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What Causes Swelling, Pain And Redness In Foot After Angiogram?
Question: my husband had an angiogram 2 days ago. the incision is in the right groin. the day after he noticed the top of his left foot was hurting and a little red and swollen. now, it's 2am and the 2nd day of limping around after and he's up icing it and it's getting worse. Could this be related?
Brief Answer:
Pls confirm if affected area is in groin or foot.
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
It is possible that your husband might have developed minor complications at the site of puncture in the groin. This can be due to the puncture into the procedure made at the time of performing angiogram. This complications occur in less than one percent of patients but must be identified early and treated on time.
I want to clarify where is the swelling and redness. Is it in the groin or involving the great toe in left foot. I am really sorry that top of right foot as mentioned by you is not clearly understood by me.
If in the groin then it can be due to weak wall of arteries forming a pseudoaneurysm and this requires a Doppler test and is to be treated with pressure compression.
If the foot or toe is involved then the blood supply down the leg might be decreased as a complication of puncture during angiography. This also might require a Doppler test to confirm the flow of blood through arteries down the leg.
May I request you to kindly reconfirm the problem area and then I can give you a better reply on what needs to be done.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Pls confirm if affected area is in groin or foot.
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
It is possible that your husband might have developed minor complications at the site of puncture in the groin. This can be due to the puncture into the procedure made at the time of performing angiogram. This complications occur in less than one percent of patients but must be identified early and treated on time.
I want to clarify where is the swelling and redness. Is it in the groin or involving the great toe in left foot. I am really sorry that top of right foot as mentioned by you is not clearly understood by me.
If in the groin then it can be due to weak wall of arteries forming a pseudoaneurysm and this requires a Doppler test and is to be treated with pressure compression.
If the foot or toe is involved then the blood supply down the leg might be decreased as a complication of puncture during angiography. This also might require a Doppler test to confirm the flow of blood through arteries down the leg.
May I request you to kindly reconfirm the problem area and then I can give you a better reply on what needs to be done.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The painful and swollen area is his foot, the opposite leg of the incision.
Brief Answer:
Might have trash foot after angiography.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
There is a rare possibility that the symptoms as described in your query might be due to catheter manipulation during angiograpny leading to a condition termed trash foot or Cholesterol crystal embolisation (CCE). This happens in approximately 0.08% of people after angiography. What happens is catheter manipulation during cardiac angiography leads to dislodging of small cholesterol crystals from the big arteries and this flows with blood to the legs and causes occlusion of the small arteries in his feet. This can affect the opposite side foot.
This condition should not be ignored and treated before it worsens to cause gangrene or ulcers.
I would like you to get in touch with his doctor and explain the problem in detail. The condition needs to be confirmed first and then treated. While my reply is based on your query, it might differ or change after clinical evaluation. He must see the doctor at the earliest and if its 2 am now and not possible to visit the hospital, please get him seen by the doctors just after sunrise.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Might have trash foot after angiography.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
There is a rare possibility that the symptoms as described in your query might be due to catheter manipulation during angiograpny leading to a condition termed trash foot or Cholesterol crystal embolisation (CCE). This happens in approximately 0.08% of people after angiography. What happens is catheter manipulation during cardiac angiography leads to dislodging of small cholesterol crystals from the big arteries and this flows with blood to the legs and causes occlusion of the small arteries in his feet. This can affect the opposite side foot.
This condition should not be ignored and treated before it worsens to cause gangrene or ulcers.
I would like you to get in touch with his doctor and explain the problem in detail. The condition needs to be confirmed first and then treated. While my reply is based on your query, it might differ or change after clinical evaluation. He must see the doctor at the earliest and if its 2 am now and not possible to visit the hospital, please get him seen by the doctors just after sunrise.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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