Angiogram procedure stents
Common Questions and Answers about Angiogram procedure stents
angiogram
t be fixed with stents or the balloon procedure. I had eight previous stents. I asked for a second opinion and a second try, and ended up with radiation burn on my back from the effort to do what simply couldn't be done. I finally relented to have bypass surgery, and got through it fine, but I'm younger than your father, and it's a tough surgery/recovery.
If I were your father and in wonderful physical condition, I'd give heart bypass surgery a go.
My complaint is an interventional cardiologists is inclined to implant stents during the procedure. Sometimes stents are not really necessary, and statistics indicate there are many stents and could have been successfully treated with medication.
My current doctor is a non-interventional cardiologist (recommended CT scan) and treats with medication as an option, the first doctor I had was an interventional cardiologist who favors stents as a remedy ....
hey my dad is suppose to go in for an angiogram but he fears what might happen to him if he does. i was wondering if there was possible any alternative procedure or something else he could possibly do.
If you don't have any symptoms, why has the doctor set up angiogram and stents?. Are you diabetic? Sometimes there is ischemia (lack of blood flow) to the heart cells, and no symptoms with a diabetic. If you aren't diabetic you may want to get a second opinion and take appropriate medication.
Drug eluding stents are better than bare bare metal stents in that there is a reduction to restenosis.
I've had the same number of Angiograms, but I would like to add something here. EF doesn't give an indication of artery status all of the time. From 2007 (first heart attack) until now (10 stents later), my EF has never fallen below 70%. Angiograms are the gold standard for seeing inside your coronary arteries and they can measure the blood flow rate/pressure anywhere in those arteries.
The doctor had to work through seven other stents in a very twisted artery to get to the blockage. The procedure lasted 3.5 hours, and I'm told I've reached the end of my nuclear endurance, so to speak, factoring in all the other procedures, so I've had the last angiogram I'll have. I'm betting you are good to go with another procedure.
One has to be confident in one's Cardiologist who is doing the procedure or the stress level is going to be very high.
Some more insight in addition to Flycaster's information.
You should get an understanding if the totally blocked arteries have developed a natural bypass (collateral vessels,angiogeneisis growth) that is now supplying the area with blood/oxygen. I and others on this forum have totally blocked arteries and manage very well without intervention (by-pass). You my not need a bypass or a stent.
Long story short he had a stress test, which was abnormal, and then today he had an angiogram which showed that 1 of his previous 3 stents was 90% blocked as well as 2 new blockages also at 90%. So the doctors have recommended for him to have bypass surgery since there are 3 blockages. However he has also been given the option to have more stents put in and fix it that way.
Would a Fractional flow Reserve or FFR, posted on the New England Journal of Medicine on JAN. 2009 would have been a better procedure as opposed to an angiogram with die and implant of an Integrity RX BMS STENT on a 88 year old male with no history of cardio or pulmonary issues, fairly healthy who suffered his first heart attack at 88 years of age? just curious.
I have read thousands of posts and there are very few that have an angiogram for suspected occlusions that does not get a stent during the procedure. The cardiologist may see a 60 percenter, and stent for whatever reason even for the money! The stats indicate there are many patients that receive stent implants who may have done well with medication therapy. I would never suggest you or anyone should have relied on medication and not have stent implants.
A Month later my cardiologist called me to have another angiogram, he had looked at the images, and could see another problem which was possibly missed. My Cardiologist was away when I had the procedure, but his registrar did the procedure. He was confused, because the images showed the vessel fully open, not a single problem could be seen. However, he decided to go with the consultants expertise and did an FFR (fractional flow rate) on the vessel.
This is my first post and I'm here because of recently discovered heart issues. My doctor recommended I have a heart scan for calcium, (plaque in the heart arteries) and when that came back my score was 957 which I understand is extremely high, and they found six areas of concern. The biggest concentration was in the left artery and in the LAD. My doctor got me on a statin and I made radical changes to my diet immediately.
ve had so many of them and so many stents I find a root canal more intrusive. Stents have helped me a great deal. Treating blockages with medication is necessary, but I believe medications are more intrusive in one's life than a stent. There are very good arguements both ways on this issue, stents vs. medication.
To repeat, I'd look at the operative report during the first stent and see what was reported.
Had angiogram( 2 stents & 1 balloon angioplasty) and two days later couldn't get a deep breath. Monitored in hospital overnight, no medications given or IV. After on oxygen awhile breathing better but now five days later still can't always get deep breath. Hospital did another echocardiogram and blood enzymes and it was all very good. Oh, one heart enzyme was slightly elevated, but could be from the procedure. Good rhythm and strong beats..
I accumulated eight stents before I had bypass surgery. I had both DES and bare-metal stents, I think four of each. Two bare metal stents were inserted before DES stents were available, and two bare metal stents were inserted when DES stents couldn't be inserted because of the size of my arteries. I've had no trouble with restinosis (stents becoming plugged up).
You have to be careful when trying to research effectiveness, etc.
I've had 4 stents placed and 1 angioplasty on one of the stents about 4 months later. It has been over a year since the last procedure, but I continue to have chest pain. I had 2 more angiograms that were clear. My Dr. has chalked it up to anxiety. I have difficuly accepting that diagnosis because I don't have panic attacks or sharp pains in the chest. This is discomfort and is there at least every other day. It is keeping me from doing things, like excersise or going places etc.
That happened to me during a procedure that included three stents in the same artery, and resulted in the need for a followup stent.
I'm guessing that the doctor is suggesting you can't have another active stress test to check your t-waves, but you can always have a passive test where meds speed up your heart and give the same information. Flipped t-waves over two milimeters strongly suggest a new blockage or problem.
On consulting the doc,Angiogram was done.Upon the results of that doc told us that there is 95%,90% and 40% blockage in 3 different arteries.They put a medicated stent on right artery with 90% clot and 2 ordinary stents on the left artery.After 3 months my Dad started getting similiar pain.On approaching,the doc told us that the left artery is rejecting the stents so this time they will put a medicated stent(38 mm long).
Hi, a CT angiogram is noninvasive as compared to the traditional angiogram and is usually the preferred mode of investigation. CT angiograms will expose you to a small amount of radiation. If you have known coronary artery disease, a traditional coronary angiogram may be a better option, since you can also receive treatment for your artery blockages during a traditional coronary angiogram.
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