Doctor insights on:
Coronary Stent Vs
Good for long lesion: Xience prime very good for long lesions and will become an important option for physicians treating this critical disease. ...Read more
Stents dissolve: Stents are traditionally made of metal alloys. Newer devices are being made of materials that may be absorbed by the body after an interval long enough for the healing process to no longer need the structural support of traditional metal stents. ...Read moreSee 1 more doctor answer
Coronary stent: Success rate is pretty good, which depends upon the experience of the operator. Procedure is minimally invasive. Complication rate is. ...Read more
Yes: Immediately after a stent is placed and for approximately 1 year, patients are given blood thinners such as aspirin and Plavix (or some other drugs) These will make you much more prone to bruising and it would be best to not get a tattoo while taking these medications. ...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
Not long!: Patients who undergo this procedure without complications can safely fly within a week or so. Please make sure your cardiologist is involved in this decision. There are nuances to every cardiac procedure. If you had a large bruise in te groin, developed leg swelling, heart rhythm abnormalities during or after the procedure, you certainly want to wait a while. ...Read moreSee 1 more doctor answer
Yes: To be accurate, you have coronary artery disease, usually caused by buildup of cholesterol affecting the blood flow to the heart muscle. Without treatment this can lead to a heart attack. The stent is placed to keep the blocked portion of the artery open and improve blood flow. You may notice less angina or other symptoms afterwards. ...Read more
61 yr old hypertensive male has total occlusion of right coronary andom.Stenting of om1 done. Ejection fraction is 45-50%. Is CABG indicated for rca?
Likely no: The damage that could have been done from the occluded rca has already happened, and the vessel can't get worse than totally occluded, so, provided that anginalsymptoms symptoms are controlled there is no need to do anything. Overtime, compensation typically occurs for an occluded vessel in the form of progressive collateral circulation. ...Read more
I have coronary ramus artery occlusion. The md wants tomanage it medically rather than putting a stent. Your opinion?
What % of patients who are undergoing non-invasive testing with stable chest pain (due to suspected CAD) have prior coronary stent placement?
Please clarify: Please clarify your question wrt IHD and stenting ...Read more
Approx what % of patients who are undergoing non-invasive testing with stable chest pain (due to suspected CAD) have prior coronary stent placement?
How many of the most stent in the coronary blood vessels which used? what risk if the use of stent exceed the limit ?
What do you recommend if I had an angioplasty two years ago and now he has a stent in his coronary arteries and also he takes Lipitor (atorvastatin) 20 every day?
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
My 60 y dad had coronary stent placement in LAD artery for incidental finding of coronary block(80%)at 53 yr of age .Am I at risk for CAD in future ?
No: Atherosclerosis can occur in any arteries in the body. The most prevalent are cardiac, extremity, and cerebral. In addition, people die from their co- morbidities, such as lung problems, cancer, etc. If you have coronary atherosclerosis, you have a higher chance of dying from that, but not exclusively from that. ...Read more
I am 61 years old, I have undergone angioplasty (single stent) for right coronary artery 3 years ago. Can i exercise daily for 30 minutes on a treadmill?
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
Ever since I had a coronary heart vessel stent put in Feb '14 I have had notable shortness of breath when walking, going up stairs, singing. Related??
Contact Cardiologist: You need an evaluation by your Cardiologist sooner than later. Make an appointment today. If symptoms are increasing in intensity go to the nearest ER. It may be as simple as a medication adjustment. It may be as serious as a stent thrombosis or other complications. I noticed that you did not mention any antiplatelet medications or other heart medications. Go to Doctor today! ...Read more
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
Life expectancy of a 59-year-old male, type 1 diabetic after receiving a right coronary artery stent, while having the other side of heart scarred..?
I had a stent placed in april '12 and have had a cough since. In the last 3 months it has become productive, but clear. I take no cardiac meds.
Stent,no meds,cough: Nonresolving cough needs evaluation. Common causes include sinus drainage or esophageal reflux.. More worrisome causes would include lung pathology including cancer or pulmonary embolism. Most patients who have stents placed should be on an ace inhibitor like Lisinopril - this can cause chronic cough. Aspirin and statins are also good post-stent meds; surprising that you are not on these. ...Read moreSee 1 more doctor answer
Yes: Early stage renal failure would be generally classified as stage I or II. With pre-procedure hydration, and careful dye use during procedure, as well as post procedure IV fluid flushing and close watch of renal function a stent can often be placed with minimal risk of worsening renal function. ...Read more
Xray showed one of the wire of cardiac stent is ruptured. What are the complications? Is there anything that can be done?
Stent fracture: Stents are small tube-shaped devices implanted into blocked arteries to hold them open. Most are metal; recently other materials have been tested. Occasionally some of the metal struts fracture; this could not be seen on a plain Xray. "Rupture" means something different and is not likely to apply here. Most of the time stent fracture does not cause trouble. For personal advice consider a consult. ...Read more
Just had a cardiac cath & dr said just minor 50% blockage & no stent needed. Confused 50% to me is a lot so what would be my next step to make 50% a 0%?
My cardioligist wants me to have a cardiac catheterization and maybe a stent inserted. What do the best recent studies indicate?
CATH at 33: You are young to be needing coronary angiography and possible stenting. You should get a clear discussion of what the doc is testing for and why he believes a stent may be indicated. If you are not comfortable get a second opinion. When indicated, stenting is very effective therapy. ...Read more
What do you suggest if my cardioligist wants me to have a cardiac catheterization and maybe a stent inserted. I understand that the best recent study indicates?
Recommendation: You should discuss the pros and cons of the doctor's recommendations with the doctor. If you are uncomfortable, you should seek a second opinion. There isn't enough information here to advise you from here. ...Read more
Depends: It depends on the number of arteries affected, the degree of disease, and other associated medical conditions. Stents are needed when critical arteries are blocked. Surgery is generally needed when multiple arteries or severe disease at the start of a major coronary artery is present. Remember though that stents or surgery are just one treatment. Plus, arteries elsewhere are affected too. ...Read moreSee 1 more doctor answer
Can stent be used to open 100% blockage in an artery such as LAD during cardiac catheterization procedure . Cons and pros please. Thank.
Yes, if needed: Total blockage may occur suddenly - this is what causes a heart attack. Then the goal of the procedure is to get the blocked artery open asap (<90min) to save otherwise dying heart muscle. If the blockage is chronic, then it should be opened if the supplied muscle is alive and the patient's active lifestyle brings out symptoms. Stress scanning may be helpful to determine this. ...Read moreSee 1 more doctor answer
Is it safe to stop effient 5 days before colonoscopy? Cardiac md ok but we are concerned. Stemi 10/2013,complicated. Re clotted 20 min after stent
Sent to cardiologist for cath w/poss stent? due to hospital findings of AV block, biatrial enlargement, cardiac insufficiency. Cardiologist said it’s too risky, he said I also have severe hypotension. What are risks of cath/stent w/low BP?
There is some risk: but the benefits outweigh the risk. They have to lookmfir something reversible ...Read more
Celiac artery stent placed last week for celiac compression. Chest pain/stinging x 1 day. Increases with deep breath.Almost consistently there but varies in location. Is this normal following stent? No cardiac problems. Otherwise healthy.
Evaluation: I suggest that you have this evaluated by a physician. Let the M.D. who did the procedure know what your symptoms are and they will guide you further. ...Read more
Cardiology I have been having chest pain on exertion for a couple of years. After a stress test and a cardiac catheterization, the blockage is too small and behind the heart and hard to reach to place a stent. I am on plavix, zocor, (simvastatin) ecotrin,
Your : Your exertional chest pain (angina) is a result of poor blood flow to the region of your heart supplied by this small artery. Based on your description, this sounds like a lower-risk lesion for serious complications like major heart attack or sudden cardiac death; and so would not warrant surgical bypass or higher-risk stenting. The good news for you is that a recent large clinical trial (courage study) has taught us that this type of blockage is treated very effectively with aggressive medical therapy. You are already on good drugs, but you may benefit from increased doses and/or the addition of newer anti-anginal therapy like Ranolazine (ranexa). If you have not already been referred to cardiac exercise rehab, this may also help relieve your angina. ...Read moreSee 3 more doctor answers
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