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What Casues Blood Clot In Lower Leg?
Question: Hi,
My husband is in ICU for a blood clot affecting his lower left leg. He is a type 1 diabetic. 51 yrs old.
What are the options that can be done?
My husband is in ICU for a blood clot affecting his lower left leg. He is a type 1 diabetic. 51 yrs old.
What are the options that can be done?
Brief Answer:
hi and welcome
Detailed Answer:
This is obviously lower leg embolism which is commonly seen in people with atrial fibrilLation or it can be venous thrombosis. In every case he needs urgent care with heparin to dissolve this clot. If there is leg paleness,coldness and pain or heparin don't work then it must be treated surgically by vascular surgeon since it may lead to leg gangrene and amputation. Most of such clots are successfuly treated without surgery. Wish you good health.regards
hi and welcome
Detailed Answer:
This is obviously lower leg embolism which is commonly seen in people with atrial fibrilLation or it can be venous thrombosis. In every case he needs urgent care with heparin to dissolve this clot. If there is leg paleness,coldness and pain or heparin don't work then it must be treated surgically by vascular surgeon since it may lead to leg gangrene and amputation. Most of such clots are successfuly treated without surgery. Wish you good health.regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks, he is under the care of a vascular surgeon. They have tried I think it's called TPA. Nothing seems to break it. We have been told it is a n old clot. How old we don't know. Two of his arteries in his lower leg are blocked. So I just wanted to know what questions I should be asking to be better informed. We know amputation is a possibility but are hoping that it can be prevented. I know I need to trust the Dr. But I just want to know what I should be asking.
Thanks, Mary
Thanks, Mary
Brief Answer:
hi
Detailed Answer:
You need to ask fist is this leg vital to be revascularised. Since if there is irreversible ischemia then it must be amputated as soon as possible. If this is still vital then clot can be managed by heparin therapy. If this doesn't work then interventional radiological procedures can be done. Third option is surgical revascularisation with embolectomy or with bypass. Embolectomy should have been done within 12 hours after blockage while bypass can be done later. If they could not remove clot by now then this is bad sign and every delay in treatment will worse chances for saving leg. but he is young and some of these procedures should be successful so you have reason to be optimistic
hi
Detailed Answer:
You need to ask fist is this leg vital to be revascularised. Since if there is irreversible ischemia then it must be amputated as soon as possible. If this is still vital then clot can be managed by heparin therapy. If this doesn't work then interventional radiological procedures can be done. Third option is surgical revascularisation with embolectomy or with bypass. Embolectomy should have been done within 12 hours after blockage while bypass can be done later. If they could not remove clot by now then this is bad sign and every delay in treatment will worse chances for saving leg. but he is young and some of these procedures should be successful so you have reason to be optimistic
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for the information. I have something to ask tomorrow.i appreciate it.
Mary
Mary
Brief Answer:
You are welcome
Detailed Answer:
You are welcome. Thanks for the appreciation. If any further clarifications, I am always here to help you. If no further queries, you can close and rate this answer.
You are welcome
Detailed Answer:
You are welcome. Thanks for the appreciation. If any further clarifications, I am always here to help you. If no further queries, you can close and rate this answer.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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