You will have to wait for the results of the angiogram. Blockages can be treated with bypass surgery, but in many cases with minimal invasive angioplasty (stenting) or with medication.
Dependent on the outcome of the angiogram and taking into account your grandmother's physical condition and the fact that she has has bypass surgery before, the cardiologist will advise what the best option is.
It seems based on the angiogram it is recommended to do a bypass. It is not clear by the information from your post why there wan't any implants? That is a question only your doctor can answer, and your post does indicate triple vessel disease...the geometry of your heart's vessels, location of the lesions, size of the lesions can be the reasons for not stenting!
Your symptoms and ineffective response to medication would/should be considered before CABG.
The word shunting means to bypass blood flow. I assume it is a coronary artery bypass, and the risk depends on general health and whether or not the conditions cited are under control, etc. Age shouldn't be much of a factor, but when 80 and above the doctor's carefully weigh the options (generally).
They can form scar tissue and block, or a clot can form. Same with your bypass grafts, they can block and veins can close up. I had a triple bypass and three months later I had an episode while out walking. It lasted around 4 mins, but then seemed to settle down. I had angina from that time again. I told the surgeon who said "there is nothing wrong with your bypass, ECG normal, and so there's nothing I can do".
my mother is suffering from chest pain now Doctor is saying to go for angiogram test?
Was the angiogram a CT scan? It seems if the angiogram was a cath intervention through the coronary vessel a stent implant would have been done at the time to save money and reduce the risk?! Generally a lesion greater than 70% and medication doesn't relieve symptoms, then a stent implant. Sometimes a stent implant is not an option due to location, etc. and a bypass may be the only option.
I have to have a valve replaced and am having an angiogram to see if there is blockage to be treated at the same time. The physician doing the angiogram has indicated he will put in a stent if he finds blockage. My feeling is that this is unnecessary as the major advantage of angioplasty (less invasive than bypass) is totally irrelevant since I'm having a valve replaced anyway.
Thoughts?
m big on research and I may be getting ahead of things but the main question I have is how does a cardiologist determine if angioplasty and stents will do the job during the angiogram rather than pulling out and considering bypass instead? The Dr. said he will consult with me during the angiogram but should I have to make a call on that while I'm in the procedure? I'm aware of the debate between stents and bypass surgery and I want to fully consider my options if necessary.
Hi, I had a double bypass in May 2011, three months ago and in the past two weeks i am getting very intense chest pain like i had before the surgery. I am having an angiogram in 5 days time and i am worried as they cannot put stents in because i am on Warfarin (Comadum} and they cannot give me another blood thinner for the platlets as they do when they put in stents.
I have just turned 60.
Thanks a mill!
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.
The right artery is blocked however the angiogram and CT angiogram contradict each other. One says the blockage is at the top, the other says the blockage is in the middle. Personally, I would believe the angiography report because this has seen retrograde filling and it makes more sense. Your right artery then is blocked near the top, but the vessel is being fed by natural bypasses from the left side.
I would be a bit surprised if they suggest a redo-bypass, in most cases they revascularise the bypass vessels, or native vessels using angioplasty. I do emphasise the word MOST, which obviously doesn't mean all. It would be total guess work to which is the safest option without the angiogram results. If depends where the blockages are, how many there are and the size of them.
i really appricate your input. just when i think everything is going good they throw us another curve ball. we go to talk to his cardioligist next week to go over everything. i remember seeing the angiogram befor the first surgury, i'll ask to see it again. again thank you.
Hey All, I have had a quad bypass 6mths ago,as most know recovery is slow and i do not help it by trying to speed things up.After 4 mths i had chest pain and abdominal bloating and pain,hard to swallow and breathe,could not get a deep breathe(yawn if i could).Have had more tests than i like and guesses.Pain was so bad i went to ER and was given antibiotics for diverticulitus for a week to see if it helped.No change.
I am also having trouble agreeing that the risk of stroke is reduced with bypass. All the plaque is left exposed with bypass, and THIS is the risk. There is also the increasing problem of infection when recovering from surgery. Antibiotics are no longer having the effect they used to have, and more people are contracting serious infections now. Do you have any further details about the blockages? the locations of them? from the Angiogram report.
I had quadruple bypass surgery in Sept 08. I have diabetes also. Yesterday I had an angiogram and was told that 2 of the arteries are 100% blocked. My cardiologists doesn't want to see me for 6 months, is this normal procedure.
had a tripple bypass 17 OCT 2009 after angiogram which showed 7 blockages of 98% & 78%
ONLY A STIFFNESS IN MY JAWS AND PAIN IN MY GUMS PLUS DISCOMFORT IN THE EPIGASTRIUM WERE SIGNS TO GO BY
nothing showed up in any of the normal tests done by the cardiologists.
9months later I experienced severe repeat of the same symptons ,again the ECG is normal
I am going for an angiogram this coming MONDAY 31 AUG
would be interesting to know what the results are going to be.
Any advice?
I think our dilemma is that the surgeon is telling us that bypass is the better choice, and cardiologist who did his angiogram says he can do the stents but his recommendation is surgery but neither really gave any information on it... the nurse that came in during the evening shift is the one who gave us some pamphlets on the issues. We just want to do what's going to be the best in the long run and last longer, your information has helped thank you all so much!
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