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LAD Full-Metal Jacket - Can I Get a Bypass
41 year old male with 25 DES stents in CX, RCA, Diag, and LAD. LAD has a full-metal jacket and my PCI cardiologist says it can't be bypassed. Is this necessarily true? Can a stent be removed to make room for a graft? What are the outcomes if something like a stent removal could done?
Also, any thoughts on EECP?
Heart is otherwise healthy - LVEF is 60%. Just tired of all the interventions.
Also, any thoughts on EECP?
Heart is otherwise healthy - LVEF is 60%. Just tired of all the interventions.
MEDICAL PROFESSIONAL
It is most likely completely occluded with 25 stents and probably can't be bypassed without some special intervention. I would ask the surgeon you are asking to operate on you. By the way with your normal ejection fraction, and this multitude of stents, what pressing symptoms are you having that require you to undergo a CABG?
I was evaluated for MID-CAB surgery at the CC last September. This was my last of 11 caths so far. They have a world famous surgeon that specializes in MID-CAB surgery. They won't publicly admit it, but if you occasionally smoke, they will not perform this surgery on you. I think since this minimally invasive surgery is in it's infancy, they do not want their statistics screwed by doing this surgery on people with more chances of complications.
I have been to the CC twice. It is by far the largest employer in Cleveland Ohio. They are anti-smoking Nazis. The police will fine you around $100 to $150 for smoking in a one to two block radius of this huge Clinic. I stayed in the CC guest house. No smoking outside unless you were a rich Arabian. The richest people from all over the world come there, and I have heard that they willingly pay more than the average patient. Some Arabian of royality rented the one whole floor at this guest house. He had many guards carrying Ouzis in America...
At the same time you meet a very poor family from say Kentucky, whose Dad is dying and the docs there perform miracles.....
The surgeons name is Sabac or something like that. Go to their website and you can see his credintials. I had an appointment to see him until the trainee cath doc smelled smoke on me....I had quit smoking but bummed one on the walk to the hospital for the cath. That is when a construction worker told me "see those police cars".............
I have been to the CC twice. It is by far the largest employer in Cleveland Ohio. They are anti-smoking Nazis. The police will fine you around $100 to $150 for smoking in a one to two block radius of this huge Clinic. I stayed in the CC guest house. No smoking outside unless you were a rich Arabian. The richest people from all over the world come there, and I have heard that they willingly pay more than the average patient. Some Arabian of royality rented the one whole floor at this guest house. He had many guards carrying Ouzis in America...
At the same time you meet a very poor family from say Kentucky, whose Dad is dying and the docs there perform miracles.....
The surgeons name is Sabac or something like that. Go to their website and you can see his credintials. I had an appointment to see him until the trainee cath doc smelled smoke on me....I had quit smoking but bummed one on the walk to the hospital for the cath. That is when a construction worker told me "see those police cars".............
gman2009, that must be a world record for stents and very hard for my reality to grasp, and I apologize for saying this. However I have 6 stents (DES) and 4 are in my LAD. My cardiologist at the CC put the last one in my LAD, which protrudes a bit into my left main. All of the stents overlap, and 2 in my LAD, were inserted due to in stent restenosis.
I was told at the CC, that I could not have anymore stents in my LAD because of the fact that a "bypass target area" at the distal portion of my LAD, must be saved in case of the need for CABG.
I was told the same thing by my home town cardiologists (far from Cleveland).
I am wondering if "THESE DAYUM STENTS CAN BE CLEANED OUT WITH ROTATIONAL ARTHECTOMY!"
I have already had this procedure once, in lieu of CABG. It seems that with many of all the stents out there, inserted into people's coronary arteries that are re-stenosing, some semi-bright cardiologist could develop a safe and dependable Rotational Arthectomy procedure for keeping a DAYUM BLOOD SUPPLY TO OUR HEART MUSCLE OPEN!
EVEN IF IT HAD TO BE DONE ON A PERIODIC BASIS, I.E. 8 MONTHS, 12 MONTHS, ETC.
During my Rotational Arthectomy, the head of the cutting device was flushed loose, from the apparatus (wire) it was attached to, into my LAD during the procedure at UAB. I stayed on the cath table for 1 hour and 45 minutes while they attempted, and did re-attach, or otherwise drag this cutting head out of my LAD. They saved me from CABG, so I am very thankful for their magnificent work.
I personally have already had 11 cardiac catheterizations. They do not bother me.
In reality, since most hospitals are a "for profit" business, the Hospital Administration had rather give the thoracic surgeons some business and make huge profits from performing CABGs. Any fool can see this. The bottom line is money. No, I am not paranoid. I have seen so many CABG patients doing their compulsory walking with the look of death in their eyes.
The nursing staff have about as much compassion as one would expect in a CABG FACTORY. That ain't much either.
They send these people home and many have trouble with their chest, which was sawed apart and opened like a cheap suitcase, HEALING. Then the CABG patients have a new adventure in trying to get their chest to close, or in finding someone to treat them for a STERNAL, hospital borne bacterial infection, so common in our hospitals. I have a hospital borne bacterial infection in my lungs now.
There are some great cardiologist and thoracic surgeons that save many, many lives everyday. They give 120% effort and to me, are super humans. G-d bless all of them. I would not be here without having had procedures done by them.
There are pros and cons to any concept. I have presented my contrary thoughts here and must say that the trouble may be with politics, starting with the National Institutes of Health. For example, there is a clinical trial that has been going on for 6 or 7 years to determine if IV Chelation works to clear our arteries. I have tried and tried to find out information obtained so far from this clinical trial. I can't. I think (not sure) that Ohio State University has the lead in this trial that many hospitals are participating in, including the Cleveland Clinic.
There is already a large association of cardiologists that fully believe in IV Chelation, and are actively performing it in clinics around the US. The thing is that it is very expensive! Guess what? No insurance company covers it. So is the Super Gigantic Insurance Lobby in Washington DC causing people with coronary artery disease to die?
It doesn't make sense, since CABG cost are so high, and are covered by insurance. I just wonder what the deal is. This type of chelation is nothing at all like the ripoff, orally taken EDTA chelation pills that are being pushed on ignorant people, via mainly the internet. Not enough of the chelating chemicals are absorbed and picked up in the blood stream to help at all.
I feel better :)
Wishing you the best of health,
Jack
Jack
I was told at the CC, that I could not have anymore stents in my LAD because of the fact that a "bypass target area" at the distal portion of my LAD, must be saved in case of the need for CABG.
I was told the same thing by my home town cardiologists (far from Cleveland).
I am wondering if "THESE DAYUM STENTS CAN BE CLEANED OUT WITH ROTATIONAL ARTHECTOMY!"
I have already had this procedure once, in lieu of CABG. It seems that with many of all the stents out there, inserted into people's coronary arteries that are re-stenosing, some semi-bright cardiologist could develop a safe and dependable Rotational Arthectomy procedure for keeping a DAYUM BLOOD SUPPLY TO OUR HEART MUSCLE OPEN!
EVEN IF IT HAD TO BE DONE ON A PERIODIC BASIS, I.E. 8 MONTHS, 12 MONTHS, ETC.
During my Rotational Arthectomy, the head of the cutting device was flushed loose, from the apparatus (wire) it was attached to, into my LAD during the procedure at UAB. I stayed on the cath table for 1 hour and 45 minutes while they attempted, and did re-attach, or otherwise drag this cutting head out of my LAD. They saved me from CABG, so I am very thankful for their magnificent work.
I personally have already had 11 cardiac catheterizations. They do not bother me.
In reality, since most hospitals are a "for profit" business, the Hospital Administration had rather give the thoracic surgeons some business and make huge profits from performing CABGs. Any fool can see this. The bottom line is money. No, I am not paranoid. I have seen so many CABG patients doing their compulsory walking with the look of death in their eyes.
The nursing staff have about as much compassion as one would expect in a CABG FACTORY. That ain't much either.
They send these people home and many have trouble with their chest, which was sawed apart and opened like a cheap suitcase, HEALING. Then the CABG patients have a new adventure in trying to get their chest to close, or in finding someone to treat them for a STERNAL, hospital borne bacterial infection, so common in our hospitals. I have a hospital borne bacterial infection in my lungs now.
There are some great cardiologist and thoracic surgeons that save many, many lives everyday. They give 120% effort and to me, are super humans. G-d bless all of them. I would not be here without having had procedures done by them.
There are pros and cons to any concept. I have presented my contrary thoughts here and must say that the trouble may be with politics, starting with the National Institutes of Health. For example, there is a clinical trial that has been going on for 6 or 7 years to determine if IV Chelation works to clear our arteries. I have tried and tried to find out information obtained so far from this clinical trial. I can't. I think (not sure) that Ohio State University has the lead in this trial that many hospitals are participating in, including the Cleveland Clinic.
There is already a large association of cardiologists that fully believe in IV Chelation, and are actively performing it in clinics around the US. The thing is that it is very expensive! Guess what? No insurance company covers it. So is the Super Gigantic Insurance Lobby in Washington DC causing people with coronary artery disease to die?
It doesn't make sense, since CABG cost are so high, and are covered by insurance. I just wonder what the deal is. This type of chelation is nothing at all like the ripoff, orally taken EDTA chelation pills that are being pushed on ignorant people, via mainly the internet. Not enough of the chelating chemicals are absorbed and picked up in the blood stream to help at all.
I feel better :)
Wishing you the best of health,
Jack
Jack
Jack,
The EDTA study is supposed to be completed this year with results later in the year or next year. I am awaiting the data with interest. As I have diffuse disease, it sure would be nice to clear out my un-stented arteries. However, I do not believe anyone has ever claimed EDTA to assist with re-stenosis as I believe that is due more to the scarring process. By the way, I am looking into minimally invasive techniques, not full-blown CABG and my cardiologist who performs the PCI says he can stent me forever, there is really no limit. It just happens that some cardiologists believet that after the stenting has failed, it is time to move on to other therapies.
My cardio doc also says that after awhile the scarring process, in layman's terms, runs out of steam. He is a very respected doctor in Texas and a research cardiologist as well. He implants around 4000 stents a year and is very knowledgable. I just know that I will probably reach the point where I will go with surgery, with a higher probability if the surgery is minimally invasive.
The EDTA study is supposed to be completed this year with results later in the year or next year. I am awaiting the data with interest. As I have diffuse disease, it sure would be nice to clear out my un-stented arteries. However, I do not believe anyone has ever claimed EDTA to assist with re-stenosis as I believe that is due more to the scarring process. By the way, I am looking into minimally invasive techniques, not full-blown CABG and my cardiologist who performs the PCI says he can stent me forever, there is really no limit. It just happens that some cardiologists believet that after the stenting has failed, it is time to move on to other therapies.
My cardio doc also says that after awhile the scarring process, in layman's terms, runs out of steam. He is a very respected doctor in Texas and a research cardiologist as well. He implants around 4000 stents a year and is very knowledgable. I just know that I will probably reach the point where I will go with surgery, with a higher probability if the surgery is minimally invasive.
I have no pressing issues at this moment, but I keep restenosing, so my thinking is that at one point or another I should just get the bypass. I have checked and their are other options that may work for me - some minimally invasive techniques. I am sure your Clinic does some of these techniques, including the daVinci robot bypass. I am hoping to hold off long enough until artificial arteries or home grown arteries are available. I am following the progress in this area with great interest.
I know that I could just keep getting stents, but going in for PCI every three months to four months is getting rather expensive and I don't doubt my insurance company is getting a little nervous. Some of my cardiologists patients have over 50 stents, so I actuall don't hold the record and hopefully won't. All 25 stents are not in my LAD. I am thinking of sending my records to your clinic to see if the LAD could be bypassed.
I know that I could just keep getting stents, but going in for PCI every three months to four months is getting rather expensive and I don't doubt my insurance company is getting a little nervous. Some of my cardiologists patients have over 50 stents, so I actuall don't hold the record and hopefully won't. All 25 stents are not in my LAD. I am thinking of sending my records to your clinic to see if the LAD could be bypassed.
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