A 65-year-old male asked:
Disclaimer

82 yoM, Pradaxa(Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse.CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?

1 doctor answer
Dr. Aaron Love
18 years experience in Emergency Medicine
Toe go or not toe go: If the question is will you get an arteriogram/surgery for the gangrene toe by 7/15, well anything is possible with persistence. If you already have an arteriogram +/- surgery scheduled and you are asking will the gangrene toe delay the procedure/surgery,, as an ER doctor, I refer cases to more types of surgeons that anyone and this will likely be surgeon dependent based on physical exam.
Answered on Oct 17, 2017
1
1 comment
Dr. Geoffrey Rutledge
40 years experience in Internal Medicine
Thanks. Yes, this is dependent on the surgeon! As gangrene progresses, the assumption is that surgery sooner would prevent worsening - so the question is how strong is the contraindication of recent Pradaxa for the arteriogram and possible shunt placement. Definitely a matter of judgement for a vascular surgeon.
Jul 11, 2015

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