Generally, for discussion only, and not any advise, you may want to forgo an angiogram and stent implant. The basis would be improved symptoms, as the degree of physiologic response to luminal dimensional change may be assessed by correlation of exercise capacity (your symptoms improved by exercise testing?) with quantitative measurements of the obstruction diameter at the lesion sites.
An angiogram was performed and her left circumflex bypass failed. The docotors put a stent in her actual left circumflex coronary artery. She stayed in the hospital for a few days and was released. Now, she is back in the hospital due to chest pain again. The doctors say there is nothing they can do for her and that everything looks good and she will have to live with the pain. The doctors just did an ECG and say all is good. Is this possible? She is on constant Nitroglycerin and Morphine prn.
experienced symptoms of some shortness of breath (not necessarily associated with exertion) and lack of energy. Angiogram determined that one graft had failed (internal mammary).
. Had medicated stent placed in Oct last year..
Within two months after stent was placed, symptoms seem to be returning..Some shortness of breath, no energy..NO PAIN AT ALL. If stent has failed, can that stent be replaced with another? If not, what is done?
Thank you.
If he is having chest pains while resting it seems it may be vasospasms. I have these and my biggest complaint is the spasms that wake me from a dead sleep. I have to get up and take a Nitro tablet to stop the pain. I have had as many as 5 in the same night. The odd thing about these spasms is they started after the stent was placed in '04. As soon as the stent was placed in the artery it (possibly that part of my heart) went into a spasm.
@Ger57 Thanks for reply.
So after 5 months of headaches and sleeping on my right side as well as other symptoms i think i know at least what the problem is. The first mri scan showed mastoid changes on my right side, as well as possible sigmoid sinus thrombosis. After my mri angiogram it came that there's no or little blood flow in my right internal jugular vein. No other problem with the sinuses. But why do i have all my symptoms on the left side?
The test result can be clear or if there is CAD, the doctor will discuss options including Bypass or more often Stent placement. If there is a blockage of less than 70%, intervention is unlikely, but medication treatment is likely.
This test is good for measuring heart function also, as well as looking at valves. An echo can also be done, this is useful as a test to look at the heart function side of things.
The current recommendation is to take aspirin and Plavix for at LEAST one year after drug eluting stent placement. Two years likely makes it safer for you to be off the medicines for a short while ie, 7 days. However you might ask your surgeon if you could remain on aspirin 81 mg. and not stop this medicine and only stop the Plavix which might lower your risk of a cardiac event in the post surgical time.
Normally, only in the first week after PCI/angiogram you have to take it easy.
After that week there are no restrictions and you can pick up your usual activities again (including physical exercising).
So, flying will be no problem.
They are afraid to disturb plague formation and cause a blood clot. Should I question this or get a second opinion? I got a stent placement in 09' but recently had angina & abnormal EKG and blood test came back high. 0.20 in a normal range 0.0 to 0.1 Thank you.
An angiogram can be performed with a cath (intervention with a probe through the leg vessel to the heart), or ct scan (best is a 128 slice) that views the blood flow (dye has been injected) through the coronary arteries.
There isn't a high risk with a cath, and it is not painful, but have an understanding with the doctor whether or not your father wants a stent implant if there is some blockage, and whether the stent(s) are drug coated or not (obtain an opinon what the doctor prefers).
I am about to have a 1cm x 1cm kidney stone blasted. However my concern is that they described in my operative notes that my prostate was obstructing my urethra during the placement of the stent. Will they still take the stent out in the office with only local Anastesia? I'm terrified of the removal as I have had excruciating pain with just catheters at times when I have needed those. I am worried about the pain with having my prostate causing an obstruction.
I think either the artery was torn during the stent placement or more probably, the artery between two of the stents, which is where the artery tore was weakened by vibrations caused by a tethering effect of the stents. At any rate, a very long (25mm) stent repaired the damage during the procedure. I came in by ambulance with a great deal of pain, but the stent fixed me up quickly and certainly within a week I was back to normal activities.
patient backround
kat, diagnosed with a 95% occluded left main coronary artery, had stent placement. lesion was underestimated, stent too short, resulting in pre and post stent stenosis. doctor advised that protocol in this scenario is CABG. this was performed a few days, single mamary graft, 5 days icu post op with much bleeding. kat continued experiencing angina pains, along with pleural effusion, collapsed lung etc.
I meant to say and said the cath angiogram was unnecessary unless it was agreed and understood that there would in all probablity be angioplasty (stent, balloon) with a cath angiogram. there is a higher than expected probability there would be a stent implanted with a cath angiogram ...there are statistics available).
still wetting the bed. Still urinary urgency (need to go every 10-15 minutes). Still burning upon urinating. Still depends. 12 days post op.
Beware of stents...my urologist's description of what I would feel: it may burn a little upon urinating!!!
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