Tuesday, March 11, 2014

Vascular surgery

Consultation with Mr R March 5:

".... The duplex scan today confirmed that his aneurysn is now only 3.3 cn in diameter without any endoleak".

" Mr S booked him for an angioplasty of his left leg, since he has a short segment occlusion of the femoral artery at tthe adductor canal. However, I am not convinced that his symptoms at this stage justify intervention. He is not complaining of rest pain, ulceration or gangrene, ie critical leg ischaemia. I have therefore cancelled his angioplasty".

Mtr R's assessment of the risk of angioplasty appeared to be a good deal higher than Mr S's, so I have to put up with pain in the leg if I walk at a normal speed.

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