Coronary disease URGENT suggestion!!!!

[Faizshahil]

My Uncle is 53, Diabetic, Gall bladder dissected out. Recently hospitalized, for pain in whole left-hand arm. His angiogram is as follows:

LMCA - Normal
LAD- Type III Artery, 90% lesion in Mid segment, Distal Artery had 60 Stenosis
DIAGONAL- Normal
RAMUS- Moderate size artery, Mild Plaque
LCX- Dominant, Normal
OMs- Nornal
RCA- Non-dominat, Normal
CATH DIAGNOSIS- CAD, Single Vessel disease, LAD 90% MID and 60% Distal Disease
CATH ADVICE- PRTCA AND STENTING TO MID AND POBA TO DISTAL LAD


Please advice to go for Angioplasty or is there any other(less expensive) way out. Which yields best result.

[ed34]

They should really have stented that blockage during the procedure which would have broken the cost down. Why discover a 90% blockage and leave the patient? it's totally beyond me.

[Ger57]

Seems like a solid advice to me. 90% lesion has to be treated as this is the probable cause of his pain. The preferred and cheapest way to treat the lesion is with a stent.
The distal artery with 60% blockage is possibly not in need for immediate treatment, but while going for the 90% lesion treatment, could be opened up in same interventional procedure.