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Heart Disease (Expert Forum)
Re: ANGIOPLASTY
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Re: ANGIOPLASTY
by CCF CARDIO MD, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD on June 12, 1998 at 17:32:17:
In Reply to: ANGIOPLASTY posted by DON on June 07, 1998 at 21:53:18:
I am scheduled to have angioplasty the 17th of June in my circulflex and
proximal arteries. The lesions are near the source and I am told they are
easily reached with a catherer. My previous history includes a bypass over
my LAD and off a branch of my circumflex in 1974. The bypass off the
circumflex closed in 1992 after being opened in 1990 along with another
lesion in the lower left of my heart. The catherization I had just
recently shows the LAD graft is clear and open after 24 yrs. The repair of
the lesion in lower left part of the heart is still ok. The lesion in the
circumflex and proximal are about 85 to 90% closed. I have little angina.
usually if I move too quickly after eating or going out in the cold I will
feel a slight degree of it. My right artery closed near the source in 1974
but I have good collateral circulation from the left side to the right.
The right side could not be bypassed as it was too deseased. I will be 67
yrs. old in Sept. and I am in otherwise in good physical shape and
exercise regularly. I do have occassional bouts with atrial fib. but very
seldom. I take 60mg Procardia, 20mg of Lipitor, 10mg of Lotensin and half
a tablet of Atenonol (about 12mg). My heart is slightly enlarged by as
my valves have some stenosis. My heart fracion is about 60 to 65%.
_
Dear Don,
Thank you for your question. These are important questions to be asking before any medical question and I can give you national standards. Your doctor can give you more specific numbers for your particular case and your hospital.
The common risks for cardiac angioplasty are bleeding at the site of arterial access, infection at the access site and dye reactions. All of these are fairly minor complications and easily treatable. Serious complications such as heart attack or death are less common less than 1 in 1000 for diagnostic procedures and less than 1 in 500 for angioplasty. The site of the angioplasty does not make that much difference in the risk of the procedure.
Failure rate of angioplasty is about 30% after the first procedure. Of those that fail and go on to a second procedure about 70% will remain open. The decision to undergo a second bypass surgery is not made lightly and is something you should discuss with your doctor if the need should arise.
Information provided here is for general educational purposes only. Only your doctor can provide specific diagnoses and treatments. If you would like to be seen at the Cleveland Clinic, please Call 1 - 800 - CCF - CARE for an appointment at Desk F15 with a cardiologist
My question is what is your estimate of the risk of this procedure since
the lessions are so near the source, especially in the case of the
circumflex artery? What are the possible reasons for failure and subsequent
bypass surgery required?
In Reply to: ANGIOPLASTY posted by DON on June 07, 1998 at 21:53:18:
I am scheduled to have angioplasty the 17th of June in my circulflex and
proximal arteries. The lesions are near the source and I am told they are
easily reached with a catherer. My previous history includes a bypass over
my LAD and off a branch of my circumflex in 1974. The bypass off the
circumflex closed in 1992 after being opened in 1990 along with another
lesion in the lower left of my heart. The catherization I had just
recently shows the LAD graft is clear and open after 24 yrs. The repair of
the lesion in lower left part of the heart is still ok. The lesion in the
circumflex and proximal are about 85 to 90% closed. I have little angina.
usually if I move too quickly after eating or going out in the cold I will
feel a slight degree of it. My right artery closed near the source in 1974
but I have good collateral circulation from the left side to the right.
The right side could not be bypassed as it was too deseased. I will be 67
yrs. old in Sept. and I am in otherwise in good physical shape and
exercise regularly. I do have occassional bouts with atrial fib. but very
seldom. I take 60mg Procardia, 20mg of Lipitor, 10mg of Lotensin and half
a tablet of Atenonol (about 12mg). My heart is slightly enlarged by as
my valves have some stenosis. My heart fracion is about 60 to 65%.
_
Dear Don,
Thank you for your question. These are important questions to be asking before any medical question and I can give you national standards. Your doctor can give you more specific numbers for your particular case and your hospital.
The common risks for cardiac angioplasty are bleeding at the site of arterial access, infection at the access site and dye reactions. All of these are fairly minor complications and easily treatable. Serious complications such as heart attack or death are less common less than 1 in 1000 for diagnostic procedures and less than 1 in 500 for angioplasty. The site of the angioplasty does not make that much difference in the risk of the procedure.
Failure rate of angioplasty is about 30% after the first procedure. Of those that fail and go on to a second procedure about 70% will remain open. The decision to undergo a second bypass surgery is not made lightly and is something you should discuss with your doctor if the need should arise.
Information provided here is for general educational purposes only. Only your doctor can provide specific diagnoses and treatments. If you would like to be seen at the Cleveland Clinic, please Call 1 - 800 - CCF - CARE for an appointment at Desk F15 with a cardiologist
My question is what is your estimate of the risk of this procedure since
the lessions are so near the source, especially in the case of the
circumflex artery? What are the possible reasons for failure and subsequent
bypass surgery required?
