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9th March 2018, 10:10 AM #1GOLD MEMBER
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Nerve damage after angioplasty stent
Had angioplasty and stent inserted last week to clear a blocked coronary artery. The Cardiologist went in through the right wrist. A few days later I end up with nerve pain in the right arm, particularly bad at night when I change position of the arm, like when rolling over in bed. Not so bad during the day. Have free finger and hand movement. GP prescribed Panadol Forte, at night, no impact. She is now looking at prescribing some antidepressant medication that is good for neuropathic pain. Yikes!
This nerve pain was never mentioned by the Cardio guy as a risk. Wondering if it is a common occurrence following this type of procedure e.g., angiogram or angioplasty through the wrist? And does it improve with time?regards,
Dengy
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9th March 2018, 10:49 AM #2GOLD MEMBER
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Had the same op a couple of days ago, no pain but the entry site itches like mad. Keep wanting to scratch but if I break the seal results will be very messy.
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9th March 2018, 11:07 AM #3GOLD MEMBER
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9th March 2018, 08:34 PM #4China
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Nerve damage is a risk with many many types of surgical procedure, often is is a high risk and other times it is the luck of draw, may well just be bruising or inflammation and will right itself however I would mention it to your Cardiologist
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9th March 2018, 10:20 PM #5
It happens but it's not common. Panadol will most likely be of little use.
Median nerve injury: an underrecognised complication of brachial artery cardiac catheterisation? | Journal of Neurology, Neurosurgery & Psychiatry
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4805560/
Sonographic Diagnosis and Treatment of a Median Nerve Epineural Hematoma Caused by Brachial Artery Catheterization - Chuang - 2002 - Journal of Ultrasound in Medicine - Wiley Online LibraryInnovations are those useful things that, by dint of chance, manage to survive the stupidity and destructive tendencies inherent in human nature.
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9th March 2018, 11:48 PM #6GOLD MEMBER
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WOW !! Thanks rob, lots of information there, and have forwarded to my GP. I have now arrived at the conclusion that this is a definite risk the Cardio guys should advertise in their pre-op risk assessment sheets for patients.
regards,
Dengy
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10th March 2018, 04:30 AM #7SENIOR MEMBER
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Dengue,
Sorry to hear about the problem. Hope the heart side of things went well.
Nerve issues have been reported after angiograms, but appear to be rare. In most cases the symptoms will resolve with no specific treatment.
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12th March 2018, 05:46 AM #8Senior Member
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Had quad by-pass back in 2007.Angio via groin.But from time to time i`ll get a slight tinge if i press over the top of wrist where canula/s were inserted.Evil medical instrument.Almost like a medieval nail.Bare in mind i`m skin & bone so that probably explains it.Trust your health will improve greatly. gordo
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16th March 2018, 10:42 AM #9GOLD MEMBER
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On the mend
It is now 16 days since my procedure. Angioplasty went OK heartwise, as far as I know, but you don't know for sure for 12 months in case scar tissue forms around the stent and makes another arterial blockage.
But there was a lot of nerve pain over the following 2 weeks where the Cardiologist went in at the wrist. Every time I moved my arm at night, it was excruciating. Cardiologist didn't want to know about it.
MY GP indicated it was some sort of Carpal Tunnel Syndrome pain, even thought I had free movement of my fingers and thumb. So I was instructed to rest the wrist totally. The GP put me on strong pain killers but that didn't help much, only take the sharp edge off the nerve pain. I then had to wear a wrist brace at night to prevent any wrist / arm rotation movement. It was heavenly, being able to sleep through the night again!
But after a few days I weaned myself off the pain killers and then the brace, and it is all coming good now. Will start back in the shed on light duties next weekregards,
Dengy
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16th March 2018, 10:48 AM #10
Joe, That's good news, some relief, even better that you can play in the shed again. Even more good news its getting cooler, very nice in the mornings here in "Brownsville" now.
Funny how the specialists only focus on their bit and totally dismiss any collateral health issues. Talk about a silo mentality & "not my job" attitude, well at least it looks that way to us on the outside. The clinical meetings etc are a different story though.Mobyturns
In An Instant Your Life CanChange Forever
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16th March 2018, 11:04 AM #11GOLD MEMBER
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I doubt if this experience will get put on my file at the hospital by the Cardiologist though, and I bet that the risk of nerve damage to the wrist is not added to his Patient Information sheet either. This is the sheet he hands out to patients advising them of the procedure and the risks involved.
I did ask him to add on his pre-op sheet whether a patient should stop taking fish oil prior to the procedure, a well known blood thinner.regards,
Dengy
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16th March 2018, 11:08 AM #12
Take it easy for a while. If you push...
Innovations are those useful things that, by dint of chance, manage to survive the stupidity and destructive tendencies inherent in human nature.
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17th March 2018, 08:42 AM #13
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