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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Amputation Of Toes After Placing Stents In Heart And Leg Normal?

I m a 50 yr old female, and since Jan. 29, 2015 I ve been living a nightmare. I had a heart attack with a heart beating 200 beats a minute. Was rushed to emergency and they put a stent in my heart and a stent in my leg. Then my toes on the right foot started turning red and really hurting badly. Like my foot was broken. The only thing that would help the pain, is my husband s nerve gout medicine. I tried everything else and nothing worked. I was sitting up to sleep and could barely walk. Meantime, I continued to go back to my doctor and he kept saying it ll get better and put me in the hospital for another stent. In 3 mos. I ve had 8 stents, balloons, and black toes. I finally went in to see him and said I m going to the emergency room to get another doctor. He sent me to a podiatrist to amputate toes 3, 4, and 5. Relief finally! But, I LOST MY TOES!!! Is this normal? I asked him why this happened and he said it like this. the cholesterol and calcium gets shuffled and crap rolls downhill, and during the procedure, it rolled down to my feet and toes. He kept telling me I had good pulse in my feet. I even learned how to take my own pulse. We apparently, not enough oxygen got to them, because the fact remains that I lost my toes.... I had 95% blockages, and it s really difficult to get down that far on the foot. They are healing nicely btw
Wed, 19 Oct 2022
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Anesthesiologist 's  Response
Hello,

You seem to have suffered from peripheral arterial disease. Peripheral artery disease is often caused by a buildup of fatty, cholesterol-containing deposits (plaques) on artery walls. This process is called atherosclerosis. It reduces blood flow through the arteries. Atherosclerosis affects arteries throughout the body. Less common causes of peripheral artery disease include blood vessel inflammation, injury to the arms or legs, and radiation exposure.

Few risk factors are smoking or having diabetes greatly increases the risk of developing peripheral artery disease. Other things that increase the risk of peripheral artery disease include a family history of peripheral artery disease, heart disease or stroke, high blood pressure, high cholesterol, and high levels of an amino acid called homocysteine which increase the risk for coronary artery disease too.

Increasing age, especially after 65 (or after 50 if you have risk factors for atherosclerosis). Obesity (a body mass index over 30). Amputation of toes is the surgical treatment available for severe peripheral arterial disease with gangrene.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Is Amputation Of Toes After Placing Stents In Heart And Leg Normal?

Hello, You seem to have suffered from peripheral arterial disease. Peripheral artery disease is often caused by a buildup of fatty, cholesterol-containing deposits (plaques) on artery walls. This process is called atherosclerosis. It reduces blood flow through the arteries. Atherosclerosis affects arteries throughout the body. Less common causes of peripheral artery disease include blood vessel inflammation, injury to the arms or legs, and radiation exposure. Few risk factors are smoking or having diabetes greatly increases the risk of developing peripheral artery disease. Other things that increase the risk of peripheral artery disease include a family history of peripheral artery disease, heart disease or stroke, high blood pressure, high cholesterol, and high levels of an amino acid called homocysteine which increase the risk for coronary artery disease too. Increasing age, especially after 65 (or after 50 if you have risk factors for atherosclerosis). Obesity (a body mass index over 30). Amputation of toes is the surgical treatment available for severe peripheral arterial disease with gangrene. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist