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Suggest Treatment For Blocked Veins

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Posted on Mon, 26 Sep 2016
Question: Hi,.
One of my uncle is dignosed with blockage in two of his heart veins . Right one is 90% blocked while left is 40% blocked. He is jut having minor BP rise. Doctor suggested for Stun treatment.
As of now hospital discharged him with few prescription.
How early we need to go for Stun ? What are risks?
Is thre any other solution ?
* Report attached
doctor
Answered by Dr. Prabhakar C Koregol (46 minutes later)
Brief Answer:
Need to look at angio CD and patient before a perfect advice

Detailed Answer:
Please note that advice on revascularisation are perfect only after consideration many factors including in person examination and history review by cardiologist and also review of angiogram.
But going by information given by you and report attached there are few descripancies. There reports actually talks about two blocks on left side one being 100 and other 90%. Looking at the report it looks like he can either be treated by surgery bypass or angioplasty- stents. But with stents it may or may not be possible to open second block which is 100%.
Again how early it depends upon the patient symptoms and other things like heart pumping and any other Co morbid illness
Complications are to the extent of 2-5% and include life risk , risk of need for emergency surgery, stroke or paralysis Bleeding at site of angioplasty especially if done from groin
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Prabhakar C Koregol (20 minutes later)
please find few more reports attached ... He has history high BP and use to take few medicine related to it
doctor
Answered by Dr. Prabhakar C Koregol (28 hours later)
Brief Answer:
Needs early revascularisation

Detailed Answer:
Looking at reports there is need for early revascularisation. After looking at CD if they are suitable for stenting than that would be little lower risk alternative. If stenting is not good option or requires too long or too thin stent it's better to go with bypass surgery
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Prabhakar C Koregol

Cardiologist, Interventional

Practicing since :1998

Answered : 427 Questions

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Suggest Treatment For Blocked Veins

Brief Answer: Need to look at angio CD and patient before a perfect advice Detailed Answer: Please note that advice on revascularisation are perfect only after consideration many factors including in person examination and history review by cardiologist and also review of angiogram. But going by information given by you and report attached there are few descripancies. There reports actually talks about two blocks on left side one being 100 and other 90%. Looking at the report it looks like he can either be treated by surgery bypass or angioplasty- stents. But with stents it may or may not be possible to open second block which is 100%. Again how early it depends upon the patient symptoms and other things like heart pumping and any other Co morbid illness Complications are to the extent of 2-5% and include life risk , risk of need for emergency surgery, stroke or paralysis Bleeding at site of angioplasty especially if done from groin