Post procedure: Staying overnight in hospital important?

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Post procedure: Staying overnight in hospital important?

Postby adamt » Sat May 29, 2010 7:10 am

Hi,

I am due to have my CCSVI testing and treatment soon.
The doctor will be preforming the procedure on a Friday morning (7am), and i have been told i will be out of hospital my 3pm in the afternoon, with no follow up appointment - until a few months later.

Is this risky? What risks do i face?
Ive read most people see the doctor the next day, and/or stay the night of the procedure in the hospital.
I will be going back to a hotel for the night then going ack home in the morning.0 i dont think i have the option to stay overnight.

thnks
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Postby Whitey » Sat May 29, 2010 8:58 am

Where are you having the testing/treatment? What dorctor are you seeing?
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Postby adamt » Sat May 29, 2010 9:28 am

im sorry im not at liberty to reveal the doctors/hospital details at the moment, however i may be able to at a later date
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Postby Cece » Sat May 29, 2010 9:47 am

It's commonly an outpatient procedure, with no hospital stay required. I imagine if there were any complications they wouldn't kick you out?? 8O

I think it's typical for there to be a follow-up appointment either the day after the procedure or within the first week? I haven't had it done, so I'm just going on what I've read from others here. The doctor will know as he's doing the procedure if he's able to get it open or if it's closing immediately.

Most people also get put on anticoagulants afterwards. Depending on what anticoagulant (plavix, "heparin-like", coumadin) there will be frequent appointments with your regular GP. At the risk of offending your doctor, if it were me, I'd push a bit for an anticoagulant prescription, because there is reason to worry about restenosis happening as a result of a clotting.

Well done on pulling together an appointment, wishing you the best next Friday, and let us know how it goes!!
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Postby adamt » Sat May 29, 2010 12:52 pm

Thanks cece,

i just thought there was a big risk by not having an appointment the nexy day, but i am having balloon angioplasty.

I was told i will be given Aspirin, not anticoagulants,
Will aspiring be sufficient?
Or are anticoagulants like Heparin essential post procedure?

by the way the procedure isnt for a months time, not next week
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Postby Cece » Sat May 29, 2010 1:00 pm

Ah, I misread it as if it were next Friday, not "a Friday" - no matter!

Different doctors do things differently. It ranges from no anticoagulants, to aspirin, to heavier-duty anticoagulants. This is for balloon angioplasty. For stenting, heavy duty anticoagulants are pretty much a given, I think. I am personally a fan of anticoagulants after this procedure, but they bear some risks too.

Dr. Sclafani, out of about 20 patients treated, thinks at least two of them experienced restenosis due to clotting due to not taking anticoagulants. So, he prescribes the "heparin-like" anticoagulant.
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Postby sofia » Sat May 29, 2010 2:29 pm

In Bulgaria it went like this:
Stayed in hospital waiting for operation, nil-by-mouth for 8 hours before operation.
Had procedure, a bit more then one hour. I got a stent in azy, as it was 90% blocked, and did not respond to ballooning at all.
Got a compress taped on the little wound, and a weight put on.
Was weeled back onto the ward, and lifted over onto my bed, without bending my leg, or taking the weight off.
Not allowed to move/bend leg for two hours, weight stayed on.
They started IV heparin for 24 hours. Was allowed to walk about a bit, like taking myself to the bathroom etc.
Allowed to shower after 24 hours when heparin was finished.
Checking blood every few hours for coagulant values or something (the nurse didn't speak english, she just came to take my blood, woke me up in middle of night as well to do it.)
Stared with asprin tablets and pradaxa (anti coagulant in morning and night)
Will continue aspirin for 1 month, and heparin for 6 months.
It might just be precaution, and not needed, but it seems quite heavy. But better safe then sorry. If stents restenose, it isn't much they can do about it is my ompression. But that does not affect you, as you are only having ballooning. But I was under the impression that similar procedure was done for the ones that had ballooning only as well.
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Postby adamt » Sun May 30, 2010 2:14 am

thank you cece and sofia for your replies.

I guess even though i will be having balloon angioplasty i should be given anticogulants still.
So i will request a.c when i have my consultatio before the procedure

Which anticoagulant is most advised for balloon angioplasty?
And how long must i take them for post procedure?

i am going to a different country for treatment, so when i return home in the evening of procedure day, i will visit my G.P and ask for the advised anticoagulant.
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Postby adamt » Sun May 30, 2010 1:54 pm

bump
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