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What Dose The Angiography Report Indicate?
Question: Angiography results shown below, Non-diabetic patient, Is angioplasty better or bypass surgery?
LMCA : Normal
LAD : Type III vessel proximal 50% Lesion, Midesegment 80% Lesion
LCX : Non dominant vessel ostial 90% lesion
OMS : OM1 small vessel normal, OM2 large vessel proximal 75% lesion
RCA : Dominant vessel proximal 80% lesion, Midsegment 75% lesion, Distal vessel 95% lesion, PDA proximal 75% lesion
LMCA : Normal
LAD : Type III vessel proximal 50% Lesion, Midesegment 80% Lesion
LCX : Non dominant vessel ostial 90% lesion
OMS : OM1 small vessel normal, OM2 large vessel proximal 75% lesion
RCA : Dominant vessel proximal 80% lesion, Midsegment 75% lesion, Distal vessel 95% lesion, PDA proximal 75% lesion
Brief Answer:
The treatment of choice in your case is bypass surgery.
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
Based on the angiography results you have a three vessels disease (blockage on the three coronary arteries) and the treatment of choice in such a case is bypass surgery.
Although bypass surgery is more invasive it is the treatment of choice, because arterial grafts remain functional (open) for a longer period (coronary stents reclose more often within five years after angioplasty). This is why bypass surgery is advised in a patient with three vessels disease.
Wish you health!
Dr. Shehu
The treatment of choice in your case is bypass surgery.
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
Based on the angiography results you have a three vessels disease (blockage on the three coronary arteries) and the treatment of choice in such a case is bypass surgery.
Although bypass surgery is more invasive it is the treatment of choice, because arterial grafts remain functional (open) for a longer period (coronary stents reclose more often within five years after angioplasty). This is why bypass surgery is advised in a patient with three vessels disease.
Wish you health!
Dr. Shehu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doc for your timely reply.
Can you please look at this angiography video and let me know if this blockage percentages are true or is there some kind of miscaluclation of the problem.
I am giving below youtube link for angigraphy results.
https://www.youtube.com/watch?v=8tpVQUyCr9s
Can you please look at this angiography video and let me know if this blockage percentages are true or is there some kind of miscaluclation of the problem.
I am giving below youtube link for angigraphy results.
https://www.youtube.com/watch?v=8tpVQUyCr9s
Brief Answer:
Following answer to your query.
Detailed Answer:
Hi back,
After reviewing your angiography video i confirm that the data you provided is correct and there's no miscalculation.
Moreover today angiography machines have software that accurately measures coronary artery blockage so miscalculation is almost impossible.
Hope this was of help!
Wish you health!
Dr. Shehu
Following answer to your query.
Detailed Answer:
Hi back,
After reviewing your angiography video i confirm that the data you provided is correct and there's no miscalculation.
Moreover today angiography machines have software that accurately measures coronary artery blockage so miscalculation is almost impossible.
Hope this was of help!
Wish you health!
Dr. Shehu
Note: click here to Consult a cardiac surgeon online. to know the best treatment option for your heart-related issues
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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