Heart Disease Community
6 Blockages 3 in arteries to small to stent what will happen to these?
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

6 Blockages 3 in arteries to small to stent what will happen to these?

I had a MI on Feb 14th 2011 after having symptoms for years of shortness of breath.. Pain in arms and indigestion and being told it was Anxiety I guess I finally found the real problem in a BIG way.. I had two stents to my RCA.. I have 6 other blockages 3 in LAD 2 at 30% one at 40% and three diagonals 2 off  of LAD that is 80% and 70% Occluded and one off the circumflex at 50% Occlusion.. I have a lot of Angina and the doctor told me not to go to the E.R. anymore with it but to treat it at home but it remains constant and not sure how to tell if I am having another Heart attack she says 3 of the blockages are too small to stent.. Should I seek another opinion.. I also have 100's of P.V.C'S a day and have symptoms with these.. I am a 47 year old female otherwise in good health.
Related Discussions
14 Comments Post a Comment
Blank
Avatar_m_tn
Yes, I would look for another opinion. Sometimes what it is possible or not, it depends on the experience and material that each doctor/hospital has.Try to get the video of your angioplasty (in a cd) and all your medical records.

However there are a couple of things that I do not understand:

1) What solution has your doctor give you for your angina pain?

2) You do not mention to have angina before the heart attack. Do it appears only after the HA?

Jesus
Blank
237039_tn?1264261657
First of all no doctor should ever tell you not to go to the ER with chest pain. That's ludacris!  I'm sorry.  I went to the ER in 2004 with "symptoms" and it was found that my RCA was 90% blocked. It has been stented twice. I had a heart attack twice after the stents. I continued to have angina unitl it was found last year that I am actually suffering with heart spasms.  It took so trial and error to find.  And I am being treated for it. But they still bother me a lot. If I have chest pain that worries me I will not think twice about going to the ER. Take care and change doctors. Ally
Blank
237039_tn?1264261657
Oh, and I also have several blockages too small for intervention.
Blank
63984_tn?1385441539
I agree with the other posters.  I would get a second opinion.  I just went through a situation where secondary vessels were  blocked in such a position that stents couldn't be inserted.  I have had eight stents inserted, and they were starting to occlude, and it eventually required bypass surgery.  I wish I had chosen bypass surgery when my Cardiac Artery Disease was very active twelve years ago.

Regardless what you do regarding medical care, I would urge you strongly to eat a very health-healthy diet, try and exercise daily, and hopefully you are taking drugs to control CAD.  Also, are you taking drugs to relieve angina?  These drugs include Nitro pills that one should take when angina builds up.  

At your age, you have, I would think, a very aggressive case of CAD.  It can be stopped, but it takes diet, exercise, medications and interventions, and it sounds like your doctors are no longer considering interventions.  I'd get a second opinion in a New York Minute.

Blank
976897_tn?1379171202
No blockage is too small to stent, that is just nonsense. If there is a blockage which is causing you symptoms, then they need to find out which one it is. I had a 3cm long blockage a couple of weeks ago, and 2 stents were used. The blockage was less than 1%.
Here's what you do. You go to your Doctor and say that studies have shown that the size of the blockage maybe relevant to risk, but certainly not to symptoms. A small blockage can cause enough turbulence to cause the blood flow to reduce. If you want to really make them take notice, ask them for the proof. Ask them what the baseline of flow was at the top of each vessel, and what it was at the bottom. In case they ask what you mean, I will explain.....
They have a tiny sensor on the end of a catheter which measures the flow of blood going past the sensor. ALL cath labs have these but are very rarely used. They guide the tiny sensor to the top of a vessel, say your LAD and take a reading. This is the baseline. If it drops 2 points below that, then you have a problem. So, for example let's say your baseline is 0.9, if it drops to 0.7 as they push the sensor right the way down your LAD, then there is a blood flow problem and ballooning is required. I've read lots of papers where patients have been found with problems caused by a 30% blockage or less, whereas the 70% has caused no flow problems. Size is not the key.
The sensor is FFR (fractional flow rate). I can tell you that they are NOT sure if any of your blockages are causing issues, they simply don't see them as a risk because they are less than 70%. Ask them for the proof and watch their faces.
Blank
976897_tn?1379171202
Just to clarify, I assume they are saying that the blockages are too small to stent and not that the VESSELS are too small to stent?
Blank
63984_tn?1385441539
Great points, ed.  I had a 50% blockage in 2000 but turbulence was noted and the decision was made not to stent.  I think insurance companies in the USA generally dictate that stents won't be covered unless the blockage is at least 70%.  I had just had my first heart attack.  Shortly thereafter I had my second heart attack  and three stents inserted.    

My earlier post was based on the supposition that the vessels were too small to navigate, and perhaps the vessels are twisted.  

Shariesue, this is an interesting but worrisome post, keep us informed.  

  
Blank
Avatar_f_tn
They are saying the vessels are two small to stent.. I have a 50% 70% and 80% in small vessels and them in lad two 30's and a 40% one I think they pretty much just have a wait and see attitude!
Blank
Avatar_f_tn
It just seems like they have this wait and see attitude she said that collate rials should take over the rest.. I am on a vegan diet trying to reverse it to perhaps ease the angina!
Blank
563189_tn?1239809006
Definately seek another doctor.  Was this a cardiologist who made these statements.  
Blank
1962649_tn?1332448451
Look into the vegan diet. My hubby had 2 stents place 13 months ago and was told he'd need a 3rd one eventually. We went on Dr McDougall's vegan diet and within 3 months hubby got off his meds and lost 22 pounds. No 3rd stent required. He feels great and so do I.
Blank
976897_tn?1379171202
Well there has been a new technique in Europe for a few years for tiny vessels, but I think the FDA were waiting to see success rates before taking it on. I assume you have seen a stent? a tiny scaffolding tube. The drug eluting stents have a coating which is to prevent scar tissue forming in the artery, causing it to re-block. However, as I'm sure you are aware, there is a lot of space between the scaffolding meaning only 10-20% of the artery is touching the coating. So, to get around this problem, Europe has been using drug eluting balloons which are covered with the coating and when the balloon is expanded, it delivers the chemical to 100% of the artery, giving good results. It is very often used in cases where the artery is too small for a stent. I would inquire about this procedure.
Blank
Avatar_f_tn
The vessels are too small too stent and are in diagonal brances
Blank
Avatar_f_tn
My husband is from europe this may be something for me to look into his national insurance would cover it
thanks :)
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
212161_tn?1391090750
Blank
heartfluttersflyawayplz
hoschton, GA
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
2 mins ago
Avatar_m_tn
Blank
Supplement Change
4 hrs ago by fred256
Avatar_m_tn
Blank
Rain
4 hrs ago by fred256
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
612551_tn?1247839157
Blank
Jerry_NJ
NJ
Avatar_f_tn
Blank
skydnsr
212161_tn?1391090750
Blank
heartfluttersflyawayplz
hoschton, GA