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How Can A Blocked Coronory Artery Be Treated?
Sir,my father had an attack on 8th feb.now he is admitted in r n tagore hospital.his angiogram has been done and now he has much blockage in left artery.he has diabetes, low heart beat rate needing pacemaker and weakness.dr has suggested for a bypass, but i don t want that big operation. can we go for stent?please response.
Tue, 4 Dec 2018
Hello,
Anyone who has coronary artery disease needs to have aggressive medical therapy and risk factor modification, both to reduce the risk of heart attack, and to control symptoms of angina.
Once the situation comes when it has to be decided whether stenting with angioplasty is required or a bypass surgery is required we have to consider some points before going for either of the two procedures.
In people with stable angina who have failed with medical therapy, stenting is generally preferred for those who have CAD involving a single coronary artery.
CABG is believed to yield better long-term outcomes in people with 3-vessel CAD. CABG is thought to also give better results than stenting in most people with the disease of the left main coronary artery.
CABG is a better option than stenting in people with 2-vessel CAD who also have diabetes.
Finally, in general, people revascularized with CABG less frequently need repeat revascularization than those who receive stents. So It is always better to let the doctor decide which procedure is preferable.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Prabhash Verma, General & Family Physician
Anyone who has coronary artery disease needs to have aggressive medical therapy and risk factor modification, both to reduce the risk of heart attack, and to control symptoms of angina.
Once the situation comes when it has to be decided whether stenting with angioplasty is required or a bypass surgery is required we have to consider some points before going for either of the two procedures.
In people with stable angina who have failed with medical therapy, stenting is generally preferred for those who have CAD involving a single coronary artery.
CABG is believed to yield better long-term outcomes in people with 3-vessel CAD. CABG is thought to also give better results than stenting in most people with the disease of the left main coronary artery.
CABG is a better option than stenting in people with 2-vessel CAD who also have diabetes.
Finally, in general, people revascularized with CABG less frequently need repeat revascularization than those who receive stents. So It is always better to let the doctor decide which procedure is preferable.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Prabhash Verma, General & Family Physician
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