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Forum Name: Ischemic Heart Disease

Question: Coronary Artery Ischemia

 Anonymous - Sat Dec 28, 2002 4:44 am

had cabg 14 yrs.ago. stress test showed ischemia right coronary artery. Going for catherization. If angioplasty is tx of choice will they do it the same day as cath. and if they give me a choice between a balloon or stent what is your advice
 Dr. Yasser Mokhtar - Thu Feb 06, 2003 9:06 am

User avatar Dear Gary,

Thank you very much for using our website.

It is up to you whether you want to have the cath and angioplasty in the same time or not.

Some people would like second opinions before they go ahead and do the angioplasty. But, if you do not want any second opininons, then, you can go ahead and let your cardiologist perfrom the angioplasty in the same time.

What to go with? Balloon only or balloon and stent.

Angioplasty means that your narrow coronaries will be dilated with a balloon. If a stent is thought to be needed, then it could be placed after the balloon dilatation.

It has been proven in some clinical trials that some of the patients that have angioplasty without stents (in comparison to patients who had angioplasty with stents have more stenosis (narrowing) of their coronaries once more in the same site where the angioplasty was done in addition to some other things like increase in the rate of heart attacks among others.

There are other factors that govern the choice of angioplasty alone versus angioplasty with stents. i think the best one to decide will be your cardiologist at the time of coronary angiogram.

You have an opinion too, regarding whether you want angioplasty with stenting or not. You have to fully understand what kind of procedure is this? What are the drawbacks and advantages of such procedure? And then you can make your decision.

Once more thank you very much for using our website and good luck with your coronary catheterization.

Yasser Mokhtar, M.D.


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