HomeAnswersGeneral SurgeryangiographyBruise due to cerebral angiogram cause elevated D-dimer. Why?

I am concerned about my bruise due to cerebral angiogram. How to manage it?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Kumar Sonal

Medically reviewed by

Dr. Vinodhini J.

Published At August 2, 2020
Reviewed AtDecember 25, 2023

Patient's Query

Hello doctor,

I had a cerebral angiogram performed 10 days ago. They entered through my right femoral and the test was normal. I developed the expected bruising. However, I have now developed red/purple linear streaks resembling a vascular pattern through the bruise. My thigh is mildly painful, which is new. No fever and I feel fine. I went to the ER only with abnormality and elevated D-dimers (0.64). They performed a Doppler study and found no clots. They said to come back if it worsens. They had never seen a bruise like this one. Any ideas?

I am currently on Spironolactone 100 mg daily, propranolol 60 mg daily, O cella, Sumatriptan 100 mg, and Omeprazole 40 mg daily.

Answered by Dr. Kumar Sonal

Hello,

Welcome to icliniq.com.

Sorry to hear about your complaints. Bruise following angiography is quite common and usually subsides over time. D-dimer was elevated in your case, so your consultant has gone for a Doppler scan to rule out thrombus formation, which in your case has come out to be normal. You probably do not have much to worry about, give it some time and it should subside. If it persists or in case you develop breathing difficulty, get yourself checked in the E.R. Also, I am presuming that you do not have a history of allergy to any medications.

The Probable causes

Thrombophlebitis, allergic reaction.

Investigations to be done

Platelet counts.

Differential diagnosis

Thrombophlebitis, allergic reaction.

Probable diagnosis

Thrombophlebitis. Allergic reaction.

Treatment plan

Thrombophob gel local application. Wait and watch. Warm compress.

Regarding follow up

If it persists or if you develop breathing difficulty an urgent ER consultation would be needed.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kumar Sonal
Dr. Kumar Sonal

General Surgery

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