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Suggest Treatment For 80% Blockage Below The Stent In Distal Region Of LAD
I had a stent inserted in the mid lad 2 years ago. A few months ago I started having the same symptoms that I had before the heart Cath that showed a 90 percent blockage. After another heart Cath 2 months ago, I have 80 percent blockage below the stent in the distal region of the lad. I m going to cardio on Friday to learn the game plan. What are your ideas?
Tue, 25 Aug 2015
as i understand , the reason of having a redo cath was you were symptomatic , so the lesion warrants some treatment .
depending how large is the LAD and the territory supplied by it , most importantly you should optimise your anti anginal medication , beta blockers , nitrate s sos nicorandil , ranolazine or trimetazidine depending on the country you reside . it the territory supplies is significant an redo angioplasty and if yo are diabetic and other features of coronary angiogram shows high rate of restenosis , a LIMA bypass to Lad should be the option.
Regards Dr. Priyank Mody
depending how large is the LAD and the territory supplied by it , most importantly you should optimise your anti anginal medication , beta blockers , nitrate s sos nicorandil , ranolazine or trimetazidine depending on the country you reside . it the territory supplies is significant an redo angioplasty and if yo are diabetic and other features of coronary angiogram shows high rate of restenosis , a LIMA bypass to Lad should be the option.
Regards Dr. Priyank Mody
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