told
may or may not be the same-at least a year before we can guess what will
happen. He is on constant painkiller, Lidodern patch, physical therapy
3 times a week and having to put up with my driving! Any suggestions?
Jennifer Leitner, Ridgewood, New Jersey, USA, October 20, 2008
My husband had angioplasty done from behind his
left knee. Dr. was not able to complete because the blockage was too big.
Husband has severe pain in groin and left leg which Dr. said was from the "artery" being "bruised" during
the procedure. Husband had right leg done in June and no post pain compared
to left. Has anyone heard of a Bruised Artery? Husband is scheduled for
another angioplasty in 3 weeks. We are very unnerved about this. Thank
you
Carol B., Seaman, Ohio, USA, October 18, 2008
After failing a 24-hour holter test , and stress
test I was told to check in at my local hospital for a Heart Cath. I am
a healthy 31 y/o female with no heart issues, I had a yearly physical that
diagnosed "a heart problem" I am not over weight and am always involved
in physical activities at work. Everything was normal with me until the
procedure got underway, when I was told by the dr that I would feel pressure
I felt excrutiating pain and agony. It burned so bad around or even through
my ovary area. My hip and thigh and groin were on fire and hurting the
worse pain I had ever felt. The Dr. then stated I should not be in that
much pain and moved the camera down and took a quick picture of the area
where he stated "bad" bad and took the wire out told me he was going to
have to stick me again and told the nurse to give me happy juice. I WENT
OFF TO LA LA LAND......I woke up to them telling my husband that I had
an internal bleed and if it didn't stop I would be admitted for surgery.
I had to lay perfectly still for 4 hours and they would do a CBC before
discharge to make sure my blood counts had not changed, The CBC was fine.
I was discharged with 2 darvocets in hand and orders to return in 2 days.
I split them pills in 1/2 to last because they sent me home with no prescription,
I fought the pain all night, the next day the cardiologist called in 6
more pills to last till the day I go back. Its been 2 days since the "procedure" by
the way my heart was fine. I still have right sided pain in the groin,
around my hip and up the side of my rib. I cannot sit for long periods
of time, only recline. As long as I'm not moving I seem to be ok. But boy
when I get up, bend down, walk, etc I feel every inch of pressure and pain.
They do a CBC and CT 2 days after procedure at this appointment and tell
me I still have the same internal bleed I had 2 days prior my CBC is fine
and I am in the healing stages. There is no new bleed there and I should
be fine but in pain. In pain but with no new prescription for pain meds??????
ok well obviously since they claim this has never happended to them before
can they really know how this pain feels???? I have a high tolerence to
pain, but this pain is totally different. For you moms out there I relate
it to having a contraction, the belly is hard and there is pressure until
you lay down or recline and relax....it goes away. I also felt that if
I asked for additional or stronger pain meds I would be reported as being
a "druggie seeking pain meds" For those of you that show bruising, I have
none to show. The sight looks good and has healed 4 days after procedure,
I feel like my belly gets hard the longer I sit, and my back and right
ribs start to hurt. My ovary feels like it has been knocked out of wack......my
question is wouldn't the CT show if my ovary was damaged from this and
if it was poked in the process will it heal itself??? Or should I call
my OBGYN and tell him what happened? I never had a untrasound but am going
to ask for one ASAP. Its the weekend and I see the Cardiologist on Tuesday
will keep you all posted on my symptoms, I can say that if you are experiencing
pain.....I am getting along better as the days go by.....each day I feel
better than the day before. But will keep you posted in the mean time....
CD, Arkansas, USA, October 11, 2008
I had a cardiac catheterization in Sept. 2004
and my cardiologist damaged my nerve at the site but would never admit
to it, his nurse did, to me. I have pain there to this day. Has anyone
had this problem and gotten any help to cope with the pain? Is there anyway
to heal this?
Marge Julian, Arlington, Texas, USA, September 19, 2008
I received an angiogram in Sept of 2007. As a
result I had a Pseudo Aneurysm, which is not gone, but the pain and swelling
in my right let is still to the extent that I can not perform any physical
activity. I remember during the procedure feeling a warm sensation and
thinking I had urinated and then I passed out. There was never mention
of my bleeding, but when I got home a few days later when I was finally
able to get up and shower I had dried blood matted in my hair around my
groin and legs, and massive bruising. 10 months later I am still in pain,
due to what the Vascular Surgeon saying it must be from excessive bleeding
going into the tissue and muscles. Has anyone else had this and what can
be done? I am told only Pain Management is my option now. I can not imagine
a life of never being able to do the things I use to do, I am only 47 years
old. Any info would be appreciated. Has anyone ever received compensation
for this? Thank You.
Don Brown, Roseburg, Oregon, USA, July 19, 2008
Permanent nerve damage after heart catheterization
Took 3 years for groin pain to disappear. Permanent paralysis of the upper
left thigh. Very dangerous procedure, would not have one unless you have
no other choice.
Susan Huseman, Dubuque, Iowa, USA, July 18, 2008
I had a heart cath and he had to stick me five
times. I went home and slept, two hours later my fiance awoke me and I
had a hematoma the size of my hand and it started bleeding. I held pressure
all the way to the hospital. By the time I got there it had stopped bleeding.
They said it was normal, did nothing and sent me home. Four days later
the pain was unbearable, I had to be taken by ambulance. An ultrasound
showed i had six leaks in my femoral artery. Had er surgery to fix the
artery. Now I have constant pain from my groin and down my thigh. My foot
throbs and is tingling. I tried working as a nurse and just cant do it.
Called the surgeon and he suggested an orthopedic. The problem is the nerve,
i think because he said he had to move it to remove all the blood. I feel
he doesn't want to take any blame. Any suggestions what my problem is ?
The pain is excruciating. My incision site is still very hard. My family
doc since the nerve may be pinched at the incision site. What can I do?
My doc put me on oxycontin for now just started tonite. Norco 10s wasn't
touching it. I am also on Lyrica and he stared flexaril because my thigh
gets hard and painful.
Kim Atkins, registered nurse, also postop pt, Paxton, Illinois,
USA, June 5, 2008
In January 2007, I was feeling chest pain and
rushed to the emergency room. The ER attendant performed an EKG, which
results indicated I was having a heart attack. I was immediately rushed
to the catheterization room for observation. The catheterization revealed
no artery blockage. The doctors confirmed that I had pericarditis -- an
viral inflammation around the heart. Since my catheterization, I have been
experiencing pain in my groin area (where the incision was made) and a
constant pain in my right foot. I have seen 3 neurologists and they all
agree: 1) my femoral nerve was nicked by the surgeon; and 2) the discomfort
I'm feeling is likely permanent. I'm a healthy 42 year old male with no
history of heart disease. Since my injury, I'm not able to workout effectively,
play golf regularly, and any other physical activities I use to enjoy.
I have a office job and sitting long periods is uncomfortable. I don't
know what to do next. The physicians didn't give me any options. Best wishes
to the 3%-4% whom are experiencing the long-term effects from receiving
trauma to the femoral nerve from a catheterization procedure.
SN, Houston, Texas, USA, May 28, 2008
Thanks for your reply. We don't know what all
were his medications after the angioplasty. The bleeding started at the
incision made for the catheter. Then it spread all over and the blood was
oozing out from all places. At one point of time,he was bleeding through
eyes also. The Hb level dropped to 4. Angiogram was done on Monday and
Angioplasty on Tuesday. By Tuesday afternoon, the urine output had reduced.
So was it kidney failure due to angiogram? With the help of medication,
the Blood pressure was maintained at 60 / 40.
Divya, Icon, Pune, India, May 19, 2008
Divya -- very sorry for your loss. Regarding clotting,
was your father-in-law on any antiplatelet medicine, such as aspirin, clopidogrel,
etc? Secondly, did the doctors say where the internal bleeding was? Was
it a dissection in one of the arteries?
Angioplasty.Org Staff, Angioplasty.Org, May 16, 2008
My Father-in-law had an angiogram done and was
told that there are 2 blocks in 1st and 3rd arteries. The 1st one was marked
90% and 2nd one was marked 95%. Angioplasty was done the following day
for the 2 blocks. The next day almost 12+ hours later after the angioplasty,
he vomited and his blood pressure went down to twenties and he went into
coma. There was no breathing and he was given artificial respiration. Internal
bleeding was diagnosed thru CT. But the doctors were unable to cure it.
After 2 days of internal bleeding, he finally passed away. We have noticed
that it takes a longer time for his blood to clot for a normal injury also.
Did that prove fatal for him? He was suffering from cough (smoker's cough)
for last 40 years. Did that weaken his lungs? Please let me know the reasons
which would have killed him.The doctor told us that it was very much unexpected
complication and he has never come across such a patient.
Divya, Icon, Pune, India, May 14, 2008
Hi, I'm Abby, I'm 25 and had an angiogram last
tuesday (5/6//08). having terrible nerve pain down my right leg from the
groin down. terrible stabbing pain at the top of my right buttock/hip and
it's very very painful worse than the heart attack itself. will this heal?
is there treatment besides painkillers? I'm off to the doctor tomorrow,
can't see that i need to go to the emergency room in the middle of the
night though i can't sleep.
Abby, Melbourne, Australia, May 11, 2008
Theresa -- ischemic heart disease is also called
coronary artery disease -- plaque builds up inside the arteries, causing
a blockage which reduces blood flow and therefore delivery of oxygen to
the heart muscle. This puts extra stress on the heart, and can cause reduced
activity and pain, called angina. It is what medications, stents and bypass
surgery treat -- but not cure. Also, if you are having pain in your leg,
near where the catheter insertion was done, you should discuss this with
your interventional cardiologist.
Angioplasty.Org Staff, Angioplasty.Org, May 10, 2008
• I have 2 stents. The first was put in March 2002
and the next one July 2002. In 2003 had another catheterization which they
found another blockage but was afraid to try and fix for messing up the
stents which is more important. Oct. 2007 was rushed to hospital and they
did another catheterization on me. Had stent problems again. Lately I have
been having problems at the part of my leg where they keep going in to
do their business. I'm in pain and often it hurts more when i am trying
to walk. Could this be from scar tissue or could it be something serious
in which I need to consult my doctor about? Also, what is ischemic heart
disease? And is it some thing to worry about? Thanks and God bless.
Theresa Helms, Fort Mill, South Carolina, USA, May 10, 2008
Edward -- sounds like the MRI has revealed what
the cause of your pain is. The question you have is how this happened.
It's impossible to say, but the extended time of lying still on your back
during the cath and recover period might have inflamed a pre-existing problem.
Another reason why we recommend checking out if the transradial approach
from the wrist is a possibility -- especially for patients who have back
problems.
Angioplasty.Org Staff, Angioplasty.Org, May 8, 2008
• Follow
up to previous posting as per your response I went to see a neurologist
who put me on anti inflammatories and Neurontin 100ml 3x a day and aqua
therapy 2x a week. I am in constant pain with no relief for the burning
pain in my groin and stabbing pain in my buttocks radiating to my waist.
I had an MRI last Thursday and the results are disc bulges l3-l4 through
l5-s1. Mild l4-l5 neural foraminal stenosis and Schmorl's nodes on l1,
l2 and l3 vertebrae. Today the neurologist doubled my Neurontin to 200mg
3x a day. I do not understand how this came about, since i never had
a back injury in my life. I was told if the pain persists he will send
me for pain management / nerve block in two weeks. I have now been out
of work, since the end of February and he extended my p30 disability
form to June. Please advise if you have any other suggestions?
Edward E., New Jersey, USA, May 8, 2008
Amanda -- what you see in an angiogram is actually
the contrast dye which shows up black. It delineates the coronary vessels
and looks a bit like the branches of a tree. From your description, you
might be seeing another test done as part of the angiogram. It's called
a ventriculogram, where the dye is injected directly into the ventricle
of the heart. As the heart beats, a catheter squirts dye in and you see
the ventricle moving -- this tells the cardiologist how well (or not) the
heart muscle is pumping. Not sure what you're seeing, but if one of the
arteries was in fact torn (this is called a dissection) it actually is
not that obvious to the untrained eye. If you have concerns or questions,
we'd recommend showing the angios to a qualified healthcare professional.
Angioplasty.Org Staff, Angioplasty.Org, May 6, 2008
my father passed away a few years ago since then
we have gotten the cd of his angiogram while watching the cd we noticed " bleeding " squirting
with every beat of his heart we don't know if the doctor was ruff and may
have punctured something or what he was trying to place a stent and was
having a hard time and made my father stay over night to try and attempt
to do it once again in that cd as well we saw bleeding what is this bleeding
caused from anyone know please help me to know the truth of what really
killed my father thank you.
Amanda, Sacramento, California, USA, May 6, 2008
Mary -- your story falls into that category of
3-4% of complications following a diagnostic cath performed from the femoral
(leg/groin) artery. Not a large number, unless it happens to be you, of
course! Bleeding complications are the most common type of complication,
especially now that anti-thrombotic and anti-coagulation drugs are being
used almost all the time to prevent blood clots from forming during the
procedures (e.g. your Lovenox). These drugs improve safety, but also make
hemostasis (the stopping of bleeding) more challenging, especially in certain
types of patients. Another reason why we are trying to educate both patients
and professionals about the transradial approach, where the wrist artery
is used. There are virtually no bleeding complications in transradial.
With proper patient selection, catheter procedures from the wrist can significantly
reduce complications (see our Radial
Access Center for more information). Also, the fact that you've
had so much difficulty getting medical care to deal with the unfortunate
(to say the least) results of these complications, is yet another example
of why some significant healthcare reform in the U.S. is critical.
Angioplasty.Org Staff, Angioplasty.Org, May 2, 2008
November 2006, admitted to the hospital for chest
discomfort two days later was given Lovenox and taken for a cardiac cath.
Cath went okay-placed aside to recover before going back to my room-felt
a pop in my right groin -arterial blood was like a geyser. People came
running- large people tried to apply pressure -a C-clamp was applied -the
pain was unbelievable-it took almost 3 hours to stop-doctor told my husband "it
should not have happened ''.on bed rest for 24 hours with a pressure dressing-on
telemetry-that night felt horrific pounding in my head and chest-a doctor
comes into my room to inform that i need two units of whole blood-the next
morning nurse removed pressure dressing and i walked into the bathroom-went
to sit on the commode and felt a pain-worse than any three natural deliveries
i had. I yelled -the nurses seemed to know right away what was wrong. They
picked me up and threw me on the bed and one applied pressure while the
other one got the c-clamp.next thing i knew the room was filled with people
and everyone was talking about seeing this large pseudo-aneurysm and then
a cardiac surgeon came-told me that ,although ,he ,himself never did it
but saw it done was going to inject the aneurysm with thrombin and if that
did not stop it i would be taken to the operating room.
I was told it will take a year to be okay but guess what????
It is not okay-i work in behavioral health and it is getting harder to
walk for long periods of time-let along if i have to run-the pain stops
me in my tracks that goes down my leg- i usually swear to keep from letting
out a yell. I think i am losing my mind my life has changed and i am afraid-
i am a diabetic and have neuropathy but i have had this pain down my inner
right leg mostly behind my shin and to the left of it. The cardiologist
over again apologizes when i see him-wanted me to go to physical therapy
at thirty dollars a pop and told me it was too bad i could not afford to
see a neurologist to check my leg. I had to file bankruptcy last december
due to being off work -5 weeks -when this happened and using my credit
cards to live off of. I am frustrated and getting angry- at least they
could pay for me to see a neurologist -my insurance sucks!!!
Mary, Pennsylvania, USA, April 28, 2008
F.F. -- you describe what is a very rare occurence
-- but every medical procedure carries a risk, even if small. The diagnostic
cath is a very safe procedure and the risk of heart attack or death from
a diagnostic cath is very low, less than one in one or two thousand. Was
the procedure a diagnostic cath or was it an angioplasty? Was there emergency
bypass surgery available at the hospital where this happened?
Angioplasty.Org Staff, Angioplasty.Org, April 24, 2008
A close friend of mine had the procedure performed
last Tuesday. The catheter dislodged soft plaque, sending it to the left
side of the heart, blocking the blood supply. After over thirty minutes
of CPR, brain activity ceased and he was clinically dead.
F.F., New York, USA, April 21, 2008
G from Arizona -- visit our Radial
Access Center where you will find our new "Radial
Hospital Locator". We see that Good Samaritan Regional Medical
Center in Phoenix is listed. Our listing is not an endorsement of a particular
hospital, only that they have a radial program. And there may well be
other centers in the Phoenix area. Best thing to do is call the cardiology
departments and ask. And let the Forum know what you find out.
Angioplasty.Org Staff, Angioplasty.Org, April 7, 2008
Do you have a list of
Interventional Cardiologists in the Phoenix, Arizona area that do Radial
Angioplasty. I do not know how to line up a doctor with this experience.
I would like to have a patient relationship with this doctor in advance
in the event I may need a stent in the future. Thank you in advance.
G, Arizona, USA, April 7, 2008
To all posters -- it is not uncommon to have soreness,
etc. at the femoral (groin) access site when a catheter-based procedure
is done for a short time. If you have a purple bruise like area, that's
a result of some blood that migrated under the skin. This should be reabsorbed
into the body. But if this area grows in size or becomes painful, you should
definitely let the interventional cardiologist know. You want to be sure
you are not having a bleeding complication. We recommend the same for other
discomforts that do not go away. The effects of nerve trauma may in fact
be felt for months. Bleeding and other complications from femoral catheter-based
procedures are around 3% -- we feel this figure is under-reported. So,
report yours to your interventional cardiologist (the one who did the procedure)
who should be made aware of these incidents. As we have stated before,
we at Angioplasty.Org are evangelists for more cardiologists using the radial
approach (wrist), especially for catheterizations -- the incidence
of nerve and bleeding injuries is very low.
Angioplasty.Org Staff, Angioplasty.Org, April 4, 2008
I had a cerebral angiogram over a week ago Friday
3/21/08 to locate an aneurysm. Since then I have occasional pain at the
puncture site and when walking develop pain and numbness on the outside
of my thigh. Is it normal to have residual effects this long?
Bart P., California, USA, March 30, 2008
Had a negative heart cath with a right femoral
Angio-Seal closure on Feb 18th. I had absolutely no problems with the site
for the first month, although, the fingers of my right hand were turning
white, were numb and icy. Dr. had me on Lopressor 50mg 2x a day in error.
I weaned off of the Lopressor but am still having icy fingers. A week ago,
I began to experience internal pulling and pinching in my right groin.
I have occasional mild stabbing pain on right side near kidney area. It
seems as if the discomfort is getting a little bit worse each day. Is this
normal? Will this discomfort go away? Thanks.
Donna I., Pennsylvania, USA, March 28, 2008
An
update: I am still having the pain. I can hardly walk. Now my feet
and ankles are swelling. I found out from my cardiologist that the stent
is too narrow but they can't do anything about it. The stent is 1 1/2
inches long. He told me it was too risky for blood clots to try to open
it up. So yippee...I have the horrible pain in my thigh, hip to knee,
artery spasms, I'm almost immobile from the pain. My feet and ankles
are swelling and I'm awaiting test results to see if this is from my
heart or my kidneys. I'm still on disability. Could being given Thallium
dye (Stays in your body for up to 72 hours) instead of the other one
cause this problem? I was told there is a worldwide shortage of the one
that stays in your system for only 6 hours.
G, Arizona, USA, March 28, 2008
I had a heart cath only on March 16, 2008. there
was a small bruise at the groin site. However, I have developed a deep
bruise on the inside of the right thigh and it is very painful. I don't
know who to check with, is this normal?
Linda L., Michigan, USA, March 27, 2008
I had an angiogram on January 2, 2008, following
a heart attack. No blockage found, however, I noticed the next day in the
hospital that I had several small puncture wounds in my right groin area,
but that the catheter was my left groin area. I reported to the doctor
that I was experiencing numbness in my right thigh, but he did not seem
concerned. It is now March, and I am still experiencing occasional numbness
in the right leg and now I am getting terrible hip pain and my knee is
starting to give out. Anyone else experience anything like this?
CMac, New York, USA, March 26, 2008
Elaine -- if there were a problem with the femoral
access site or closure device, it probably would be more around the leg
where the catheter insertion was made (not technically surgery). It may
be however, that you developed a back problem from lying flat for several
hours. But we would suggest that you discuss this with your cardiologist
or whoever did the catheter procedure to rule out any vascular problem.
Angioplasty.Org Staff, Angioplasty.Org, March 18, 2008
Hi, I had an angiogram on the brain back in January
2005 where it was discovered I had two aneurysms that had ruptured, I then
had surgery where an angio-seal vascular closure device was used. Since
this surgery I suffer from terrible lower back pain and pain in the upper
part of both legs, is this normal?
Elaine, United Kingdom, March 17, 2008
Edward -- if you look through the various postings,
you'll see others with similar complaints. If it was nerve trauma, it should
go away in time. How much time is hard to say, but some patients on this
board have seen neurologists, who can more specifically assess the problem.
Some have gotten relief with Neurontin and other pain killers. The seal,
possibly AngioSeal, is most likely not the problem here -- as your cardiologist
said, it probably has to do with trauma to the femoral nerve from the needle
stick and/or catheter. The femoral nerve lies relatively close and parallel
to the femoral artery. Another reason why we at Angioplasty.Org are evangelists
for more cardiologists using the radial
approach (wrist), especially for catheterizations -- the incidence
of nerve and bleeding injuries is very low.
Angioplasty.Org Staff, Angioplasty.Org, March 17, 2008
I received an angiogram
on 3/3/08 and had the "seal" device after the procedure.The next
day I was in extreme pain and felt as if I was going to throw up and pass
out at the same time. My brother took me back to the emergency room on
3/9/08 and I could hardly stand and was shaking from the pain. I had an
ultrasound and was told I had a hematoma in my groin and was given percocet
and sent home to follow up with my cardiologist. I saw my doctor on 3/13/08
and was informed they may have hit a nerve either going in or taking out
the cath. I was put on disability till 4/7/08 and was given more pain meds,
but I am still in pain going down my thigh and up to my waist and hip.
It is hard to get comfortable sleeping or standing their must be something
else that can be done to correct this I am only 41. Please advise me who
else I can see or what else I should do.
Edward E., New Jersey, USA, March 17, 2008
Linda --
as you have read, many other patients have the same complaints. It's one
of the reasons that we've been writing about the idea of less invasive
testing in those patients who are "indeterminate" -- e.g., where
a stress test might be inconclusive. Your case is a perfect example of
how 64-slice
CT angiograms can be of benefit. No catheter is used. The test cost
far less than a standard catheterization. The test takes 15 minutes and
is 99+% accurate for excluding coronary blockages.
As for your appointment, we apologize for not being able
to respond instantly and we don't give medical advice, but if you took
a few minutes to read the over 400 posts in this topic from other patients,
you'd have seen that unfortunately you have company. Please let us know
how you make out with your appointment.
Angioplasty.Org Staff, Angioplasty.Org, March 11, 2008
Susan from Ohio -- DVT occurs in the vein, although
the catheterization is done via the femoral artery. However, it's not unknown
as a complication. Here's a journal article, published in 2005, titled "Deep
venous thrombosis and pulmonary embolism following cardiac catheterization".
The article isn't available online, but it would answer your question:
Yes.
And Cherilyn from Illinois -- it would be hard to think
that a retroperitoneal bleed (a serious complication of catheter-based
angiography) from 6 years ago would suddenly be causing problems. We would
suggest seeing your doctor or cardiologist, at least to rule out something
else.
Angioplasty.Org Staff, Angioplasty.Org, March 11, 2008
I had an angiogram in my right leg. No angioplasty
needed. 2 weeks later, I experienced a swollen right leg from ankle to
groin. Turned out is was a DVT in my groin vein. Is it possible to experience
a DVT [Deep Vein Thrombosis] after an angiogram or is it a coincidence?
I have no other periods of inactivity. thanks.
Susan Brown, Cincinnati, Ohio, USA, March 7, 2008
I had a heart cath in 2002, they used an angioseal.
The day after I had sharp shooting pains into my abdomen. I went to the
ER and had a doppler which they said was fine. I almost passed out from
the pain when they were up higher than the site. I was unable to straighten
up to walk since the pain was so severe. I went back to the ER after a
few days and they finally did a CT scan. They found a retroperitoneal bleed.
I was hospitalized for two days. My problem now is that I am having increasing
right groin pain radiating into my thigh after I have been walking for
awhile. Sometimes it goes clear down to my knee. I am wondering if this
is from scar tissue at this late date and who I should see about this?
Cherilyn S., Illinois, USA, March 7, 2008
I am 54 and just
had a angiogram / heart catheter - with an angioseal in the right femoral
artery. The stress test had showed that I may have had poor circulation
to the left ventricle. The cardiologist told me the [stress] test was only
80% accurate and that to know for sure, I had to have an angiogram. The
procedure seemed to go rapidly and fortunately showed that I have minimal
blockage to the heart blood supply. The doctor said he will treat this
with medication. The next day, I had so much pain in my groin, that the
doctor ordered a doppler to see if everything is ok - The doppler did not
show any problems. I have still had this pain ever since then. I have a
terrible bruise all over my groin area, extending under the skin over my
pubic bone and into the right labia. I also have bruises on top of my thigh
and the inner thigh. The pain I feel is almost like a burning hot poker
is grinding into my groin. - Mostly when I have been standing or walking
for more than 5 minutes. Sitting is uncomfortable too unless I am almost
fully reclined. It is difficult to find a comfortable position. Please
respond ASAP. I am going back for a check-up tomorrow. What can I ask my
cardiologist to look at?
Linda Carroll, Chicago, Illinois, USA, March 6, 2008
Hi Lynda, He has now had more ultrasound tests
and also a full nerve testing - including pricks, etc. And then back to
the cardiologist this morning. Bottom line - my dad seems to be improving
on his own. He is still occasionally having a 'burning sensation', but
the episodes are becoming less painful. Also, he is learning what positions
bring on the pain. Bending over, such as to tie a shoe or even to get up
out of a low chair, seems to bring on the pain. Therefore, he avoids those
positions, and he even at times can tell when the pain is beginning, and
can sometimes adjust and the pain will stop. Okay,now back to what the
doctor said. Basically, nothing. But we do like this doctor. He did say
the nerve was damaged during the cath, and that it sometimes takes up to
at least 6 months or more for a nerve to heal. He did not see anything
that would require more surgery to correct. He mentioned medications, such
as neurontin, but since Daddy does seem to be improving - ever so slightly
and slowly - he recommended doing nothing at this point. We also, believe
fully in the power of prayer, and thank God for Daddy's improvement. Hope
this helps you. How is your husband doing?
J.L., Mississippi, USA, March 11, 2008
To JL IN MISSISSIPPI, It's me, Lynda in
NY--Just wondering about how you and your Dad made out with those tests
on his leg burning issue! Any answers yet? Please keep in touch-Lynda (Good
Luck)
Lynda, Westchester County, New York, USA, March 9, 2008
To JL IN MISSISSIPPI! Thank-you for your response.
I would be VERY interested in your Dad's test results. My husband benefits
greatly from the 900 mg. of daily Neurontin. I strongly suggest you talk
to your Dad's doctor about this medication. It could possibly help your
Dad too! I know it has been a Godsend for my husband -- Good luck and I
am eagerly awaiting an update. Thanks Lynda
Lynda, New York, USA, March 3, 2008
Lynda, Thanks for your
response. I can't understand why the doctors are just ignoring this
life altering problem. I am not going to tell my father that your husband
is after 2 years still having pain. He is very optimistic at the moment
- between the pains - that maybe he is healing.!! He is having nerve
tests done today, and we will get the results of the ultrasound (done
last week) and this test tomorrow. He still is 'house bound', will not
sleep in his bed, and will not attempt to drive. I will let you know
what the tests show, and what this new doctor says. Thanks.
J.L., Mississippi, USA, March 3, 2008
Not sure why I wasn't awake for the procedure.
I did receive three blood transfusions while on the lab table and in cardiac
care. An FAP [Femoral Artery Pseudoaneurysm, ed.] developed at the catheter
site. 2 days later the cardiologists attempted a thrombin injection to
reduce the FAP, with no results. The next day, I was released to go home
with no clear conception of what an FAP was or what could happen should
it rupture. 2 days later, I began experiencing severe angina and abdominal
pains, I was re-admitted into the hospital. The next day an ultrasound
showed that that FAP wasn't bleeding but had become larger. The next my
cardiologist attempted another Thrombin Injection, with no results. The
next day I underwent vascular surgery to repair the FAP. It was repaired
successfully. I still have abdominal (right side)discomfort. I also have
a low-grade fever and chills at times I was told that I'll have pain and
fevers until all the blood in my retroperitoneal cavity has been re-absorbed.
I also still have chest pains radiating into my left arm with shortness
of breath. I explained this to my my cardiologist during follow-up check-up,
but he did nothing about it. So I wonder if this is something I'll have
to live with for the rest of my life.
S. Duke, Alabama, USA, March 3, 2008
TO: JL
in MISSISSIPPI! My husband had the exact same experience as your
Dad! He was admitted on a Tues. and had 2 angiograms and an AICD implant
done. He was released the following day (noon). About 2 weeks later he
started experiencing the burning and "on fire" feeling on his upper leg
in the area where the angio was done (twice!). We couldn't get any answers
from any of the Docs either! Since then, which was 2 years ago, my husband
is being maintained on a drug called Neurontin (900 mg DAILY!). No one
is going to tell me that this problem is not a direct result of that
horrible 24 hours in the hospital for those procedures! By the way...My
husband NEVER had this "problem" BEFORE the procedures were done! I hope
this information may benefit others! PLEASE speak to your doctors about
it!
Lynda, New York, USA, March 1, 2008
S. Duke -- curious as to why you were not awake
-- usually the patient is for these procedures. What seems to have occurred
was a pseudoaneurysm at the catheter access site, which is a known complication
from interventional procedures, anywhere from 1-5%, depending on which
study you read. What happens is the layers of the artery (used for catheter
access) sort of buckle. This can be serious, due to blood loss -- especially
in current practice, because patients today are often given powerful anticoagulants
and blood thinners to prevent serious blood clotting during the procedure.
Quick diagnosis and repair of this complication is critical. The "why" in
each case can differ and is a question the interventional cardiologist
who did the procedure may be able to explain better to you. How are you
now? Did you receive a transfusion? Have you healed OK?
Angioplasty.Org Staff, Angioplasty.Org, March 1, 2008
On 01-22-08, I had an angioplasty requiring two
stents. I was not awake during the procedure. However, I awoke to the most
excruciating pain my abdominal area. So much so, that I was screaming out
in pain and eventually lost consciousness. According to my cardiologist,
I lost three pints of blood and a false aneurysm developed at the catheter
insertion site (femoral artery/groin area). I don't quite understand what
caused the bleed out and aneurysm. Can anyone help me to understand what
may have happened to cause all this????
S. Duke, Alabama, USA, February 29, 2008
Update.
I am going to the surgery center in two days. The doctor who specializes
in pain is going to go deep in the hip area with a steroid injection to
the femoral nerve. It is done with some type of dye imaging to help guide
the needle. The injection although said to be painful for a few days afterwards
is suppose to offer relief. It is local and delivered directly to the nerve.
The doctor said this will be much better because steroids taken systemically
have side affects. I found some relief in the interim period from steroids,
dilaudid, neurontin and percocet. I still haven't slept lying down for
a month, now. I still can't drive nor can I stand for very long. So must
gingerly adjust my position frequently to keep pain intensity bearable.
Thank you for the information about the Radial
Access procedure.
G., Arizona, USA, February 26, 2008
Thank you for your response. We saw another cardiologist
today, who is ordering more ultrasound tests and also nerve tests. I do
not know what type closure was used. But I am thankful that this doctor
is taking my father and his report of the pain seriously.
J.L., Mississippi, USA, February 26, 2008
Terru -- as you can see, you are not alone in
your complaint. This may go away, but you should call your cardiologist
and let him/her know of your problem. Let us know how things go.
Angioplasty.Org Staff, Angioplasty.Org, February 25, 2008
I just had an angiogram 3 days ago and experiencing
extreme pain in my right calf. I have a 2 story home and have to climb
stairs to get to my bed...Can there be something wrong? I haven't been
able to return to work or drive.
Terru, San Antonio, Texas, USA, February 25, 2008
J.L. -- the bruising right after the cath is called
a hematoma, basically blood that leaks out of the femoral puncture site
under the skin. It's considered a minor complication and, as it did, usually
goes away. The continuous pain, however, is something that, as you have
noted, many posters in this and related topics have complained about. Unfortunately,
some of them have ongoing problems. Sometimes, the femoral nerve, which
lies alongside the femoral artery, gets traumatized, sometimes pinched.
Again this can go away with time, but some patients have written in that
they've seen a neurologist for further diagnosis. Do you know if a femoral
closure device was used and, if so, which one -- or did they use manual
pressure? Check out the related topics on the right as well.
Angioplasty.Org Staff, Angioplasty.Org, February 25, 2008
My father, 80 years
old, but in excellent physical health, had a heart cath performed on December
26, 2007. There was extensive bruising and discoloration around the site
of the entry on his groin area, but after a week or so, this cleared. He
experienced some pain in that area for several weeks, but after about 6
weeks, he has started having EXTREME pain in his thigh and down his right
leg. So much so that he cannot move it and he says the pain is excruciating
- that it feels like lightning is hitting his leg. The first time it happened
we went to the emergency room, with fear of a blood clot - but an 'ultrasound'
showed no clotting. He was sent home with muscle relaxers and pain medicine.
This did not seem to help, but he is still having these shooting pains
once or twice every couple of days. We have called his heart doctor who
seems to be just ignoring this problem. He went back to his regular doctor
and he gave him steroids, - which is now keeping him awake and making him
extremely nervous. We cannot seem to get anyone to actually diagnose this
and everyone seems to just be masking the problem. I read on this board
where some of you have had this same experience. Does it go away on its
own? Should we continue to be looking for a doctor that will find the problem?
Is there help out there somewhere? We are so frustrated! He, who is normally
a very active and outgoing man, is becoming house ridden and he says losing
his confidence of living on his own. Thank you for any help you can give
us.
J.L., Mississippi, USA, February 25, 2008
We're answering two posts:
Dana in Louisiana -- your father may be having a reaction
to the contrast dye that is injected to make the arteries visible under
X-ray. Call the physician or clinic that did the angiogram and let them
know.
And Robin in Utah -- here's a 2002 journal reference
(in CCI) for a small study, done in, of all places, Utah! It's titled, "Elective
coronary angiography and percutaneous coronary intervention during uninterrupted
warfarin therapy" and concludes that PCI can be considered in
patients who must stay on Coumadin (warfarin). The 23 patients had an INR
range from 1.8-3.5 and the access site was closed with AngioSeal. Note
that the study was funded by St. Jude, manufacturers of AngioSeal -- we'd
assume they hoped to show that use of their femoral closure device could
help prevent bleeding in these anticoagulated patients, which it did (there
were no minor or major bleeding complications).
We'd also suggest looking over our "Radial
Access Center" -- which discusses how the radial approach from
the wrist is very useful in patients who must remain anticoagulated.
Of course, you need to have a cardiologist trained in the technique.
Our "Hospital
Locator" shows two hospitals in Utah that practice radial: Columbia
Lakeview Hospital in Bountiful and Davis Hospital and Medical Center
in North Salt Lake.
Angioplasty.Org Staff, Angioplasty.Org, February 23, 2008
My question is is there any national standards
on femoral groin access when patient is on coumadin? How high is too high
on the INR to access or not access when patient is scheduled for an elective
procedure?
Robin, Utah, USA, February 21, 2008
My dad had a carotid angiogram yesterday. Today
he is complaining with intense burning feeling in his head and eye pain.
Is this to be expected?
Dana A., Louisiana, USA, February 19, 2008
Dear Mary
from Berwickshire, I was looking for information on symptoms that
my husband was having 2 weeks after his surgery and read your story.
His pain sounded identical to yours so I let them know that I believed
he had a pseudoaneurysm. With much persuading, they relented to do an
ultrasound on him the next day and found a huge aneurysm that was so
ready to burst that they wouldn't even let him off the table, but did
a procedure on him right then and there with no anesthetic. I just want
you to know that you probably saved his life by telling your story, and
I want to thank you for it. He is still having pain from the damage,
mainly at night. The pain runs into his back and down his leg sometimes
as far as his big toe and sometimes he has to take morphine because it
gets so bad. He also has a large area on the inside of his knee that
is numb. If possible, you might try acupuncture for your nerve damage,
I've had really good results with that personally. Please email me at
wooleylegs(at)shaw(dot)ca if there is anything I can do.
Marie, Canada, February 16, 2008
These stories of injuries and complications are
what prompted us at Angioplasty.Org to launch a special section on "Radial
Access", where the catheter is inserted in the wrist. It's a technique
that was first done in the late 1990's. It's done much more outside the
U.S. than inside, and you can read more about it in our Radial
Access Center. While no procedure is without complications,
the cardiologists who do radial access say that the complications are much
lower than with the femoral (groin) access. Still complications in the
femoral access are only about 3%.
Angioplasty.Org Staff, Angioplasty.Org, February 11, 2008
I am so sorry you are
going through this. Your story sounds like mine.
I have nerve damage and that break-through pain that is unbearable. The
doctor says it isn't permanent damage but it may take up to a year to heal.
I am on many meds for the pain. I have been referred to a pain center as
well. I want to go to a chiropractor but the doctors warn me not to as
it could lead to permanent nerve damage. I will be heading for the pain
center soon.
G., Arizona, USA, February 11, 2008
I had an angiogram
on Nov 27th 06. The nurse had problems taking the sheath out of my groin
after 6 hrs. It was excruciating and she had to give me morphine to enable
her to take it out. I complained of a numbness to my knee and the groin
area very sore, made to get up next morning 6am to go home. Told all fine.
Pain got worse and worse saw GP twice went to A&E. Sent home week later
-- pain so bad went back to GP. Sent to hospital -- had a pseudoaneurysm.
They had to operate to repair. pain horrendous and leg giving way. had
no follow up care had to fight for any help I could get eventually sent
to pain clinic have femoral nerve damage had to wear leg brace and use
crutches given bagfuls of pain killers all in denial of the problem. registered
disabled now cannot go walking or cycling, swimming with my grand children
go traveling cannot sit for long everything you try to do is painful. Sometimes
flares up to such intensity that it is too much to bear. My sister died
while I was in hospital and I should have been with her if they hadn't
messed my leg up. Now 14 months later I am in intense pain have to wear
Tens machine and patches it is a nightmare my life has come to a standstill.
Be glad to hear from other sufferers.
Mary Jackman, Berwickshire, Scottish Borders, February 10, 2008
I had a heart cath dec 10 2007 and found out
i was born with main artery to my heart.. Found that i have grown a very
large artery to my heart on my right side that has made up for that which
the blood pumps up from the bottom of this artery to my heart. Feb 4 2008
I had bladder surgery and is still having a lot of pain which the Dr tells
me that i should not be having still... the pain is mostly on my right
side.in the groin area. right where the heart cath was done. Does any one
know if they might have done the bladder too soon from the heart cath?
I am to return to work on 2-11-08 and am not feeling like something is
not right.
Cindy, Kansas, USA, February 8, 2008
Follow-up:
I called my cardiologist about my leg pain. He asked me to go to the ER
for an ultrasound. This was to detect a hematoma. I do not have one but
was admitted for observation. They say it may be my sciatic nerve but also
say it will get better as things heal. I hope it does as I am on percocet
now for the pain. The cardiologist says my primary care physician would
have to handle the sciatic problem. I hope it resolves itself quickly as
I cannot drive with my leg like this and I walk rather slowly and I sit
to sleep which isn't restful.
G., Arizona, USA, January 29, 2008
After my heart catheterization on Sept.19,2007,
I developed a pseudoaneurysm. The femoral artery and the vein developed
a fistula. I had 2 more caths. The cardiologist tried to close the fistula
twice but the darn thing healed on it's own. I am thankful that my drs
kept close eye on the whole thing while it healed up on it's own. It was
quite painful and I was barely able to walk. But I would recommend that
anyone having a problem with the site after angiogram or catheterization
see the performing cardiologist sooner than later. I felt that my problems
were not life threatening and did not want to bother anyone. Any problems
will be addressed by the cardiologist if he/she is informed of their existence.
Call your doctor, and trust them to help. But they must first be informed.
R.G., Wisconsin, USA, January 29, 2008
Dan
B, Dutchess County I had angiogram in January 2007, about an hour
after the procedure I had tingling in my left lip and numbness down left
side of face and weakness left side of body. Nurse called doctor who
felt it was a TIA. Next day they discharged me stating that it should
rectify itself within a few days. Went to my doctor a week later the
symptoms no better he wanted to readmit me saying that I had had a stroke.
The cardiologist said this was not possible. Been to see a neurologist
who was great to start with but MRI showed nothing and then the neurologist
basically said that it was psychological (this was after I had put a
complaint in about the cardiologist coincidentally due to lack of aftercare).
I am no further on. Left sided weakness in arm and leg, numbness in face
and lip and my lip droops down, pins and needles in head. A physio said
that there is definite weakness but neuro consultant has stated "what
would they know". Some days I feel really miserable and nowhere to turn.
Any suggestions for second opinions.
Debbie D., Sheffield, UK, January 28, 2008
4 days ago I had a Heart
Cath. I have a purple and red bruise across my pelvis about 8" x 2" there
is tenderness and a lump at the cath site. The problem is my right thigh,
the same side as the cath. It is very painful. Feels like a sciatic and
started in the hospital but is getting worse. The pain is causing nausea.
I cannot hold down food. But these are not the real problems. The pain
if I move ever so slightly in the wrong way causes me to scream out. I
would like to know what to do about this. I have not been back to the cardiologist
since being released from the hospital the day after the cath. There is
no way I could even drive with my leg like this. Your help would be appreciated.
Thank you!
G., Arizona, USA, January 27, 2008
My 70 year old mother had a stent put in through
the groin area on the 21st. We have just today noticed quite a bit of bruising
and of course the dime sized lump. Also, there is a bit of swelling on
the bruise. I'm afraid she might be bleeding, but hopefully not. She says
that there is no severe pain, just soreness in the groin and also right
under her behind. I'm assuming this is normal, however. After reading several
of the posts on here, I must say I'm not as worried anymore. I really hope
all of you start feeling better.
Sissy, Arkansas, USA, January 24, 2008
C. in Pennsylvania -- check out our Forum Topic
on "Vascular
Closure Devices" which contains many posts from patients who have
had Angio-Seal, StarClose, etc. placed.
Angioplasty.Org Staff, Angioplasty.Org, January 20, 2008
December 2004 I had a heart catheterization The
angio-seal was used. After walking to the bathroom & back, upon sitting
I experienced excruciating pain at the site. It was a nightmare. The nurse
refused to respond to my pain, telling me that no one else complained of
pain. Meanwhile in the halls volunteers were Christmas caroling. It was
macabre. I gone through child birth without pain medication and I have
broken my back. This was excruciating & I was told that it was nothing.
My husband refused to leave the floor until the nurse would medicate me
for the pain. I was checked for clots-none. I went home & had pain in my
leg & notified the doctor. It was brushed aside. My GP later told me there
is a nerve pack and it was most likely irritated. Three years later & I
can no longer ride my exercise bike due to groin pain. I cannot run, due
to groin pain. At other times for no reason I have pain in my groin at
the site. This procedure has resulted in life changing complications.
C., Schuylkill County, Pennsylvania, USA, January 18, 2008
Hi! My husband just had an angiogram yesterday,
he is only 28 yrs old and the test showed no real problems. After recovering
for 3 hrs they tried to get him out of bed and he started having extreme
pain in his leg where the procedure was done. The pain is in his inner
thigh and is about the size of a football, he says it even hurts to touch
the hair on his leg. He describes the pain as burning and stinging and
like nothing he has experienced before. When they closed the artery they
used something called a Star Closure. Does anyone know what this pain could
be and what we should do about it? He is in such severe pain and it's like
the doctors and nurses don't believe him.
M. Scott, Fresno, California, USA, January 18, 2008
Tracy -- how long ago was your cath? Many of these
complications do subside with time. If you're not getting recognition of
your pain by your healthcare provider, keep trying. As you can see, these
are not unknown. However, there are not hundreds of thousands of people
every day having these. The complication rate is relatively low (although
not if you happen to be the one with the complication). Like any test or
pedical procedure -- there is always a risk, which is why most medical
groups and associations recommend getting them only if there is a good
reason which may impact treatment.
Angioplasty.Org Staff, Angioplasty.Org, January 14, 2008
I had two stents placed in my heart, one in the
left leg and two in the right leg. The calf cramps went away, however,
after a day of relative activity, I wake up at least three or four times
a night with leg pain and back of thigh spasms. Is this normal? I would
appreciate some feed back...
Sandra D., Georgia, USA, January 13, 2008
i want some advice on how to help im in constant
pain and i am being told there is nothing i can do to help my self why
is this procedure going so wrong to hundreds of thousends of people every
day please i am looking forward to your response thank you
Tracy Cotterill, United Kingdom, January 13, 2008
i had a angiogram on the 20th of november 2007
and the doctor who did it hurt me . when he tried to put catheter in he
hit scar tissue and sent needle off target hurting me , he asked me if
that was hurting as i was tensing up i said yes and he pulled needle out
to try again . he got catheter in second time.by the next day i was black
and blue and swollen . for 3 months i have not been able to get an erection
and i am thinking i may have some nerve damage , [ i hope not ] . i have
been on blood pressure tablets since august 2007 and never had a problem
getting an erection and since i had this angiogram and he hurt me i have
not been able to get an erection . i have been to my GP and i am now trying
Viagra hopefully this this is all i need to fix my problem but i think
i have nerve damage . the good thing i have no pain at all groin or legs
like other people. thanx Les
Les, Australia, January 13, 2008
I am only 43 & have fibromyalgia & was recently
sent to a neurologist who ordered several MRIs & an MRA. The MRA incorrectly
showed that my carotid artery was 90% narrowed. I was sent to a radiologist/surgeon
for an angiogram which proved the artery was 100% clear! I asked both drs
before if there was another less invasive test that could be done. Both
said, no. I was told there were no risks & I would be up later that day
with no pain or problems with no later scars, significant bruises, or any
other complications or risks. During the procedure 10/15/07, they tore
a 2" strip of my left vertebral artery. My stomach, groin, & both legs
(entire) were swollen for over 2 months (some swelling still remains).
My right leg was bruised from stomach to below knee for over 2 months (was
on Heparin 3 days in hospital & then on Plavix for 2 mo. due to artery
tear). I also still have a large, 5" diam., painful hematoma. (This is
big since I am only 5' tall, 97 lbs.) I also have jerking of my leg & tingling
which is somewhat better. The radiologist says he's done with me & has
no answers. He wouldn't even do a followup visit to see the hematoma. The
torn artery has healed smooth but is more narrow than normal. My general
dr said to wait 1 yr & then look for risky surgery options if hematoma
is not gone. Is there anything I can do in meantime to help hematoma go
away? Are there any risks in the artery having been damaged & now narrowed?
Are there any precautions I should take with the hematoma or the artery?
Thanks for any advice. Also, to anyone waiting for an angiogram, please
insist on more than 1 less invasive test before taking the risk of the
angiogram. I was clueless & naive.
Carol L., Michigan, USA, January 4, 2008
Jeff -- could you clarify? You were the first
person to have what(?) done after a Heart Cath?
Angioplasty.Org Staff, Angioplasty.Org, January 3, 2008
Hello.. I am 34 years old. I was the first person
to have this done after a Heart Cath... I was able to go 2 years before
the hospitals would listen. I had told them that my groin was swelling
and I was having difficulty walking. Just 3 weeks ago I had it removed
and almost lost my right left cause the device broke off from the artery
and infected my whole leg!
Jeff, Ohio, USA, December 31, 2007
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