Heart Disease Community
mid lad
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

mid lad

haave 5 stents in place now recent finding of mid lad blockage. Have been told am both a high risk for bypass and evenn higher for stent  due to location of lesion but no hard information. Must decide between lesser of two evils but cannot get straight answer as to why stent is such high risk. have several co morbidities including age 65, diabetes, and morbid obesity.
Related Discussions
5 Comments Post a Comment
Blank
976897_tn?1379171202
It depends on many things for a stent being possible. Firstly, if the occlusion is hard, as in solid plaque, it can be impossible to get a catheter wire through it to the other side. This would involve 'chipping' away at it producing a risk of losing pieces of plaque to lodge in small vessels in the heart or brain. If the occlusion is on a curve this can also be a much higher risk because as the catheter goes through the occlusion it can end up through the artery wall on the other side.
The occlusion I had removed at the top of my LAD was 30mm long and the first 10mm was solid plaque. The occlusion was on a curve and the start was right on the very edge of the circumflex branch. It took 5 stents to clean up the artery and I think the cardiologist performed a small miracle. I saw 12 other cardiologists and they all said it was either impossible or too risky. Finding a very confident cardiologist due to experience can be difficult. My cardiologist has been doing stenting for over 20 years now and is seen in the UK as the stent king.
Blank
367994_tn?1304957193
To stent in a multi-vessels on the same vessel can change the hemodynamics of the vessel segment involved and affect blood flow to other areas.  A by-pass may bridge more than one lesion, and there will be a different dynamic and possibly a more favorable expectation.  

There is a need to assess whether there may be a surgical problem for surgery based on weight and diabetes could be another consideration and there can be a problem with healing for diabetics.
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
Avatar_f_tn
Blank
ejoli commented on child24angel's status
1 hr ago
9906907_tn?1406604905
Blank
shushil commented on Attention All Mouth B...
6 hrs ago
Avatar_f_tn
Blank
Alex1872 commented on When Your Cold Is Not...
19 hrs ago
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