Angiography stent procedure
Common Questions and Answers about Angiography stent procedure
angiogram
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.
With cath, the cardiologist can do a stent implant during the procedure. With a CT scan, there is a possibility of stent implant cath procedure subsequently.
If your wife has symptoms that can't be managed with medication, then the cath procedure would be appropriate.
Thanks for sharing, and if you have any further questions you are welcome to post. Take care.
To do this a stent is placed . It is threaded through a cathether from the wrist or from the groin area. The stent is put in during angiography, so the cardiologist can see on screen whats happening in the artery and allowing them to see the blockage and then the increased blood flow result after the stent goes in !
This generally sorts out that particular blockage. So it seems your Dad has had a stenting procedure previously?
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.
Thanks for sharing the information,
Normal EF (ejection fraction) is 50 to 70%, and your father has acceptable amount of blood pumped into circulation with each heartbeat so the heart is functioning properly.
There are some blockages that is said to be "tight". Usually there is a percentage of plaque buildup (stenosis) given. Mild iregularities, etc. is not very specific The choice your father has is whether to treat "tight" stenosis medically or a stent implant.
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.
My father(68) has undergone Coronary Angiography on 03-Mar-16. Report as mentioned below:
LMCA - Free of disease
LAD - 70% stenosis extending into origin of small D1
LCX - Co-dominant vessel with OM2 and distal LCX 50% bifurcation disease. OM1 large vessel with mid segment 70% stenosis.
RCA - Co-dominant and distal disease after crux tubular 90% stenosis.
He is both diabetic and has hypertension.
Also note that during the Angiography he suffered a mild stroke.
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.
recommend treating 70% or greater with medication if there is associated chest pain and relief, if pain is not relieved with mediction then a stent. Sometimes a stent can not be successfully implanted due to location, size, configuration or an emergency heart attack.
It is difficult to assess your uncle's strengths and weaknesses in regard to the appropriate procedure based on the report posted. For consideration, what is your uncle's general health?
Three months ago I had an angiography, it showed a mild ostial lesion (40-50%) and a 90% LAD (distal) lesion. One cardiologist even though he recommend the surgery but he is confident of being able to do the stenting . Another cardiologist says that the high risk of thrombosis will go with you for three or four years in case of the angioplasty so he recommends strongly the surgery. They tell me also about the risk of the left main occlusion in the stenting.
I would like your opinion about that.
t workig well. In June, during a surgical procedure, I had another heart attack. I have been to the cardiologist alot. I am now on toprol 100mg twice daily, 40-80 mg fluid pill every 3 days. On my last visit to the Dr., I was told to get my affairs in order, explain to my family my condition, enjoy what time I have left. I'm only 49, daughters 23, and 19. My husband is in total denial.
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.
Problem is my angina has returned and yesterday I had another angiography during which they hoped to be able to stent me.Unfortunately all the grafts are now closed.The cardiologist says that the native RCA + CX are occluded but the Las is good--I am not exactly sure what he means.
Apparently it is my choice as to whether to have another bypass or keep taking the tablets.My heart itself is sound with no major damage--just the plumbing problem really.
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?
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.
The cardiologist may recommend diagnostic tests (for instance, an exercise stress test) to evaluate whether the patient is likely to have developed in-stent restenosis or another coronary artery is blocked. If in-stent restenosis is a possibility, the cardiologist may refer the patient for a repeat cardiac catheterization. In addition, local intravascular radiation (brachytherapy) can be used after treating in-stent restenosis with angioplasty to prevent reoccurrence.
I would suggest you take another opinion before any other procedure. You are not accepting the stent well for some reason. At times the position of the block is such that a stent cannot be successfully placed. The option then is bypass surgery. The pain could be due to inflammation of the arteries. Femoral block may not be the answer. You may need to take antibiotics by the IV route. Please consult another cardiologist with your cath and angiography reports.
Hope this helps.
i went in for my planned pressure wire study to the right coronary artery +/- PCI to LAD. I am clearly symptomatic with angina that limits my daily activities, mainly during cold weather. My Doctor has said, '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.
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.
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