Angioplasty

[fallow]

18 months ago when diagnosed with 90 percent blockage of the R. C. Artery, it was suggested the risk factor was too great for Angioplasty as my Right Coronary Artery was smaller than average ( it would seem I was born with this).  Because of the extent of the blockage and the abnormal size of the Artery the risk factor is increased as they could split the artery during this procedure.  I was assured  that should this happen they could convert to Open Heart Surgery.

It has been suggested I should now have the Angioplasty and I am a little nervous.

I take my medicine twice a day and feel reasonably OK.

[kenkeith]

Most heart attacks related to CAD are due to a rupture of the soft plaque buildup between the endothelial cells (inner most lining) and outer lining and not seen during angiogram unless the cath is equiped with ultrasound.

Angioplasty (balloon or stent) treats the buildup of plaque within the lumen, and that plaque can cause an occlusion that diminishes an adequate supply of blood and possible chest pain and eventually heart cell damage if not treated with medication, stent or bypass...end result is heart failure.

Yes, drug eluding stents have a history of clots, and plavix and aspirin is recommended for a year or more.

[fallow]

Thank you for responding: I will certainly google the Google site you mention.

After reading information on Stents etc and their possible side effects,I am a little apprehensive about having Angioplasty.  From what I have read and seen, on the computer, they are like open metal structures which, once in place, cannot be removed.  One siide effect can cause blood clots,

I have had many operations during my life and have always had the attitude, if it has to be done, please let's get on with it.  Unfortunately, I am finding it very hard to make a decision on this particular procedure even though I have been told I am leaving myself open to another Heart Attack.

I take my medication regularly and try to maintain a positive attitude.  


  

[kenkeith]

The blood deficit area normally supplied by the RCA may be fed with oxygenated blood from other vessels.  I have a totally blocked LAD first diagnosed 5 years ago, and I feel well with medication so operational intervention required.

See another cardiologist and take your medication...you may not require an angioplasty.