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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Need For Dialysis And High Creatinine Levels After Angioplasty?

Hi, My father had an angioplasty in his RCA passage stenting two blocks. Just after the procedure his BP dropped and the doctors fought for almost 5 hours to make him survive the night of the evening. He was a diabetic with kidney issues (CKD 3 stage). The BP got controlled to some extent in the following morning but he started developing other symptoms everyday that started with high WBC count, lungs saturation came to a very low and then creatinine went to 5. He was on ventilattor and had to go through 48 hrs CRT dialysis. What do think go wrong with the procedure to start with? Btw, he came out of life support after almost 5 days and now recovering.
Mon, 9 Nov 2015
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Urologist 's  Response
Hello and welcome to HCM.
As an Urologist,i must opine that, you're richly blessed by GOD almighty.
The cardiologists and intevsivists team, are to be congratulated for a remarkable resuscitation and successful effort.To begin with,your father had a diabetic nephropathy(Diabetes with CKD stg3),and injecting contrast, is potentially nephrotoxic.But, the only way to do angioplasty is,to do a contrast angiogram study,first.This can lead to acute kidney injury-ARF,where the creatinine goes up,with other side-effects,like B.P.fall,and low oxygen saturation.Dialysis is imminent,when creatinine goes up.
You may send any doubt,as a direct question to me, for an expert opinion.
Dr.Matthew J. Mangat.
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What Causes Need For Dialysis And High Creatinine Levels After Angioplasty?

Hello and welcome to HCM. As an Urologist,i must opine that, you re richly blessed by GOD almighty. The cardiologists and intevsivists team, are to be congratulated for a remarkable resuscitation and successful effort.To begin with,your father had a diabetic nephropathy(Diabetes with CKD stg3),and injecting contrast, is potentially nephrotoxic.But, the only way to do angioplasty is,to do a contrast angiogram study,first.This can lead to acute kidney injury-ARF,where the creatinine goes up,with other side-effects,like B.P.fall,and low oxygen saturation.Dialysis is imminent,when creatinine goes up. You may send any doubt,as a direct question to me, for an expert opinion. Dr.Matthew J. Mangat.