Doctor insights on:
Balloon Angioplasty Vs Bypass Surgery
Depends on cause: Balloon angioplasty works best for localized narrowing in an artery. It is performed by inserting a catheter (long tube) in an artery, usually at the groin. The balloon stretches out the narrowed area to open it. Recovery time is just a day or two, much shorter than a bypass. Bypasses are used for total blockage of an artery, where a balloon can't get in or when balloon angioplasty has failed. ...Read more
When blockages: Are focal & in an anatomically favorable location (e.g. Not in left main coronary ) and not too many. ...Read more
Which is best, bypass surgery or angioplasty for person above 75 years(7-8 blocks in RCA, DIAG), diabetic & had stroke 2 yr back(not fully recovered)?
AngioPlasty or CABG: That is normally a question best answered by a cardiac surgeon. As a rule, angioplasty is less invasive but in hardened arteries it may lead to rupture during procedure and eventual surgery. Stents may also work in some situations. With your history of diabetes and stroke, the risks for any surgery are higher than normal. Please seek a second opinion if you have any doubts. Good luck. ...Read more
Depends: It depends on what patient with what conditions. For example, if a patient comes in while they're having a heart attack, going to the cath lab for an angioplasty is much better than a bypass operation. In diabetics with two or more vessels blocked, bypass is much better. It depends on the person's medical condition and the number of vessels really. ...Read moreSee 1 more doctor answer
Depends: Too broad a question. Pts with poor heart function , mutiple vessels invoved, diabetics and left main involvement tend to be treated by bypass. The data suggests that the higher risk pts need complete revascularization and this is usually achieved by surger . With drug coated stents and improved technology the gap has closed and either may be suitable. Risks/benefits/alternatives should be discussed. ...Read moreSee 1 more doctor answer
After 2 mi's, 8 cath's, 6 stents and 2 angioplasty's in the past 2 years, should I be planning on bypass surgery in the near future?
Not necessarily: Time to change your diet. Read "prevent and reverse heart disease" by dr caldwell esselstyn. There is good evidence that a whole foods, plant based diet, that is low in fat can prevent and reverse coronary artery disease. It is a 'do no harm' intervention that could change your metabolism and propensity to develop atherosclerotic changes in your vessels. ...Read moreSee 4 more doctor answers
Can an angioplasty fail for any reason? What happens if it doesn’t work? What are the other treatment options? Will I have to have heart bypass surgery?
What are reasons to get heart bypass surgery rather than angioplasty with a stent to open the arteries?
Yes: Hello, pepperbellaziz, yes it is.Get a more detailed answer ›
Push aside the plaq: Angioplasty is the mechanism to unclog the partially occluded vessel from completely closing to result heart attack , usually this is done in combination with stents at the same time to prevent collapse of the vessel , like reinforcement of the vessel. ...Read moreSee 1 more doctor answer
Open blockages: It's a percutaneous transcatheter procedure to open blocked arteries with a balloon, usually followed by insertion of a stent at its conclusion. Patients are sedated but not fully asleep. A local anesthetic is used. There is minor discomfort at the onset as the skin is punctured and often a minute of angina when the balloon is inflated. Overall, it's not painful. ...Read more
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