Dr. Vivek S Narayan Pillai
Cardiology
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Patient's Query
Hi doctor,
I had PAD before 20 years and I am able to maintain my body by exercising. When I get tensed, it comes back. Again, I have to begin exercising and gradually it gets better. This time, I had a bout of depression and I am not able to do exercise, so, it has taken longer time than usual to get the results. Now, with new blood-thinning medicines and exercise, I am starting to see good results. The doctor wants to do an angiogram next month, after that stents or surgery on my lower legs. I have two stents near my heart. One was placed, when I had an infarction 19 years ago and another one was placed after eight years. They seem to be good and I am afraid of another procedure. Now, I am willing to get a second opinion about this condition.
Hi,
Welcome to icliniq.com.
It is very good to know that you are doing well with medications and exercise. The development of collateral blood supply in the lower limbs is a good option. You could discuss this with your doctor and postpone angiogram and stenting. However, it is important to realize that collateral vessels are small and do not provide the same amount of blood, as the normal vessels do. Besides, peripheral angiography and stenting are safe procedures. So, I would advise angiography to see the state of the blood vessels and collaterals and then, you can decide for stenting.
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Cardiology
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