Posted: Sat Nov 13, 2010 5:12 am
Hi All
My wife Iza had ballooning in the right jug and a stent in left valve in Katowice end of March(I think Badger left the day we arrived).
She had three good months and then rapidly downhill.
A Doppler follow up in July in Glasgow showed good flow in the right but restrictions in the left caused by possible thrombosis / thickening of the wall at the end of the stent.
We were advised to resume Clopidogrel for another 3 months and then
another Doppler in Glasgow in October revealed a seriously impaired flow but suggested that the stenosis was placed much higher up.
So off to Katowice a week ago where the Doppler showed the stent to be open fine but that flow was down.
Dr Ludyga appeared to dismiss the relevance of stenosis higher up saying that this was very often transitory but also noted a minor reflux in the right valve. However after the following days procedure the two IRs said that the right hand side was OK and the previous angioplasty had held up OK.
However concern was shown about the stent which had been re-ballooned due to a closure (not thrombosis). Consequently she is now on 90 consecutive days of Fraxiparine injections (no Clopidogrel) until a review back in Katowice.
Is this a one off case as I have not heard of such a regime elsewhere?
Also I know that venograms are the ultimate gold standard and that Doppler scans can sometimes be misleading but has anyone else had such variable results?
Kevin
My wife Iza had ballooning in the right jug and a stent in left valve in Katowice end of March(I think Badger left the day we arrived).
She had three good months and then rapidly downhill.
A Doppler follow up in July in Glasgow showed good flow in the right but restrictions in the left caused by possible thrombosis / thickening of the wall at the end of the stent.
We were advised to resume Clopidogrel for another 3 months and then
another Doppler in Glasgow in October revealed a seriously impaired flow but suggested that the stenosis was placed much higher up.
So off to Katowice a week ago where the Doppler showed the stent to be open fine but that flow was down.
Dr Ludyga appeared to dismiss the relevance of stenosis higher up saying that this was very often transitory but also noted a minor reflux in the right valve. However after the following days procedure the two IRs said that the right hand side was OK and the previous angioplasty had held up OK.
However concern was shown about the stent which had been re-ballooned due to a closure (not thrombosis). Consequently she is now on 90 consecutive days of Fraxiparine injections (no Clopidogrel) until a review back in Katowice.
Is this a one off case as I have not heard of such a regime elsewhere?
Also I know that venograms are the ultimate gold standard and that Doppler scans can sometimes be misleading but has anyone else had such variable results?
Kevin