Doctor insights on:
Colonoscopy After Coronary Stent
Yes: Usually for re-stenosis most surgeon will perform stenting if indicated instead of redo surgery although no true benefit of stenting over surgery in these cases. In acute sitting , yes stenting is being done to repair a post carotid surgery flap or dissection. ...Read moreSee 5 more doctor answers
Is it possible to take only Plavix (clopidogrel) and not Aspirin after coronary stenting?I have erosive gastritis and DES in LAD after heart a, need 3 more stents.
Anti platelet Rx: We use dual antiplatelet therapy for at least 6 months to minimize stents occluding after placement. Usually either aspirin or plavix (clopidogrel) is continued later if no contraindication to that. The erosive gastritis is a significant problem and the appropriate step(s) in this case need to be considered with risks and benefits to the treatments by those with the most information about the patient. ...Read more
Yes: Is not possible to have bypass surgery without first having cardiac catheterization. The surgeon requires a detailed picture of the coronary anatomy to know if the patient is suitable for bypass surgery and to know where to put the bypass grafts during the operation. ...Read moreSee 1 more doctor answer
What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?
Angioplasty/stent : Heart attack is not necessarily prevented by angioplasty or stent. We do treat the underlying disease aggressively as well as dual anti platelet therapy to prevent stent thrombosis. If you smoke it negates much of the treatment. Most people do well after angioplasty and stenting. ...Read moreSee 1 more doctor answer
Coronary CT angiogram shows extremely high calcium score of 4242 and ~ 70% blockage one artery. next step cath angio. Should I consider atherectomy?
NO: You need a coronary angiogram-depending what it shows, you may need revascularization. Depending on location and extent, you may need surgery. Otherwise, balloon angioplasty followed by stenting is the treatment of choice. Atherectomy has a very limited and specific indication. If you need it, your interventionalist is the one to make the call. ...Read moreSee 2 more doctor answers
Husband had a quadruple bypass. Experiencing increased angina, had angio today to put stent in.Instead, radial artery not functioning?
Not sure: Not sure what you mean by radial artery not functioning. Was there a failed attempt at radial puncture? Was the radial artery used as bypass graft? Radial artery has mostly been abandoned as an option for bypass graft and is only used as a last resort. Please clarify. ...Read moreSee 1 more doctor answer
Smoking in CAD: Secondary prevention guidelines emphasize smoking cessation for good reason. One's chance of a future cardiac event is worsened by continuing to smoke. Since someone with a stent already knows that they are at higher future risk (they are compared with someone without CAD history) then doing everything possible to reduce thy risk (like quitting smoking) is important. ...Read more
Can : Form restenosis at about 9 months so need to be checked. After that they can last several years. Need follow up. Make sure to take your blood thinner. ...Read more
See below: The highest risk of restenosis is during the first month after stent placement. The risk of restenosis of drug eluting stents is about 10% vs bare metal stents of about 30%. After one year restenosis is much less common. Risk factors for restenosis include diabetes, small vessels stented, long lesions stented and multiple stents placed. ...Read more
Can only Plavix be taken after coronary stenting? I have erosive gastritis,take Protonix (pantoprazole) 40mg and a DES in LAD post heart att. Need 3 more DES or BMS.
There may be options: Plavix (clopidogrel) is a platelet inhibiting drug. The purpose of the medication is prevention of future myocardial infarction and death following acute coronary syndromes and prevention of stent thrombosis. There are other medications besides Plavix (clopidogrel) that are platelet inhibitors ...Read more
Colectomy for cancer postponed due to likely severe cad, cath tomorrow. Is it risky for cath/stent/bypass with blood thinners for colon hemorrhage?
Risks increased: Those are both serious medical problems. Most patients with cardiac disease can undergo noncardiac surgery safely provided their cardiac issues are stable and their functional status is good (able to achieve >4 mets without symptoms--the equivalent of carrying 2 bags of grocery briskly and climbing stairs). If having cv symptoms, should expedite a cardiac workup w tests/possible cath first. ...Read more
Both safe: Both also have risks such as radiation and contrast usage. Coronary arteriography has small bleeding risk at puncture site. Need to get the right test for your problem. Coronary arteriography is the gold standard. ...Read more
Complex, routine: With or without a heart-lung machine to isolate the heart from the circulation, conduits like vein segments or arteries are placed from the aorta (oxygenated blood) to the target artery beyond the blockage site, thus restoring oxygen to the heart muscle. If suitable, off-pump procedures can be used, though uncertain how much is gained with that less traumatic technique. ...Read moreSee 1 more doctor answer
A fib: Risk of emboli going to brain causing stroke. Rapid ventricular response(heart rate to high) may cause angina, dizziness, passing out, heart attacks, other heart irregular rhythms. Let you cardiologist manage case. Is complex to explain here. It is certainly manageable. ...Read moreSee 1 more doctor answer
Second opinion?: Some lesions are not ameniable to angioplasty or stents. Some combinations of lesions are best treated surgically. Without details all that can be said is that the doctor that performed the angiography likely felt other treatments would be unwise. If you have concerns, why not ask for a second opinion? ...Read more
Swollen eyes after stent ureteral stent placement? It's my 3rd day after getting kidney stones out. Stent out in 2 days.
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