Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
174 Doctors are Online

Angiogram report analysis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2586 Questions
User :   Hi Dr,
Angiogram report details of my mother XXXXXXXX XXXXXXXX 51years (20+ years of diabetic):
LMCA-- normal
LAD-- 90% mid segment
82% distal segment thin vessel
LCX -- Mild Disease
OM1 – 85 to 90% proximal segment
80% distal segmen
RCA-- 98% mid segmentI want to select the stent option instead of CABG is this a good decision?
User :   Hi
User :   Hi
User :   am reading the query please wait
User :   ok
User :   LMCA-- normal
User :   LAD-- 90% mid segment
User :   82% distal segment thin vessel
User :   LCX -- Mild Disease
User :   RCA-- 98%
User :   yes
User :   so there are theree vessels involved
User :   some cardiologists offer by pass surgery
User :   yes with 5 blockages
User :   I prefer by pass surgery
User :   yes.. doctors gave two options..
User :   i thought it might be a risk for recovery..
User :   stens placement may not be successful
User :   i want to opt for drug eluting stents
User :   is this will not work?
User :   Drug eluding stents are ok
User :   but it is at the discretion of Cardiologist \
User :   If he can capable of inserting stents he will
User :   if he think stent may not be successful then he will advice bypass surgery
User :   If the cardiologist offered stents drug eluding stents are superior
User :   Now a day nobdoy using metalic stents
User :   Are you with me?
User :   yes..
User :   so can i go with drug eluting stents?
User :   You can
User :   one of cardiologist said that they can insert three stents..
User :   and they will ignore the OM1 artery..
User :   as this will not effect much it seems..
User :   is this correct?
User :   yes
User :   they basically target LAD-- 90% mid segment
User :   LCX -- Mild Disease
User :   RCA-- 98% mid segment
User :   ok.. any best cardiologist do u know in hyderabad? i want to consult and want to take second opinion..from them..
User :   at present my mother is at home..and her diabetis is fluctuating like any thing.. from past 5days when they did agiogram..
User :   Dr. XXXXXXXX AAAAAAA Consultant Cardiologist
User :   ok.. i thought of meeting DrGopichand in Star hospital also.. only if cardiologist strickly says surgery..
User :   i will try to get an oppointment with Dr AAAAAAA AAAAAAA .may be tomorrow..
User :   is there any risk for my mother if we delay for 13more days ?
User :   Risky is there all the time
User :   sooner the better
User :   It is urgeny
User :   but emergency
User :   I mean she has to get it done in 1om
User :   hmm ok .. presently she is under medication..
User :   OK t strict medical control is must
User :   Hope she is on all heart medications
User :   yes and we are giving insulins also
User :   ok
User :   just i am waiting my insurance to renew next month.. that is jan 1st..
User :   we did angiogram just 3days back..
User :   OK
User :   Insurance will pay for both
User :   Do you have any other Questions?
User :   so we can go for stent right..
User :   thats all i have.. i will try to contact dr AAAAAAA
User :   You are making me take the decision for you
User :   do want me to tell ur name as referal...
User :   I will go for stents
User :   thanks
User :   Ok
User :   Thank you for consulting us
User :   Bye
User :   thank you
User :   bye
User :   any cardiologist online? How to chat with another doctor..?
Doctor :   You can go ahead
User :   Angiogram report details of my mother XXXXXXXX XXXXXXXX 51years (20+ years of diabetic): User :   LMCA-- normal
User :   LAD-- 90% mid segment 82% distal segment thin vessel
User :   LCX -- Mild Disease
Doctor :   Ok
User :   RCA-- 98% mid segment
Doctor :   What is the doctor's opinion?
User :   OM1..85 to 90% proximal segment
User :   80% distal segment
User :   they identified 5 blockages..
User :   doctors gave me two options.. CABG and stent
User :   for stent..they will only repair LAD and RCA
User :   so which one to go with..
Doctor :   I would suggest to go for CABG as she is diabetic
Doctor :   THe hospital stay is lengthy
Doctor :   and the recovery is slow
Doctor :   but the endurance is good as I opine
User :   what about drug eluting stents?
Doctor :   I am not very keen on them
Doctor :   If it is single vessel and less number of blocks, I would have suggested stent
Doctor :   Each drug stent can be very costly
User :   yes.. i have insurance ... and at present the doctors said they will place 2 stents..
User :   one in LAD and one in RCA..
User :   OM1 will not effect the person it seems.. so withmedication.. we can cure little bit
User :   LAD and RCA are mjor so they told they will place the stents in those artieries
Doctor :   Ok
Doctor :   I agree with OM1 as it covers less than 10% of heart muscle
User :   ok.. as she is diabetic..i donot want to take the risk of recovery if we go with surgery..
User :   thats why I am planning to go with stent..
User :   is this a good decision
Doctor :   Ok
User :   ?
Doctor :   Drug Eluting stents can be effective too for 10+ years
Doctor :   The efficacy is equivalent
User :   hmm ok
Doctor :   If you have insurance you can go about it
Doctor :   You should not be confused at this moment
User :   yes pretty much
Doctor :   You can take a second opinion from a different Interventional cardiologist about the drug eluting
Doctor :   WWW.WWWW.WW
User :   any cardiologist u want to refer in...?
User :   ok ..
User :   One more option I have in my mind is
User :   after placing stents.. infuture .. we consult dr for every 4 to 6months..we will see if any thing happens..then we will go with surgery right?
User :   or for surgery there will be any age limit?
Doctor :   Her general condition should be good
Doctor :   and the Cardiac anesthetist has to give approval
Doctor :   We cannot determine the eligibility of the surgery in future with the present condition
Question is related to
Diseases and Conditions
Medical Procedures
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor