WHAT SHOULD DO WITH PAITENT AGE 65 yr
Plz give advise
In patients with extensive disease such as yours, by far the best solution is a coronary bypass operation if non-medical treatment is needed.
I have written about this extensively and hope reading this link will help you, Look at the results I achieved with my patients and make up your mind about what you think is best for you.
Hope this helps,
What risks are there to leaving the stent in place? I get the feeling that the sent could be removed but it would be more involved than simply “hooking” the stent and removing it as was attempted in 2011.
I feel fine. I’m 38 years old and in good health.
Stents cannot be removed. Any surgeon who tells you it is just a simple operation is just wrong, certainly if time has gone by. If absolutely necessary, the segment of the involved artery can be resected and then replaced with an artificial graft. In general it is much easier to perform a bypass operation and leave the stent alone.
Hope this helps,
Good question, so why don’t you ask that cardiologists? When the pericardium becomes inflamed, the amount of fluid between the heart and the pericardium increases. This squeezes the heart and restricts its action and in his case, may have caused the AF/Flutter.
Acute Stent Thrombosis frequently results in myocardial infarction (up to 80% of cases) with reported mortality rates between 30 and 45%.
In contrast, Coronary Artery Bypass Graft occlusion may become apparent with recurrent angina, which then may lead to repeat revascularization. This effect is well known from the literature and did indeed translate into increased rates of myocardial infarction and cardiac death in the SYNTAX trial:
“CABG remains the standard of care for patients with three-vessel or left main coronary artery disease”(2)
When is Bypass Surgery the Best Treatment?
The medical literature and my own experience support this course of action in symptomatic patients with known coronary artery disease:
You have a chronic disease called coronary artery disease (CAD), a complication of atherosclerosis. Although it is possible to slow down its progression, it is unlikely that it will stop and/or disappear. In addition you have a stent, which has a 10-15% failure rate and of course will not protect you against other blockages such as the one in your LAD if it gets worse.
Re: “He was in sinus rhythm all the time”, he was not, hence all those arrhythmias.
Your husband needs to be seen by a cardiologist and be evaluated with a number of tests that include a Cardiac echo, and a Stress test for “dangerous” arrhythmias, coronary artery disease and/or a poor heart function. Not every patient has symptoms!
Hope this helps,
Stents have a 10-15% failure rate in the first year of implant when the cardiologist judge it is an optimal situation. In your case, if a procedure is indicated, you will be much better of with a CABG. I have written about your situation here: How long does a heart stent last? Do they need to be replaced?
Contrary to what you heard, there are significant differences between stents (PCI) and CABG. Here is a review I wrote for medical professionals: CABG Superior to PCI in long-term treatment of coronary artery disease.