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Doctor insights on: Lad Artery Stent

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Have you had any patients who got a sudden blocked LAD artery, MI, and SCA, and who survived despite stent failure (permanent total blockage)?

Have you had any patients who got a sudden blocked LAD artery, MI, and SCA, and who survived despite stent failure (permanent total blockage)?

Depends : well sometimes these blockages happen slowly therefore the heart compensate and make collateral circulation which supplies the myocardium( heart muscle) which saves the patient. ...Read more

Dr. Erik Borncamp
1 doctor shared a insight

Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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I have a stent in LAD artery. Bp high recently. Chest pain &nausea the last couple of days. Do i wait for app't next month or go to clinic?

I have a stent in LAD artery. Bp high recently.  Chest pain &nausea the last couple of days.  Do i wait for app't next month or go to clinic?

Stent: You know you have coronary artery disease and an LAD already with a stent in it. Chest pain and nausea in a patient with that package has an increased chance of being serious compared to a person without disease. You should get yourself checked out as soon as possible. ...Read more

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Once effient is started must you wait one year before it can be changed? I have 2 stents in LAD artery.

Once effient is started must you wait one year before it can be changed? I have 2 stents in LAD artery.

Effluent for a year: There are a number of medications in that class of drugs that may be substituted for Effient if there is a problem with taking it. Ask your heart doctor. ...Read more

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I have 2 stents in LAD artery..is a low dose of trazadone 25 mg safe to use?

I have 2 stents in LAD artery..is a low dose of trazadone 25 mg safe to use?

Trazodone: There isn't enough information in your note to make the judgment about trazodone. Your physician(s) who know you and your specifics are the appropriate person(s) to advise you about drugs. ...Read more

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Will be 12 months since 2 stents in LAD artery..Can now come off plavix (clopidogrel)....Worried may be I should just continue on it ..Any thoughts?

Will be 12 months since 2 stents in LAD artery..Can now come off plavix (clopidogrel)....Worried may be I should just continue on it ..Any thoughts?

Keep going: The ideal, if you can afford it, is to continue on Aspirin and clopidogrel. Studies show better long term outcomes, but at 12 months you are at a time where it could be stopped. ...Read more

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Long term is tegretol or lamictal safer for a cardiac patient? 2 stents in LAD artery.

Long term is tegretol or lamictal safer for a cardiac patient? 2 stents in LAD artery.

Both fairly safe,: Yet, i would tend not to use tegretol due to its potential for adverse effects, such as lowering sodium, causing bone marrow anemias, affecting liver function, but also raising cholesterol levels (which indirectly might harm the heart eventually). Big issue with Lamictal is occasional rash, but otherwise, not a bad choice and well tolerated. ...Read more

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I have 2 stents in LAD artery...is Prozac (fluoxetine) a safe ssri due to its qt prolongation or is it to risky?

I have 2 stents in LAD artery...is Prozac (fluoxetine) a safe ssri due to its qt prolongation or is it to risky?

OTc prolongation: Likely your Prosac will have no real effect on your cardiac conduction, as long as QTc measures under 499 msec, but here is the key issue. Huge numbers of prescription meds have potential to prolong QT interval, especially opioids, but also entire class of SSRI's and SSNRI's. Will refer your question also to cardiology, as they can expand on my comments. ...Read more

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Why is the LAD artery referred to as the widow maker?

Why is the LAD artery referred to as the widow maker?

LAD: The left anterior descending artery supplies the major portion of the left ventricle. Sudden death is thought to occur more frequently from occlusion of this vessel than any other single vessel occlusion; thus some people term it as you mentioned. ...Read more

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I've got one LAD artery 100% blocked but the other arteries are partially blocked/open should I try for a bypass?

Bypass: The appropriate therapy for multi vessel coronary artery disease needs to be recommended by the drs. Who know your whole history and data set. Often bypass is appropriate for people with multi vessel disease but not always. There isn't enough data here to advise you appropriately. ...Read more

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What could cause an otherwise healthy 27 year old male to have 100% blockage in the LAD artery?

What could cause an otherwise healthy 27 year old male to have 100% blockage in the LAD artery?

Hereditary disease: Without more information, it's difficult to answer the question, but there are hereditary diseases where the blood lipid is elevated high enough to cause early athersclerosis. ...Read more

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Does the LAD artery have to be 100% blocked to be dangerous?

No!: The LAD is a major supplier of blood to the heart, and blockage can cause serious damage. We now believe that most heart attacks occur when a 'vulnerable' plaque (build up of cholesterol deposits in the wall of the artery) ruptures, and platelets stick, causing the artery to completely close. The artery may be only minimally narrowed before this occurs. ...Read more

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Rca, cx and LAD artery bypassed 5years ago.Recently had an angiogram.1artery is torn and one-third part of heart tissue is damaged.Can it be treated?

Rca, cx and LAD artery bypassed 5years ago.Recently had an angiogram.1artery is torn and one-third part of heart tissue is damaged.Can it be treated?

Yes: Treatment depends upon the findings of heart catheterization. If its not treatable with revascularization, then medical therapy or sometimes device therapy is the next option. Talk to your cardiologist who can answer based on your unique situation. ...Read more

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CT angio shows moderate to severe stenosis of mid LAD artery. What would be the normal course of action?

CT angio shows moderate to severe stenosis of mid LAD artery. What would be the normal course of action?

LAD stenosis: Well, you can start by seeing a cardiologist. Although if you have no symptoms I doubt any intervention like balloon or stent placement would be done except controlling your Blood Sugar, Cholesterol and Blood Pressure and taking a baby dose of Aspirin.
If you are having Chest pain, dyspnea on exertion, fatigue with activity then a cardiologist might open up the obstruction and place a stent. ...Read more

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Have relatively short 100% blockage in mid LAD &100% posterolateral branch of circumflex artery (both relatively small targets).Will stent help or ris?

Have relatively short 100% blockage in mid LAD &100% posterolateral branch of circumflex artery (both relatively small targets).Will stent help or ris?

stent: There are technical factors in deciding whether stenting is possible and physiologic predictions of whether successful stenting will yield benefit. Your doctors including interventional cardiologist are best to advise you regarding your specific situation. ...Read more

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Can you do angioplasty stent on restively short 100% blockage in mid LAD and 100 % posterolateral branch of circumflex artery & both relatively small.

Generally yes: The real question is do they need to be done. An artery that has been closed for some time (cto), is usually no longer threatening to you. In some cases, with unacceptable symptoms despite appropriate meds, an attempt at opening the vessels may be considered. Ask an interventional cardiologist with experience in doing ctos to review your cath. ...Read more

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Can stent be used to open 100% blockage in an artery such as LAD during cardiac catheterization procedure . Cons and pros please. Thank.

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 more

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What causes cholesterol deposits in the wall of the artery to rupture.Had 2 stents placed in LAD.100% blocked. 52yr.old well controlled type2 diabetic?

Many factors: The exact cause in a given individual is never known but factors known to increase the risk are: smoking, uncontrolled hypertension, diabetes (you have no control over this and better control doesn't help), and NOT taking a statin (statins stabilize plaques). High LDL and low HDL may contribute but the data is less clear. ...Read more

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What % of narrowing do you need for a stent as I've got 60% of mid LAD and been dishcharged from cardio ? Put on statins asprin ect .

What % of narrowing do you need for a stent as I've got 60% of mid LAD and been dishcharged from cardio ? Put on statins asprin ect .

Stent: There is no benefit to stenting lesions that are not causing symptoms or objective evidence of myocardial ischemia. It sounds like you are being treated appropriately. Try to learn about popper diet, not smoking and exercise in addition to statin and Aspirin to help yourself. ...Read more

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My boyfriend is an avid triathlete and ended up with a 95% block in the LAD and had a stent placed. Why would he still have chest pressure and sob?

My boyfriend is an avid triathlete and ended up with a 95% block in the LAD and had a stent placed. Why would he still have chest pressure and sob?

LAD stent: Your friend should not be having chest pain and shortness of breath if the LAD block was stented successfully and it was the only problem. It is necessary to report these symptoms and be re-evaluated for other problems e.g. Silent heart attacks, congestive heart failure, failure of the stent, blood clots and other problems. It is wise to see the doctor frequently and meanwhile follow directions. ...Read more

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Should i get a stent, have bypass surgery, or try medicines for 100% blocked lad? If medicines, what are the most effective medicines for that.Thanks

Should i get a stent, have bypass surgery, or try medicines for 100% blocked lad? If medicines, what are the most  effective medicines for that.Thanks

Need to see films: I would have to see coronary angiograms, echocardiogram, complete history and physical, pulmonary function test, hemoglobin a1c, cbc, chem 12, as minimum to advise anything. If the LAD territory is viable and the LAD vessel a good surgical target, and there is an internal mammary artery suitable, even if no other vessels require revascularization, no comorbidities would strongly advise lima-lad. ...Read more

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What anatomically predisposes the LAD to be occluded more so than the other coronary arteries?

Biggest: It's the biggest of the 3 coronaries thus sees more volume of blood. Because of its bifurcation from the l main, it's also is exposed to proximal turbulence. Both factors may be injurious to its endothelium. Finally, because of its size & the muscle i subserves, it's more obvious: when the LAD occludes, you know it-so there is bias in the studies of its incidence. ...Read more

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If my lcx and LAD are less than 50% blocked (lcx due to stenting) but my ramus gets totally blocked, can this cause a heart attack?

If my lcx and LAD are less than 50% blocked (lcx due to stenting) but my ramus gets totally blocked, can this cause a heart attack?

Yes: Any coronary artery, including small branches, can cause damage to heart muscle cells if occludes (measured by cardiac enzymes). A heart attack from a smaller vessel is much less likely to cause death or significant disability. ...Read more

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Had DES in mid LAD february 2013. Is there a test like ultra sound to see if there is restenoses? Or something were the arteries can be seen?

Depends: I assume you are asking is there a non-invasive test to check for restenosis. The non-invasive test to check for restenosis would be either an exercixe or nuclear stress test. An invasive test requiring a cardiac catheterization can use an ivus (intravascular ultrasound) to examine the stent by ultrasound. Paying attention to symptoms that occur can also give indication of restenosis. ...Read more

Dr. Thomas Fiala
2 doctors shared insights

Stenting (Definition)

In general, a stent is a metal tube used to keep a vessel open. Stents can be placed in a huge number of places, including blood vessels, bile ducts, even in the colon ...Read more