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Is A Second Bypass Surgery Advisable For Treating Coronary Artery Lesions?
Question: I have arthero sclerosis and have a situation, where I had quad by-pass 18 years ago. Now two of those arteries are no longer efficient ( one totally blocked, the other about 20% open). The others are still ok and I have a small bare metal stent in a smaller artery. Recently I had chest tightness and received an angiogram
which showed that my illness is slowly progressing. A re bypass is not considered helpful. How ever, I have been told that there may be a procedure that may work on some arteries that are calcifying, which may if successful, give me some more longevity, but It is a risky due to my present condition. Could you tell me about this procedure?
which showed that my illness is slowly progressing. A re bypass is not considered helpful. How ever, I have been told that there may be a procedure that may work on some arteries that are calcifying, which may if successful, give me some more longevity, but It is a risky due to my present condition. Could you tell me about this procedure?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I could explain that in your situation when redoing a bybass surgery is risky there are other alternatives, which could be acceptable for treating your coronary artery lesions.
Percutaneous angioplasty with stent implantation could be an acceptable option especially when applied on native arteries.
If this is technically not feasible, then other options could be tried.
When it is impossible to pass the angioplasty balloon through stenosed coronary artery treatment with Rotablation of the coronary calcified stenosis would be helpful.
But you should know that this later strategy is not applied in venous grafts or lesions greater than 25mm.
In addition Rotablation is not a routine procedure that can be performed in every medical cardiology center.
You need to discuss with your attending cardiologist on the possibility of benefiting from any available procedure.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I could explain that in your situation when redoing a bybass surgery is risky there are other alternatives, which could be acceptable for treating your coronary artery lesions.
Percutaneous angioplasty with stent implantation could be an acceptable option especially when applied on native arteries.
If this is technically not feasible, then other options could be tried.
When it is impossible to pass the angioplasty balloon through stenosed coronary artery treatment with Rotablation of the coronary calcified stenosis would be helpful.
But you should know that this later strategy is not applied in venous grafts or lesions greater than 25mm.
In addition Rotablation is not a routine procedure that can be performed in every medical cardiology center.
You need to discuss with your attending cardiologist on the possibility of benefiting from any available procedure.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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