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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Angioplasty And Stents Good For Narrowing Left Anterior Descending Artery?

Hi, I am a 67 yr old male, 5'10", 210 lbs. I have never smoked, drank alcohol very little and am a retired firefighter. Last Wednesday I had an angiogram and they found 3 narrowings in the Left Anterior Descending artery, one 80%, and 2 at 70%. I have not had a heart attack and there is no damage to the heart. At first the doctor suggested I may need bypass surgery to fix the problem. When he came to the recovery area he told me he had a second look at the pictures and said he believes it could be dealt with with angioplasty and stents. I am scheduled to have this procedure done this Thursday. I have been put on Plavex and asa. Do you think that this is the best treatment in my situation?
Wed, 20 Jul 2016
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Cardiologist 's  Response
Hello if you are non diabetic and because it's a single artery Lad , angioplasty would give equivalent results and bypass would surely not be needed , however other technical issues like the calcium content , curvature of artery are important to decide about angioplasty which can be commented after reviewing the angiogram. However as your cardiologist have said angioplasty with 1 or 2 stents depending on the location of lesions would be a ideal way forward. Do continue Asa and plain atleast for 1 year post procedure afterwards single antiplatlet would be ok .
Also if possible opt for a Drug eluting stent.
Regards Dr Priyank Mody
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Are Angioplasty And Stents Good For Narrowing Left Anterior Descending Artery?

Hello if you are non diabetic and because it s a single artery Lad , angioplasty would give equivalent results and bypass would surely not be needed , however other technical issues like the calcium content , curvature of artery are important to decide about angioplasty which can be commented after reviewing the angiogram. However as your cardiologist have said angioplasty with 1 or 2 stents depending on the location of lesions would be a ideal way forward. Do continue Asa and plain atleast for 1 year post procedure afterwards single antiplatlet would be ok . Also if possible opt for a Drug eluting stent. Regards Dr Priyank Mody