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Angioplasty in ITP patient
I am from Bangalore and writing to seek opinion on my mother's case history. She is a patient of low platelet count from last 21 years. She had gone through Angiogram due to chest pain, she was feeling while walking after taking food. Angiogram taken at Sakra Hospital in Bangalore showed “Proximal RCA 100% occluded. Distal RCA filling retrogradely through left coronary collaterals”. As RCA filling retrogradely through left coronary collaterals, Cardiologist suggested either to do Angioplasty or continue with these medicines: 1. Aspirin 2. Clopidogrel (75 mg) She had taken Aspirin and Clopidogrel (75 mg) for around 20 days, from Angiogram and since then her platelet count is remaining low. We had stopped these medicines after taking consultation from Hematologist 3 months back, as these medicines are lowering her platelet count. After taking steroid for last 1.5 months, her both legs have swelled much. Please advice whether its possible to do Angioplasty in her case
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Hello madam Angioplasty and stenting decision in a person with ITP should be taken after taking in to account multiple factors. If I am to understand that both blood thinner medicines have been stopped since last three months, hoping that other cardiac medications are continued.In that case what is the present symptoms and other important clinical details have to be taken in to account like severity of ITP.etc. A joint Decision to be taken with the hematologist considering all the pros and cons of angioplasty or medical management otherwise.
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Revaluation is needed
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.