Doctor insights on:
Right Coronary Artery Stent Placement
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
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
Yes: The short answer is yesGet a more detailed answer ›
Carefully: The distal end of the internal mammary artery is anastomosed to the coronary artery distal to the atheromatous plaque using 8-0 polypropilene and high power magnification. Radial artery or grater saphenous vein grafts are anastomosed to the ascending aorta and tho the coronary distal to the plaque. Obviously the thorax has to be entered and cardiopulmonary bypass may or not be used, . ...Read moreSee 1 more doctor answer
Endarterectomy : Endarterectomy refers to a procedure wherein a surgical plane of resection of the inner lining of a diffuse narrowed blood vessel is undertaken. This improves the blood flow. Because of the diffuse involvement however there is a greater risk of recurrent narrowings there. ...Read more
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
Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read moreSee 1 more doctor answer
Procedure: Performed from a small puncture into the artery in your groin area. A catheter is inserted and is used to evaluate the stenosis. A protection device is then inserted through the blockage and deployed. A suitable stent is inserted and deployed. A balloon opens stent to final diameter. Completion images are taken. Protection device retrieved. Catheters removed. See sirweb.Org. ...Read moreSee 2 more doctor answers
Yes and No: Coronary artery bypass requires some form of conduit for bypass. Superficial veins from the lower limbs have been used for bypass. Smaller arteries from the underside of the chest wall have been used in favor of veins for the left side of the heart. Early enlarged varicose veins can still be used for bypass; however more advanced wall bulges and wall aneurysms Prohibit use of the varicosed veins. ...Read moreSee 3 more doctor answers
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
What is the cpt code for a percutaneous transluminal coronary angioplasy of the left anterior descending coronary artery?
Not necessarily: A CABG if done without cardiopulmonary bypass (cpb) does not require the heart to be opened, however most cabgs are done with cpb requires cannula placement in the heart. However, most people consider any surgery on the heart where the chest is opened open heart surgery. ...Read moreSee 2 more doctor answers
Step by step: Hello leenicole-- coronary artery bypass ad graft surgery is done in a strict step by step procedure involving first obtaining the bypass graft vessels -- which could be veins in the leg or arteries in the arms/chest -- then the sternum (chest bone) is split and forced open to access the heart in full view and the blocked vessel is bypassed -- etc. ...Read moreSee 1 more doctor answer
Tradional CABG: A traditional cabg, involves using the heart-lung machine to sustain circulation while the heart is stopped so it can be operated on. Saphenous vein and an artery from the inside of the chest wall (lima) are used to bypass the blocked part of the coronary arteries. When the bypass grafts are completed, the heart will naturally start beating again. ...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 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?
I have 3 bare metal stents in my right coronary artery. How often should these be checked by a cardiologist and how is the check done?
Based on symptoms: Scar tissue can occur around the stent. You will feel the same type of symptoms the you had prior to the stent. Your cardiologist can determine what type of testing you need to assess that. If no symptoms we usually perform a stress test every 2 to 3 years. ...Read moreSee 1 more doctor answer
Can I ride a roller coaster 3 years after having a heart attack due to blockage of the right coronary artery and getting stents implanted?
Enjoy ride: Hope you are not doing the tallest and fastest roller coaster. ...Read more
Can a thrombosis of right coronary artery just lie there dormant not doing anything or nor causing harm ?
No: A thrombosis, or blood clot, does not "lie dormant". A thrombosis of the RCA would develop rather suddenly as a biochemical response to a cholesterol-based, calcium-coated plaque that "cracks". Just as when skin is cut, platelet blood cells and other chemicals come together to "heal" the break in the plaque by creating a thrombosis (clot) that can then block blood flow to cause a heart attack. ...Read moreSee 1 more doctor answer
My doctor told me I have 70% right coronary artery blockage. How did he measure the percentage of blockage?
See below: An anomalous right coronary artery is one that is in a different location from its usual anatomic position. It can be different in two ways: 1) where it comes off of the aorta, 2) how it gets to the parts of the heart it is supposed to supply. This can be a benign condition that's nothing to worry about, but its important to followup with your doctor to check if the location of the artery is safe. ...Read more
Can an abnormal right coronary artery lead to any problems? What if you have symptoms during exercise such as chest pain/shoulder pain?
Possibly: If the right coronary artery arises from the pulmonary artery instead of the aorta, the blood flowing through it is low on oxygen, and can cause cardiac symptoms. This almost always presents in infants and children. In later life, coronary artery problems are due to atherosclerosis, and the symptoms are typically angina. If you have any questions, see you primary physician or cardiologist. ...Read moreSee 1 more doctor answer
Right dominant : It means normal anatomyGet a more detailed answer ›
What could cause a high (1100+) right coronary artery score and yet after a angiogram, they find no blockage?
Great question: An angiogram is showing plaque buildup that is impacting blood flow within the lumen of the vessel but before you have that happen you can get atherosclerotic buildup within the wall of the vessel that grows outward. This can be seen by CT but can appear very minimal on an angiogram. However if you have a CT with high calcium score I recommend medical therapy for coronary disease (statin, aspirin) ...Read more
What happens if your posterior descending arterial branch of the right coronary artery diffuse proximal 60 to 80%?
Depends: Many people walk around with significant blockages without knowledge or harm. If the person described has angina or evidence of ischemia on testing, a percutaneous intervention should be considered. Otherwise, forget it - but treat the underlying arteriosclerosis: statin, aspirin, Mediterranean Diet, exercise, ideal body weight, no smoking, good BP control. ...Read more
I have unstable angina and a 100% blocked right coronary artery. Had an angeoplasy done and the doctor did nothing after but said may just use meds ?
Situation specific: Theres data that suggests in certain scenarios medical management is equivalent to interventions like stenting. But that's a blanket statement and the reality is, it's very situation specific. Best to talk it over with your trusted cardiologist. ...Read moreSee 1 more doctor answer
RCA: read this: http://www.hopkinsmedicine.org/healthlibrary/conditions/cardiovascular_diseases/anatomy_and_function_of_the_coronary_arteries_85,P00196/Get a more detailed answer ›
If a body had a thrombosis of right coronary artery at post-mortem, is that a sign of a DEFINITE heart attack ?
What's mean mild coronary artery disease involving the left anterior descending and the right coronary artery? It's something to worry? Heart attack?
MDs visual judgement: I would be quite wary of the assessment, likely based on a coronary angiogram. Get a copy of all the images, on a cdrom from hospital, &closely examine yourself. Do not settle for someone else's interpretation, its not their body/heart. Any narrowing (stenosis) means advanced atherosclerosis with previous plaque ruptures; clots which have fibrosed/not-cleared; narrowed the opening of the artery. ...Read moreSee 1 more doctor answer
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