There is a difference between an angiogram and angioplasty. Angiogram is a diagnostic procedure! Angioplasty is therapeutic meaning treatment.
Usually, or almost always the diagnostic procedure (angiogram) is performed before there is treatment.
There would usually be many more images for angioplasty compared to just exploration angiogram. An Angiogram would have an image of each artery and that's it. When they perform stenting they take the images first to give a map for the cardiologist and to see where the blockages are. Then a guide wire is passed through the blockage and a catheter is slid over the wire and passed the blockage. The catheter has suction and is slowly pulled back to remove any clot material.
Doctor suggested that Angioplasty and Stenting may cure this and may not be able to cure. He has no problems at all. Should he go for Stent implantation? Is it risky? His Ejection Fraction is 60%. If he doesn’t undergo Angioplasty and Stent implantation, is it risky? His Cholesterol level is around 130 and Fasting Blood Sugar is around 120 and 130.
Doctor suggested that Angioplasty and Stenting may cure this and may not be able to cure. He has no problems at all. Should he go for Stent implantation? Is it risky? His Ejection Fraction is 60%. If he doesn’t undergo Angioplasty and Stent implantation, is it risky? His Cholesterol level is around 130 and Fasting Blood Sugar is around 120 and 130.
Doctor suggested that Angioplasty and Stenting may cure this and may not be able to cure. He has no problems at all. Should he go for Stent implantation? Is it risky? His Ejection Fraction is 60%. If he doesn’t undergo Angioplasty and Stent implantation, is it risky? His Cholesterol level is around 130 and Fasting Blood Sugar is around 120 and 130.
Correction, meant to say:... The CT scan is angioplasty ( an "angiogram") and a cath angioplasty is unnecessary unless there is going to be (an agreed stent implant) as a cath would only verify what the CT images show. The CT scan is more inclusive than a cath as it views the anatomy of the vessel, respiratory, aorta, etc. as well as the lumen...the cath only views the lumen unless there is ultra sound attached to the probe.
you will need to be on blood thinners for your operation, you should in fact be injected with quite a strong one. The reason is that you don't want any clots forming in the area
of surgery that can break free and block a vessel in the brain or other major organ. This
will not stop the healing.
If I was in your shoes I would have the angioplasty if required. You don't want to have this
valve procedure to find you suffer a heart attack next week.
my mother 65 years old had a heart attack 30th jan 2011 and she was admitted in the hospital and taken angiogram on 3rdh feb 2011 by 4pm having 2 blockages in 100% and 95% imediately the cardiologist asked me whether you want to do angioplasty or bypass surgery and i decided to do angioplasty the cardiologist did medicated angioplasty with 2 stem and she retured home on 5th evening and she did well in on 7th morning 1.
Peripheral vascular angioplasty and/or stenting can be done by vascular surgery or interventional radiology.
If this was my Father, I would suggest stenting and if this fails, further stents can be placed inside existing ones. If stenting becomes a nightmare with failures, then I would opt for bypass as a last resort. The problem with the LCx is that it is diffusely diseased. In other words, it is coated all the way along its length with disease. This means there are no clean areas to graft onto. Luckily, this is a small vessel and he could open collaterals to feed across into the heart muscle.
Complicated PTCA with 2 overlapping bare metal stents to clear acute proximal thrombotic occlusion to RCA. Feasibility of stenting questioned by interventionist at outset (I was in cath lab for 2.5 hours...somehow he pulled it off).
Angiogram showed several other stenoses of varying dimensions. Obviously pursuing aggressive risk factor mitigation.
My primary concern is deterioration of saphenous grafts. At 15 years post-CABG I have to believe morbidity/mortality data is pretty dismal.
63 years, businessman done angiogram which reveals that 80% proximal stenosis in RCA. 80% PROXIMAL, 60% MID PART STENOSIS, OM2 40% PROXIMAL STENOSIS in LCX. and 40% proximal, 50% long segment distal stenosis in LAD. LMCA is normal. STENTING is done in RCA (DEPLOYED a 3.5 X 13 mm CORTRON STENT [COBALT CHROMIUM] @ 12 ATOMS FOR 30 secs) and LCX (DEPLOYED a 2.75 X 23 mm XIENCE V STENT [DES] @ 10 atms for 30 secs). MRI of brain showing acute small infarct in right corona radiata.
First off, Angioplasty is a procedure which includes stenting as an option. The decision is not just based on the size of the blockage unfortunately. There are things which need to be taken into consideration, such as how calcified the blockage is. The location is also a contender. There are obvious benefits with Stenting over bypass, such as much less discomfort and a much faster recovery time but it could all be a waste of time if chosen when the best option is bypass. Vice versa also counts.
My father M64 has had an angiogram (heart) and has been advised to go for a stent. I want to know if that is the only option for him. He is non diabetic, h/o shortness of breath CI II- III since few months.
I really appreciate if anyone could share their view on this please. I am adding the results of his test.
Results: LAD: Type III Prox LAD has eccentric 80% stenosis, Left main: Short and normal, LCX:Dominant Normal, OMs and Diagonals- normal, RCA- Non dominant Normal.
After two heart attacks, I have undergone Angioplasty with stenting to proximal LAD, MID RCA and Osteal PDA with drug eluting stents in Nov., 2009. Also, I am diabetic and have had one episode of seizures (GTCS) in January, 2010 and no repetition thereafter.Presently, I am under the following medication: Valparin CR 500, Rosuvas 10 Mg, Ceruvin AF & Voglibo M 0.02. Two days back, I had chest pain and visited a Cardiologist.
My case is same. If your mother do not have chest pain then it may be possible to manage her with medicine. I had two heart attacks. I am still managing myself with medicines only inspite of blocks in coronary artries to the extent of 90%.Life style changes too are necessary. You may go through my postings.
LVEF (Teicholz) 69%, I have been researching ever since I have found bypass, angioplasty and minimal invasive surgery. I am really scarred on bypass, my doctor said he will open my check and cut my ribs open to reach the heart. He also said he will stop my heart !!. I really do not want that.
Forgot to mention, angioplasty done based on abnormal EKG and blockage indicated during stress test.
) hence no angioplasty was done and cabg is the best option because it is a triple vessel disease. I think they were also worried about passing a stent in RCA due to calcification.
as per the medical records they treated him with low molecular weight heparin antiplatelets statins nitrates.
He thought my heart wall showed abnormality so he asked me to get a a CT angiogram. CT angiogram is a noninvasive process and in a nutshell, a 360 x-ray picture of your heart. The only danger is the radiation and the dye they inject in you to visualize the organ. Well, the CT angiogram said the wall was OK but there was significant blockage in the LAD coronary artery. The blocking was confirmed using a "traditional" angiogram or catheterization and I had a stent put in to fix that.
ER visit for left arm numbness/tingling and mild chest pain, slight transient nausea. lasted about an hour prior to ER, during which time I took a 325 mg aspirin.
Upon admission and initial meds I felt better and was kept in ER all night with no further complications. Echo and other evaluations leading to an angioplasty 12 hours after admission. RCA was found to be 90% blocked - hard and calcified and two other arteries with 20 and 30% blockage.
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