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Doctor insights on: Calcified Lad Treatment

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Treatment for bilateral carotid artery calcifications?

Treatment for bilateral carotid artery calcifications?

None: Calcification of any artery, by itself, does not warrant any type of intervention or follow up. If that calcification is associated with a stenosis ("narrowing") of the artery, then that may require follow up and/or an operation. The carotid arteries are very often calcified and if associated with a high grade stenosis, may portend a higher risk of stroke. Discuss with a vascular surgeon. ...Read more

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Treatment for calcified renal aneurysm?

Treatment for calcified renal aneurysm?

Depends: on size and symptoms , 2 cm or more size can rapture . the one with calcium deposit is better than the one with out . treatment varies from close observation done more often , , endo-vascular stent and even bench surgery where the kidney is removed and re-implanted ( like renal transplant ) ...Read more

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Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?

Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?

Test Result: I find it is best to discuss any test result with the physician who did the test or ordered the test. They can interpret it knowing all the clinical history involved and tell you exactly what is going on. ...Read more

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What treatment for occluded left vertebral artery ?

What treatment for occluded left vertebral artery ?

See your doctor: The treatment options for occluded vertebral arteries are not as well defined as those for carotid artery stenosis. That said, there is a possibility of vertebral artery angioplasty, but your doctor will better be able to assess the risks and benefits after determining the degree of occlusion of the artery. ...Read more

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Mid LAD Shows chronic total occlusion with faint filling of distal LAD seen through collaterals, (LMCA,LCX, OMs, RCA are normal) Pls suggest Stent/Med?

Mid LAD Shows chronic total occlusion with faint filling of distal LAD seen through collaterals, (LMCA,LCX, OMs, RCA are normal) Pls suggest Stent/Med?

Cannot stent: You prob can't stent your mid-LAD as it is already 100% occluded. Good that you have collaterals to feed that downstream muscle. You should be on a statin med (pravastatin, etc) to prevent further atherosclerosis. Add a blood pressure med like Lisinopril if you have high BP. And use meds for angina, but only if you trigger it w/ activity. A daily aspirin is recommended. Any heart attacks? ...Read more

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How effective is a coronary stent for treating coronary artery disease (CAD)?

How effective is a coronary stent for treating coronary artery disease (CAD)?

Stent: When treating an obstructed coronary artery with a stent is the appropriate treatment, the stent if properly placed and without complications is usually 90-95% effective at relieving the symptoms associated with the obstructed artery. Stenting is not necessarily appropriate for all patients and treatment needs to be individualized. Discuss with your cardiologist. ...Read more

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How effective is coronary artery bypass surgery for treating coronary artery disease (CAD)?

How effective is coronary artery bypass surgery for treating coronary artery disease (CAD)?

Coronary artery dise: CABG is very effective at improving the symptoms of CAD in appropriate patients. Generally over 90% get good relief of symptoms sometimes for many years. The actual disease process isn't treated so CABG must be associated with diet, exercise and drug therapy long term. for the best results. ...Read more

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How effective is percutaneous coronary for treating coronary artery disease (CAD)?

How effective is percutaneous coronary for treating coronary artery disease (CAD)?

PTCa: PTCA is highly effective for providing symptom relief in patients who are appropriate candidates for PTCA procedures. It does NOT cure the disease, it helps provide better flow through the diseased vessel, full diet, exercise, not smoking and medical therapy remain necessary for life after the procedures before them. ...Read more

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Angiography report of dad lm- nor lad- proximal seg 90% stenois lcx- distal diseased. Ostial total occlu. Rca- domi, prox total advice cabg?

Angiography report of dad
lm- nor
lad- proximal seg 90% stenois
lcx- distal  diseased. Ostial total occlu.
Rca- domi, prox total
        advice cabg?

Sounds reasonable: Obviously many factors need to be considered, but the anatomy you are describing would be difficult to approach with stents. Other factors such as age, frailty, and other medical conditions play a significant role as well. Each decision should be individualized based on his situation. ...Read more

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How effective is angioplasty for treating coronary artery disease (CAD)?

How effective is angioplasty for treating coronary artery disease (CAD)?

Angioplasty: For patients with appropriate indications, coronary angioplasty is an effective treatment. The important words are appropriate indication and this is patient specific. The discussion needs to be had with the cardiologist who knows the patient best. ...Read more

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Ct coronary angiography shows narrowing of ostium of ramus 50-60% and LAD 30-40% , lca 20-30%. Suggest further investigation and treatment?

Ct coronary angiography shows narrowing of ostium of ramus 50-60% and LAD 30-40% , lca 20-30%. Suggest further investigation and treatment?

Next step will be: To correlate those results with your clinics. Are you having any symptoms of chest pain? During exercise? A nuclear stress test vs echocardiogram stress test and possibly a cardiac catheterization next possibilities for further assessment. Depending of your symptoms and the above results, the decision for medical management vs revascularization procedure will be next. Talk to your cardiologist. ...Read more

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Just been diagnosed with a 1.3 x 1.4 CM calcified splenic artery aneurysm plus calcified granulomas throughout the spleen. Thoughts on treatment.

Just been diagnosed with a 1.3 x 1.4 CM calcified splenic artery aneurysm plus calcified granulomas throughout the spleen.  Thoughts on treatment.

Spleen: What are your symptoms? Why were the tests done? If those are incidental findings, you may not need any treatment whatsoever. ...Read more

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My CT coronary angiogram reported lm ectasia cx proximal ectasia with LAD proximal mild ectasia with irregularity what is the treatment?

My CT coronary angiogram reported lm ectasia cx proximal ectasia with LAD proximal mild ectasia with irregularity what is the treatment?

Usually...: Aspirin, statins and surgery depending on the severity. Your doctors will likely recommend a left heart catheterization to look at the arteries in more detail. Best of luck! ...Read more

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What is calcified carotoid atheroma?

What is calcified carotoid atheroma?

It is: seen in "hardening of the arteries" a disease which is connected with Cholesterol problems. It needs a complete medical/"vascular" evaluation>Start with your PCP (Primary Care provider) Hope this helps! BE WELL TAKE ACTION! Dr Z ...Read more

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How does calcified plaques in coronary arteries be treated?

Presence vs effect: Calcified plaque occurs when the cholesterol buildup of your arteries becomes calcified, a natural process. Treatment occurs when the narrowing either results in or is likely to result in problems like chest pains or a heart attack. It is impossible to treat widespread disease but for specific areas of narrowing or blockage, balloons, lasers, and other treatments are used. ...Read more

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What is the treatment for calcified lung nodules?

It depends on: the pattern of calcification. If the nodule is completely calcified, then it is benign, and requires no treatment. If not, then depending on the pattern of calcification and other nodule characteristics, it may require biopsy, follow up, or possibly nothing. ...Read more

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How effective is a coronary artery bypass surgery for treating atherosclerosis?

How effective is a coronary artery bypass surgery for treating atherosclerosis?

It depends: Depending on the number, location, and severity of the blockages, pumping function of the heart, and presence of other diseases like diabetes, bypass surgery can be very effective. For other situations, medical therapy or percunateous coronary interventions can be better. a healthy lifestyle is always the foundation of treatment, and a physician should be consulted for the most appropriate data. ...Read more