Angiography stent graft
Common Questions and Answers about Angiography stent graft
angiogram
Stent is noted in proximal part with normal contrast opacification distal to stent, Acute marginal is normal in course and calibre.
Distal RCA is seen bifurcation into small PDA and PLV.
Dominance Right
Left ventricular ejection fraction is 63 %
Impression : Findinfs are s/o post PTCA patient with patent stent in RCA with severe disease in LAD involving entire course.
PLEASE ADVICE WHAT STEP TO TAKE , WHETHER ANGIO PLASTY OR BY PASS?
the first graft performed was a saphenous vein graft to the PDA I could not find the right coronary artery distal to it, it was 100% totally occluded. I grafted the PDA. In between the area of the PDA on the obtuse marginal and distal obtuse marginal, there was an area of infarction the saphenous vein graft to the PDA was anastomoses using running 7-0 Prolene technique.
The American College of Cardiology have guidelines to follow. Medication is appropriate for CAD if there is relief from any angina (indicates the coronary arteries dilate sufficiently to provide oxygenated blood to the heart cells).
Almost always an occlusion less than 70% doesn't require intervention or medication.
If medication (some people can't tolerate) does not provide sufficient supply and there is angina, then a stent would be appropriate.
He was undergone a Treadmill test, a few weeks ago and the Doctor observed borderline positive Treadmill Test and suggested an Angiography. He undergone Angiography a couple of days ago and the report said that the Right Coronary Artery is 100% blocked. According to the Cardiologist, who performed Angiography, the blockage is old. But, my father has no pain (Angina), no fatigue and other common symptoms of Coronary Artery Disease. He’s perfectly alright.
Dominant vessel with patent stent to proximal Cx AV Cx has minor disease. OM1 has patent proximal stent. Minor disease proximal and distant to stent in OM.
VG to OM2 and PDA are occluded.
RCA: Non-dominant with minor proximal disease.
Grafts Study:-
LIMA to LAD: Patent with good flow
VG to Diag1: Occluded.
VG to OM2: Occluded.
VG to PDA: Occluded.
My Grandmother has been detected with a blockage in heart, and its not getting well by the use of medicines.
Her Doctor is suggesting Angiography now.
Her age is 81 by now. I wanted to take other Doctors opinion about this case.
The PCA is a cath interventional procedure that will stent and open the LAD. The stent procedure could have been done at the time of the angiogram...did your physical condition/reaction at the time of the test prevent doing a stent implant at the time?
No other problems indicated on the report. You may want to get an understanding regarding your passing out! You may have been overdosed or allergic to the dye, etc.
Malposition or KINKING of the graft can also result in early graft occlusion (blockage), particularly in longer grafts.
Some technical factors and not entirely conclusive that may predispose venous grafts to kinking: The angle of the attachment is critical; or malpositioned without adequate support for the graft, the vessel may kink as it emerges from the proximal opening.
Are you saying the procedure was to stent the graft and not the artery that had been by-passed. Sometimes the graft develops occlusions and then stented.
Quote "...the bypasses were clear and good, but he wanted to stent the old arteries that had severe blockage." Doesn't make much sense..if stents could have been a viable option before a by-pass, why a stent implant now?!
Some aortic aneurysms can be repaired without traditional surgery, using endovascular aortic repair. A tube called a stent graft is inserted through an artery in the groin. The stent graft makes a bridge between the healthy parts of the aorta (above and below the aneurysm). Although this procedure works well right away, experts do not know enough about its long-term effects. Because of this, you will need regular X-rays or CT scans for as long as you have the graft.
He was undergone a Treadmill test, a few weeks ago and the Doctor observed borderline positive Treadmill Test and suggested an Angiography. He undergone Angiogram a couple of days ago and the report said that the Right Coronary Artery is 100% blocked. According to the Cardiologist, who performed Angiography, the blockage is old. But, my father has no pain (Angina), no fatigue and other common symptoms of Coronary Artery Disease. He’s perfectly alright.
He was undergone a Treadmill test, a few weeks ago and the Doctor observed borderline positive Treadmill Test and suggested an Angiography. He undergone Angiogram a couple of days ago and the report said that the Right Coronary Artery is 100% blocked. According to the Cardiologist, who performed Angiography, the blockage is old. But, my father has no pain (Angina), no fatigue and other common symptoms of Coronary Artery Disease. He’s perfectly alright.
What I believe is going on here is that a orginal stent implant was replaced with another stent, but there had to be a stent-graft for preserving blood flow to side branches in the sealing zones of the stent. A chimney graft is needed for the challenging morphology of the vessel and side branch vessels to take into consideration for adequate blood flow through the aorta and side branches....a stent implant can block a side vessel, and a chimney graft would correct.
But she was moving fine, until 2 weeks back she had Angina attack and we got her Angiography done yesterday which revealed that her one of the artery is blocked over 90% near the beginning. Docs recommend her to go for Stent implant.
Now seeing her past history of ASD,and low platelets count. Would you recommend to go for it or not? Any risks involved in that?
Instead of open aneurysm repair, the vascular surgeon may consider a newer procedure called an endovascular STENT graft. Endovascular means that the treatment is performed inside your artery using long, thin tubes called catheters that are threaded through your blood vessels. This procedure is less invasive, meaning that your surgeon will usually need to make only small incisions in your groin area through which to thread the catheters.
The gold standard is coronary angiography. I think you should undergo coronary angiography after the excision biopsy as you’ll also be assured if the coronary angiography comes out to be normal.
I hope that helps. Please do keep me posted. Kind Regards.
Her genral codition is now stable and doctor has now advice for angiography, kindly suggest whether we should go for angiography and depending upon result of it we should go for further process ( such as angioplasty and ByPass ) as my grand mother age is 78. Please suggest.
Is it advisable to go for angiography check up as six years have passed post surgery? Are there any side effects after angiography? My physician has recommended Angiography check up as life of stent is normally 10 years .I shall be pleased to receive your recommendation and advise.
Invasive bypass, stents are not always sure shot as their might be a case of rejected grafts,clot formation in stents. What's best is EECP. with AMT. Try that and doctors not into EECP would always advise Bypass. If you want highly inexpensive but best EECP treatment then you might try taking free telephonic advice on randhawahospital.com
Best wishes.
In 2006 I had a stent put in . I think either the left main or LAD. I was told that the lima graft failed to mature. I was told that my LAD is very small and diffused and there is a 40 % percent blockage in the circumflex also some small blockage in the RCA. I have been told by many DRs that the bypass surgery failed because of the LIMA graft and there is nothing more they can do because of the LAD being small and diffused.
I was in the hospital not that long ago.
Background history of Ischaemic heart disease having coronary artery bypass surgery in 1998. (LIMA to LAD, radial artery graft to left circumflex and a vein graft to first diagonal). Also hypertension.
Treatment: Aspirin, (75mg/day), losartan (100mg./day), nicorandil (15mg.twice/day), Amlodipine (10mg/day).
Recent Anginal pain has led to further cardiac catheterisation with the following results:-
LV Angiogram:- Good functioning Left Ventrical.
Coronary Arteries:- Left Main Stem Normal.
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