A 27-year-old female asked:
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can a 90 year old get a leg angioplasty if she has an irregular heartbeat and slightly elevated kidney levels?

2 doctor answers
Dr. Bennett Werner
43 years experience Cardiology
Yes, but: Yes, but her risk will be increased. With all medical procedures, there are always risks of complication, so one must weigh the potential benefit in view of the risks. Since her risks are elevated, the anticipated benefit must be profound to justify the procedure. There is no right or wrong answer so a comprehensive discussion with her doctor is mandatory.
Answered on May 5, 2015
1
1 comment
Dr. Ghannam Al-dossari
32 years experience Thoracic Surgery
Yes, but the patient will be at risk of renal failure. Will need to be prepped prior and after the procedure with hydration protocol to protect the kidney from the effect of the IV contrast. Also, will need to be on low dose Coumadin after the procedure due to the atrial fibrillation. If stent is placed, will require Plavix.
May 5, 2015
Dr. Mark Lubienski
36 years experience Thoracic Surgery
Risk vs reward: Must weigh risk of procedure especially to kidneys versus expected benefit from procedure. Is the restoration of circulation to deal with pain or avert limb loss? A skilled practitioner can probably successfully restore or improve circulation but there will still be some degree of risk to kidney function as well as bleeding. Need to have in depth discussion with operating physician.
Answered on May 6, 2015

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