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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For 100% Blockage In The Left Circumflex Artery

Currently Coronary cath showed 95% blockage omi which was stented and 100% blockage of left circumflex which they were unable to stent. The circumflex was cause of first heart attack in 1998 with 96% blockage treated with meds and has since been stented 3 times after multiple restenosis. Have been told options to correct blockage is either laser treatment or bypass. How dangerous is it to leave the circumflex with 100% blockage understanding that 96% blockage caused initial heart attack 18 yrs ago.
Fri, 21 Dec 2018
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Internal Medicine Specialist 's  Response
Hi,

By now it might have developed collaterals and that is the reason you are still doing fine. More than 75% blockage, i.e., critical stenosis needs revascularisation (angioplasty-stenting) or by-pass surgery. Leaving 100% stenosis untreated in multi-vessel disease has poor prognosis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Tushar Kanti Biswas,
Internal Medicine Specialist
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Suggest Treatment For 100% Blockage In The Left Circumflex Artery

Hi, By now it might have developed collaterals and that is the reason you are still doing fine. More than 75% blockage, i.e., critical stenosis needs revascularisation (angioplasty-stenting) or by-pass surgery. Leaving 100% stenosis untreated in multi-vessel disease has poor prognosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist