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Suggest Treatment For Claudication Pain

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Posted on Tue, 21 Apr 2015
Question: Having been diagnosed with PVD of lower leg extremities and having had an operation to insert a 4mm x 38mm drug eluded stent to the tibio - peroneal trunk, it was found that the posterior tibial artery was occluded or did not exist at all!!!.
If this is the case and the claudication pain still exists after 100m of walking, then what could be done to fix the problem as it is now going on 2 months since the operation
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Answered by Dr. Rishi (44 minutes later)
Brief Answer:
Get Doppler done and upload CT Angio report

Detailed Answer:
Hi. Has your condition not improved since the stenting? If it hasnt then it is unlikely to improve further.
I would need to see the Angio films to comment properly. Post tibial artery occlusion is understood but the other two arteries supplying the leg should be enough to make you walk longer unless there is disease in the anterior tibial or peroneal also.
At the Vascular center I practice in we do not put stents below the knee as they fail frequently. We only do balloon dilatation or drug eluting balloon angioplasty.
I suggest you get an Arterial Doppler done to see the present condition of your limb and status of the stent. Also try and send me the CT Angio report of Before the surgery so that I can advice you completely.
I usually advice best medical management in form of Ecosprin, Clopid, Cilostazol and Atorvastatin to all claudicant patients.
Take care.
Dr Rishi, New XXXXXXX XXXXXXX
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Prasad
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Dr. Rishi

General Surgeon

Practicing since :1999

Answered : 1312 Questions

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Suggest Treatment For Claudication Pain

Brief Answer: Get Doppler done and upload CT Angio report Detailed Answer: Hi. Has your condition not improved since the stenting? If it hasnt then it is unlikely to improve further. I would need to see the Angio films to comment properly. Post tibial artery occlusion is understood but the other two arteries supplying the leg should be enough to make you walk longer unless there is disease in the anterior tibial or peroneal also. At the Vascular center I practice in we do not put stents below the knee as they fail frequently. We only do balloon dilatation or drug eluting balloon angioplasty. I suggest you get an Arterial Doppler done to see the present condition of your limb and status of the stent. Also try and send me the CT Angio report of Before the surgery so that I can advice you completely. I usually advice best medical management in form of Ecosprin, Clopid, Cilostazol and Atorvastatin to all claudicant patients. Take care. Dr Rishi, New XXXXXXX XXXXXXX