Is any alternative of CABG.

[JSRathaur]

My brother is 50 Yrs old. He is normal,feels some chest pain during fast walking or upstairs.After Coronary Angiography diagnosis are DM2/HTN/TMT(+Ve)/LVEF-65%/CAG-TVD.Doctor advised CABG. Gist of reprot are-Dominance-Right,Left main-Normal,LAD-Proximal 80% lesion across D1 f/b defuse 50% calcified lesion up to mid portion,D1-Ostial 90% lesion,D2-Normal,LCX-Non-Dominant,proximal plaque present f/b50% lesion across major OM,OM1-Normal,OM2-Major OM proximal plaque present,RCA-Dominant diffuse calcification from proximal to mid f/b total occlusion of distal RCA,PDA-filling retrogradely through septal collaterals....Is CABG is the only treatment.Doctor says stenting is not possible.Is any other medical treatment. plz help.plz suggest any medicinal treatment to avoid CABG.

[tacolino]

Hi there, given that there are a number of blockages, intervention is almost certainly required. Often stents can be used to sort the blockages, but given that there are a number of blockages and a total occlusion, the process would head towards by pass.
The positive is the EF at 65% which is great.
Given age 50, your brother should take the advice of the doctor. There are quite a number of problems that require intervention. Doing nothing is not really an option. The last thing he wants is a MI due to the blockages. This would effect everything negatively and could cause permanent irrevisible damage and a reduction in his ef.
He could ask his doctor, but looking at everything, medication will not be anyway near enough to sort things for him.
Be positive but honest with your brother. its his doctors expert advice he needs to take in and heed. He may need a little time to get his head around it, but in the long term he will be better off having it done

[2210485]

Everything tacolino said is pretty on point. Cabg is best course.