Asli Patient Ki Kahani: Kaise Angioplasty Ne 68 Saal Ke Uncle Ka Pair Diabetic Gangrene Se Bachaya

Ye ek representative story hai jo Medanta Lucknow mein aane wale cases jaise hai — limb-salvage angioplasty kaise kaam karti hai ye samjhane ke liye. Patient details anonymised hain.

Patient Kaun The

S.K. uncle, 68 saal ke retired government employee, Lucknow se, Medanta Hospital aaye apne right foot ke doosre aur teesre ungli ke kaale padh jaane ki shikayat le kar. Unhe 22 saal se Type 2 diabetes tha aur 30 saal tak smoking ki thi (5 saal pehle chhod di). Unhe pichle 3 hafte se ungliyan kaalee dikh rahi thi lekin unhe laga chot lagi hogi. Jab ungliyan poori tarah kaali ho gayin aur pair se smell aane lagi, tab unki wife ne zor dekar doctor ke paas bheja.

Pehli Jaanch

Jaanch mein Dr. Rohit Agarwal ne paaya ki pair ki nabz (pulse) bilkul nahi aa rahi thi, ABI sirf 0.35 tha (bahut kam), aur ungliyon 2 aur 3 mein dry gangrene tha. CT Angiography mein superficial femoral artery (mid-thigh) mein complete blockage mili aur ghutne ke neeche ki tibial arteries mein bhi bahut narrowing thi.

Procedure Kya Hua

Aane ke 24 ghante ke andar hi S.K. uncle ki peripheral angioplasty ho gayi. Local anaesthesia mein, doosre pair ki femoral artery se access liya gaya (opposite side se, blockage ko upar se approach karne ke liye). 18 cm ki femoral artery blockage ko subintimal angioplasty technique se cross kiya gaya. Drug-coated balloon se tibial arteries kholi gayin jo pair ko blood supply deti hain. Procedure ke baad completion angiogram mein pair tak achhi blood flow dikh rahi thi. S.K. uncle ne kaha ki mahino baad pehli baar unka pair garam mehsoos ho raha hai.

Recovery

S.K. uncle aglee subah antiplatelet dawaiyon par discharge ho gaye. Agle 6 hafton mein gangrenous ungliyan apne aap alag ho gayin — sirf basic wound care ki zaroorat padi. Koi surgical amputation nahi karni padi. 3 mahine baad Doppler scan mein confirm hua ki arteries khuli hain. S.K. uncle apni subah ki sair par wapas laut aaye — jo wo ek saal se nahi kar pa rahe the.

Isse Kya Seekh Milti Hai

S.K. uncle ko do aur hospitals ne bola tha ki pair katna padega. Medanta Lucknow mein vascular assessment aur angioplasty ne unka pair bacha liya. Ye hai asli result interventional radiology gangrene treatment Lucknow ka — jab patient samay par aaye.