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Thanks for your question.
What type of surgery he has had/
Is it vascular bypass or an angioplasty or stenting?
What is his age?
Can you telll me which vessel had the angioplasty?
Thanks for the information.
Long term patency of these vessels after angioplasty is around 50% and as the time passes the risk for re stenosis increases.
The decision to operate at his toe would depend on other factors as well.These would include the status of the arteries distal to the area of angioplasty and the restoration of the Ankle brachial index.
If everything is in order the surgery can be done within 3-4 weeks post the angioplasty.
I feel there is a difference in assessment between foot surgeon and the vascular surgeon.
I feel the way forward may be to have the vascular surgeon discuss the issue with the foot surgeon and reach a consensus regarding the adequacy of blood supply and the attendant risk at the time of surgery.
I understand that you are in a difficult situation.
You may get in touch with a directors of particular departments to explain your problem and seek their help in the matter.
I am not fully aware of UK system but in US there is a director for each department.
There must be some analogous hierarchy in UK.
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