Doctor insights on:
Lima To Lad
LCX para ostial occlusion be stented: Yes, but depends very much on the skills of the cardiologist. The diagonal is not the issue as supplies blood to a relatively small muscle mass of the hear. On the other hand the CFX , which is occluded, has developed collateral circulation, therefore is a protected artery. Some cardiologists in cases the CFX is very close to the LM, would refer to a surgeon. Talk to the surgeon how Confident he feels about doing the procedure using stent vs surgery. I would prefer the later. The best have a second opinion. ...Read more
Would medication treat mid LAD 100% coronary blockages effectively. Angiogram showed i had collateral coming from rca to lad. Fyi, my lipid # great.
No: There are no medications that can treat a 100% blockage. Collaterals are good and low cholesterol is good only surgery can treat a 100% blockage, but depending on the flow through the collateral circulation, that may not be necessary. Talk to your cardiologist about treatment options. ...Read moreSee 1 more doctor answer
My mother had CABG surgery but the surgeon was unable to bypass left circumflex lcx artery 90% block. Rest 2 were bypassed. What is the risk for lcx?
Depends: It depends on the particular anatomy of the branches from that part of the left coronary artery to the back of the heart. Small blood vessel branches will not keep bypass grafts open because the flow through them is insufficient. Collateral (feeding) branches from other adjacent arteries may feed that area. In some cases, angioplasty (ballooning) with stents could be considered. ...Read more
Depends: When blood flow is sufficiently reduced by a greater than 70% blockage of an artery or arteries, to the point of permanent damage or weaknening of the heart muscle, or when a plaque ruptures and a blood clot repeatedly forms with resulting blockage of blood flow, then an artery needs to be stented, or bypassed. ...Read more
Middle LAD & circumflex artery are 100% blocked. Blockages, while severe, short in length.Both arteries receive collateral. Can angioplasty/stent help?
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 moreSee 1 more doctor answer
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
Depends: Depends on where the stenosis is and what your overall medical issues are. Also, it depends on the condition of your blood vessels. ...Read more
Yes, possible, but..: ... it is very individualized. Many factors are considered, including age, symptoms, stress results, recent heart attack, presence of diabetes, heart muscle function, coronary anatomy. It's highly complex, even if it doesn't seem that way. Your physicians prioritize dozens of data points to conclude that bypass may be necessary. Unless it is an emergency, a 2nd opinion may help allay your anxiety ...Read moreSee 1 more doctor answer
Angiography report of dad
lad- proximal seg 90% stenois
lcx- distal diseased. Ostial total occlu.
Rca- domi, prox total
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 moreSee 1 more doctor answer
I have total right radial artery occlusion with collateral flow through ulnar and intraosseous arteries. Is this a good thing or bad? What i'd collat
Not a good thing but: The dominant circulation to your hand in 90% of patients is through the ulnar artery. So unless you are one of the other 10%, there should be no major vascularissue; i would need to know what the cause for your artery occlusion was to further answer you. Patients with poor circ to the hand may experience cold intolerance, decreased strength, hand pain and soreness. ...Read more
I'm in Af proximal 1 year, also CAD 70% in LM distal. planning to CABG my LM. Whether patient with AF have a high risk factor to perform CABG?
I have been advised CABG after angio in which 2 ctos on rca and 3 stenosis on ramus branches and collaterals also were found can I avoid CABG age55?
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
What does calcium score (agatston) of 0.5 mean? Lma patent, LAD gives off small d1andd2 diag branches. Mixd plaque, mid LAD no signif stenosis.
Calcium score 40: Your findings suggestive of there is no significant blockage of heart arteries. Your calcium score is low. Cardiovascular event rate is low. You have mild blockage in the mid part of the left side coronary artery. It is composed of calcium and cholesterol. Continue life style modifications and check cholesterol panel. If it is high consider dietary changes, exercise and if refractory use medicines. ...Read more