Heart operation stent
Common Questions and Answers about Heart operation stent
operation
Once there is a stent implant, medication will not help for any lesion at the site of the original stent. Requires another stent or open heart surgery for a bypass. A bypass can be problematic as the harvested stent is susceptible to a lesion, etc. as the original vessel. The best option is to void interventional therapy as long as medication is effective.
There is no cure although there is a belief by some people that some medication can reverse CAD due to plaque.
Sometimes a surgeon doesn't want to risk an operation when the EF is below 50%. Below 29% is considered heart failure phase and almost never does a surgeon want to risk major surgery unless it is a critical situation.
Five years ago I was hospitalized with congested heart failure with an EF of 13% to 29%. I had a 98% occluded RCA and it was stented; circumflex 72% occluded no stent and an LAD 100% blocked. The LAD had developed other vessels to supply the deficit area.
She is only 61 years of age with no heart problems. She was then told that she had blockage and that a stent would need to be placed. Nevertheless, she went to the hospital two days later for the procedure. I was told that the doctor said that the artery was so blocked that it rerouted itself and that the doctor tried to place the stent and "blew" her artery. She then had to have an emergency bypass. While she was getting prepared for the surgery she had a heart attack.
Every stent we place into the body significantly and exponentially increases the probability of a phenomenon called in stent restenosis, a heart attack caused by stent placement. At some point it actually becomes more risky to place additional stents then to perform a surgery.
2. Complex lesions, in this case the blockage is simply located in a spot where its difficult to seat a stent properly, often this occurs at a bifurcation, or a spot where an artery splits into seperate branches.
s 9 month old stent is blocked vja heart cath on 1/23/2009. No mention was made to clear the stent; I was in the shock mode and didn't ask many questions. His heart cath "pictures" are being sent to another heart specialist in another town. Our heart doctor didn't think anything could be done. I'm not ready to quit. Any help would be greatly appreciated. Thanks.
what would be surgery risk for re-operation for avr replacement for a healthy 62 year old, with no major (liver, kidney, lung) disease in which a Bentall procedure was done in the first operation done 8 years earlier? also, what would the complications risks be for each related, possible complication?
prior to any intervention procedure, i elected to repeat his coronary angiography in order to assess his previously deployed stent. the stent was patent with only a mild disease in the mid and distal left anterior artery. However my LAD has now become occluded. it appears to have been occluded for a few months', i.e.: chronic total occlusion. The occlusion point is just after the first diagonal branch with some proof, poor antegrade filling, probably via bridging collateral's.
If there is going to be an operation, there would need to be a halt to anti-clotting medication with stent implant and a riks of a heart attack or other emergency intervention to prevent excessive bledding.
If there is chest pain (angina pectoris) from the implanted stents, then there would be a restenting procedure or something else such as a bypass.
If you are going for heart cath, be prepared to accept a stent included with the test (more money). AHA/AAC guidelines recommend a stent implant if the occlusion is greater than 70%. There are cardiologists that stent occlusions less than 70%!!
Family history is considered a risk, but to go for a cath based on that risk only is usually not a consideration and doesn't follow the AHA/AAC guidelines. If you have angina with exertion, does medication provide relief?
Immediatelly after arriving at the hospital I was taken to the operation room where the docor placed a stent on my heart because the coronary artery was clogged.
He put me on medicine; plavix 71, aspirin 81, metoprolol 25m, lisinopril 5mgs. nexium 40m. all this daily.
Now a month later I went back to the hospital cause I had chest pain. As a result of that I had a stress test done and the doctor said not to worry because it wasn't the heart.
Not that I'm aware of, only a scan that can see how well perfused the tissue is. In case the supply is from the RCA, I think it it were my heart, I would have the stent. I'm not so sure about the bypass though. If all the left side is oxygenated, then I fail to see a reason. Perhaps the Cardiologist can give a valid one?
A recent stress test and angiogram revealed ischemia and a completely occluded artery, with evidence of collateral vessel development. She also has two leaking heart valves. Her cardiologist told us that he will not operate on one blocked artery (hers was a branch of the circumflex), and did not think it was appropriate to stent that artery either. We are wondering if that's standard practice under these circumstances or should we get a second opinion?
Four days after the operation, I noticed urine droplets in my pants, my doctor said that it was because my stent has displaced a little bit. Yesterday as I was sleeping I had a feeling of nightfall, when I woke up my penis was erect and there was a pain in the lower part of penis but no ejaculation. I got curious and masturbated today, I got orgasm but not a single drop of semen ejaculated. Its been nine days since the stent was placed.
08, I have done CT Angiogram scan and noted that there is 50-60% block in the first branch from the main artery from the heart, and another 30% block in a much smaller artery much futher. I have been taking Crestor and Cardiprin since Jan' 09.
The cardiologist recommend that I perform an ballooning by inserting a stent at teh blockage. Is it necessary for me if teh blockage is less than 60%?
Currently I am 38 years old, I have 17 stents implanted in the vessels of my heart. I had my first MI at 25 years old. I have had blockages consistently ever 9-12 months since the first incident. I was a gym rat until my first heart attack and like most atheletes I didn't change my eating habits as my ability to excercise diminished.
I am currently in the process of getting ready for gastric bypass. I had a drug eluting stent implanted in June.
It could be a number of things...clots in the lungs to stent clogging up...have him try Dr. Strauss Heart Drops to keep his stent clean. Do not take if he's on blood thinners (most likely he is on them)
Check with his doc if it's ok to take vitamin E mixed, 400mg per day. It takes care of clots very well. Again do not take if on blood thinners...
Hope this helps...
My answer to your question is to go with non-intervention regimen (medication, etc.) before considering a stent. Open heart surgery and bypass may not be necessary.
There are recent studies that support the medication option: COURAGE study,
"In the trial, 2,287 patients — who were in stable condition but had significant buildup of plaque in one or more arteries around the heart — were randomly assigned to two groups.
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