Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

186 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Undergone angioplasty and had bypass surgery. Blockage reformed. Way to treat?

Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4506 Questions

default
Posted on Tue, 29 Jan 2013 in Hypertension and Heart Disease
Question: Hello Sir,

My father 56 years of age, had undergone angioplasty once in 2009 for LAD with 95% blockage and restenosis happened again. Went for Bypass surgery in 2010 and its good till now. Recently in May 2012, he was diagonised with LCX and OM occlusions and has undergone angioplasty with bifurcation medicated stents. Within 2 months blockages are reformed with total occlusion in OM1 and sub-total in LCX again. DO you suggest to go for angioplasty again or is there a way to treat it differently?
doctor
Answered by Dr. Anantharamakrishnan 28 minutes later
Dear XXXXXXX
Welcome to Health Care Magic

The obstruction is mechanical and the only way to treat is by mechanical relief.
If feasible, angioplasty must be done.
If not feasible, he needs bypass surgery again.
Earlier, the better.
There is no other option.

Strict control of Diabetes / cholesterol is in need.
Discuss with your cardiologist for further investigation of less common causes of obstruction, that may be contributing

Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Anantharamakrishnan 2 days later
Hello Sir,

Thanks for the reply. He is maintaining his diabetes well and Cholesterol is very much under control. Is there is a way to identify the root cause for his blocking? How risky is doing bypass surgery for the second time? Will putting stent inside stents increase the risk of re blocks again?

Thanks,
XXXXXXX
doctor
Answered by Dr. Anantharamakrishnan 3 hours later
Hi,

Diabetes itself is a risk factor and contributes greatly..
Cholesterol, smoking, obesity, blood pressure, sedentary life, stress and so on are all well established and modifiable risk factors.
There are a few less common causes like homo-cysteine, clotting factors etc.

The risk of bypass is slightly more than usual – in diabetes and second time – but not very high.

Stents can be put safely again at the place, in case of need – there are several instances on the same sitting or very early in some cases.

Failure to intervene may well be a greater risk, in such situation.

All the best

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Medical Procedures ,   ,   ,  
Medical Topics ,  

Recent questions on  Interventional radiology

doctor1 MD

Hi my father in law underwent angioplasty and the only side affect he is having is slight tension within his forehead when he walks but this subsides on its own even whilst walking. He says his forehead feels heavy, can you please tell me if this is related to the surgery or a natural side effect that will go? Its been 2 weeks since the op?

doctor1 MD

My tongue is swollen and got a sore throat and also very high blood pressure came on at same time, Just found out my kidneys need a stent to open an artery. Could this also be the reason for swollen tongue and sore mouth also have redness all around neck area of skin, like heavy blood flow color, no rashes, also swabbed negative viral infection. This has been on going now for almost 3 months, now dizzy and on 3 pills for high blood pressure until stent this week. My Doctor is not sure whats causing swollen and burning tongue issue. But I am wondering if my kidneys producing cemical to up the blood pressure could cause this?

doctor1 MD

My husband has had an angioplasty about one and half year back. He had only 60% block. He used to have leg pains befor e the angio plasty and it still persists. My questions are: (1)Regarding the life of a stent. How long a stent lasts?- my husband is only 55yeras; does a stent lasts in good condition atleast 25 years. What are the status of the people (and the stent)who underwent stent placements in 1986-90. (2) In my husband s case: As the leg pain still continues was th epain due to any other reason. - some thing to do with nervous system. He has from childhood - hand shakes when he holds straight like a glass of water.

doctor1 MD

My 57 year old cousin was admitted to the hospital last week with congestive heart failure and was told only 20 percent of his heart was functioning. Turns out he has all kinds of blockages all over his body. They had to put in four stents including one in the coronary artery before they could do bypass surgery today. He needs three bypasses but they were only able to do two. Before surgery, he was told that they wanted to do more stents this week as soon as he recovered from the bypass surgery. What kind of prognosis do you think my cousin has?

doctor1 MD

I have a severe pain in my left calf which is relieved by moving around. I also have shortness of breath for which I went to emergency room Monday. They released me with no findings. I did not have the pain in my calf at that time. I had been to...

doctor1 MD

My dad is diagnosed with liver cancer advanced stage and getting chemotheraphy from last 1.3 yrs. For every 3 months we are having regular check up of Whole abdomen scan, LFT, CBP. Medicines we are using from starting are: Soranib tab 1 per day...

doctor1 MD

What is Transarterial Chemoembolization (TACE)? How effective it is? Please answer to the email address below: Thanking you XXXX