Lower Limb Arteriogram & Angioplasty - Informed Consent скачать в хорошем качестве

Lower Limb Arteriogram & Angioplasty - Informed Consent

#LowerLimbAngiogram #Angioplasty #BlockedArteries #LegPain #VascularHealth #InformedConsent Lower limb angiogram and angioplasty are procedures for diagnosing and treating blocked leg arteries, aiming to improve mobility and quality of life. An angiogram uses X-rays and contrast dye to create a precise map of arteries, pinpointing blockages. An angioplasty then widens the narrowed artery with a balloon-tipped catheter, often placing a small metal stent to keep it open. Indications for these procedures include gangrene, rest pain, non-healing ulcers, or claudication (leg pain forcing a stop after walking less than 200 meters). Benefits are significantly improved blood supply, pain reduction, ulcer healing, and potential prevention of limb amputation. Alternatives include other imaging methods or bypass surgery, which is a larger operation with higher risks and longer recovery. Not proceeding can worsen symptoms and may lead to amputation. Preparation includes stopping blood thinners (as advised), specific diabetes medication management, and critically, stopping smoking. The 1-2 hour procedure involves a catheter insertion, often in the groin, with local anesthetic; contrast dye may cause a temporary warm flush or "peeing" sensation. Recovery typically allows same-day discharge, but sedation requires a responsible adult for 24 hours, during which driving, operating machinery, signing legal documents, or drinking alcohol are prohibited. Risks include bleeding, hematoma, false aneurysm, artery damage (rarely leading to amputation), allergic reactions, kidney damage from dye, and minimal radiation exposure. The procedure may not improve symptoms (failed angioplasty). Overall risks are higher for older, overweight, smoking, or comorbid patients. Long-term success heavily depends on lifestyle changes, with stopping smoking being the most crucial step.