A team of doctors at Indraprastha Apollo Hospital successfully treated a 75-year-old lady, giving her a new lease of life. Mrs Rukmani Garg was suffering from Transient Ischemic Attacks (TIAs) or mini-strokes which demanded immediate medical intervention. In order to treat this, she was successfully operated by Dr P.N. Renjen, Senior Consultant, Neurology, Indraprastha Apollo Hospitals and his team.
Explaining about Mrs Garg’s condition, Dr Renjen said, “When the patient visited the hospital she had terrible pain in her shoulder and numbness in her left arm. There was slurring in her speech too. After examining her CT scan and DSA reports, we got to know that her right carotid artery is 80 – 90 percent blocked causing repeated minor strokes. The patient also had a medical history of diabetes, hypertension, CAD-Post PTCA (Coronary Angioplasty) and hypothyroidism. Only her right kidney was functional and she was undergoing treatment for the same. In order to prevent her from having an actual stroke, we decided to operate and insert a stent in her artery immediately.”
“Considering the patient’s medical history, we had to be extra careful while performing the procedure. If the surgery is not done carefully, there were chances that she might get a stroke on the operating table or re-stenosis (re-blockage) in the artery. These are complications that a surgeon needs to be very careful of,” further added Dr Renjen explaining the criticality of the procedure.
The carotid artery is a major blood vessel in the neck that supplies blood to the brain, neck, and face.
Explaining the cause of this condition, Dr Renjen said, “Transient Ischemic Attacks (TIAs) just like an ischemic stroke occurs due to the narrowing of the carotid artery. Cholesterol gets deposited in the main artery and gets calcified. It keeps on growing affecting the blood flow to the brain. Though in a transient ischemic attack, the blockage is lesser, it can lead to a stroke if not treated in time. Timeliness in bringing a TIA patient to a hospital is critical. ”
Mrs Rukmani Garg, the patient after the procedure said, “It was like any other day for me, I was performing my daily tasks in the kitchen when I suddenly felt a jerk in my left hand. This happened twice – thrice that day post which my hand got numb and I was not able to move it upwards. There was a tremendous pain in my left shoulder. Later on, there was slurring in my speech too, so my family immediately brought me to Apollo Hospital for consultation. I got my CT scan and DSA done, after which doctors told me that there is 80 – 90 percent blockage in my right carotid artery and I need to get operated. Dr P.N. Renjen explained all the details to us and performed my surgery. I am all fine now and able to do my daily household work like earlier.”
“One must follow a healthy routine to reduce the risk of a TIA or a stroke. Consuming nutritious diet with low cholesterol and fat, especially saturated fat and trans-fat reduces the buildup of plaque in arteries. Having fruits and vegetables which are rich in potassium, folate and antioxidants protect from this disease. By exercising regularly, maintaining a healthy weight and avoiding smoking and drinking can also reduce the risk of having this deadly disease,” concluded Dr Renjen.