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My Father Going For Monday For 2nd Stent Procedure (first
Question: my father going for Monday for 2nd stent procedure (first one already done in July 11th 2019) I would like to know what questions are generally being asked to the doctor before this proecudre? Could you help me with some questions?
The procedure is performed in XXXXXXX but I live in USA so I am really concerned
What kind of stent they use? what is the future complication? which anthesia they use? any side effects of anesthesia? the doctor first time did via wrist where he got the area little darker.. now doctor says he might need to do it from groin area but may need a little big balloon, so I am concerned is it normal or any thing alarming? I am uploadin the xray I got first time when they say 1st is 100% and 2nd is 80%. can you please check and see if you see anything with this attached are some reports
The procedure is performed in XXXXXXX but I live in USA so I am really concerned
What kind of stent they use? what is the future complication? which anthesia they use? any side effects of anesthesia? the doctor first time did via wrist where he got the area little darker.. now doctor says he might need to do it from groin area but may need a little big balloon, so I am concerned is it normal or any thing alarming? I am uploadin the xray I got first time when they say 1st is 100% and 2nd is 80%. can you please check and see if you see anything with this attached are some reports
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back to Ask a Doctor service!
I understand your concern and would like to explain some details:
- As the result of the previous heart attack, your father is suffering from clinical symptomatologoy of heart failure. Regarding this issue, the current therapy prescribed by his attending physician seems to be OK.
Anyway, some further optimizations could be done after reviewing his physical examination.
-Now returning to your point of interest let me explain that after reviewing his coronary lesions, it seems that per cutaneous intervention with coronary stent implantation are a rational approach.
On a general opinion, whether the strategy to be used would be the radial or femoral approach (wrist of groin area), it would depend on the major operator experience and his preferences should be respect, keeping in mind that this will not affect the final outcome.
- Regarding the type of stents, as I have explained to you before, drug eluting stents (DES) would be preferred as they offer a longer patency (due to the inhibiting effect of the medication on the vessel layer proliferation, so the rate of late stenosis and the needs for new interventions will be fewer.
-The risk of this procedure are the same as before. So, beginning from the local artery dissection,coronary artery thrombosis, myocardial infarction, cardiac arrhythmia, contrast agent allergy, etc..
Anyway, they are quite rare and almost never happen when performed by an experienced specialist.
-The procedure is performed under local anesthesia, so it is painless and without obvious risks. The patient feels comfortable and is able to communicate at any time with the operator about any complaints.
So, as you see, this is a routine procedure and the rate of success is really high.
There is no reason to worry too much about it!
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back to Ask a Doctor service!
I understand your concern and would like to explain some details:
- As the result of the previous heart attack, your father is suffering from clinical symptomatologoy of heart failure. Regarding this issue, the current therapy prescribed by his attending physician seems to be OK.
Anyway, some further optimizations could be done after reviewing his physical examination.
-Now returning to your point of interest let me explain that after reviewing his coronary lesions, it seems that per cutaneous intervention with coronary stent implantation are a rational approach.
On a general opinion, whether the strategy to be used would be the radial or femoral approach (wrist of groin area), it would depend on the major operator experience and his preferences should be respect, keeping in mind that this will not affect the final outcome.
- Regarding the type of stents, as I have explained to you before, drug eluting stents (DES) would be preferred as they offer a longer patency (due to the inhibiting effect of the medication on the vessel layer proliferation, so the rate of late stenosis and the needs for new interventions will be fewer.
-The risk of this procedure are the same as before. So, beginning from the local artery dissection,coronary artery thrombosis, myocardial infarction, cardiac arrhythmia, contrast agent allergy, etc..
Anyway, they are quite rare and almost never happen when performed by an experienced specialist.
-The procedure is performed under local anesthesia, so it is painless and without obvious risks. The patient feels comfortable and is able to communicate at any time with the operator about any complaints.
So, as you see, this is a routine procedure and the rate of success is really high.
There is no reason to worry too much about it!
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so so much. I loaded few mor ereports recent ones please review ..I am worried on low side of sodium and also the abnormal ecg but doctor still go ahead decision on 2nd process? what is your thought on this thank you
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
I reviewed carefully the new uploaded reports and would explain that you should not worry about his ECG findings as they only reflect the previous cardiac ischemia.
Regarding low sodium levels, it is necessary to follow up its plasma concentrations and and decide on its correction based on its values. It is not something serious and easy to correct by increasing its daily intake in diet.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
I reviewed carefully the new uploaded reports and would explain that you should not worry about his ECG findings as they only reflect the previous cardiac ischemia.
Regarding low sodium levels, it is necessary to follow up its plasma concentrations and and decide on its correction based on its values. It is not something serious and easy to correct by increasing its daily intake in diet.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for being with me all along. I would appreciate all your responses which gave me confidence . I will surely give the feedback shorlty
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
Let me know about everything!
Wishing good health,
Dr.Iliri
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
Let me know about everything!
Wishing good health,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hello doctor
My only worry is the doctor suggested through Groin area but would this be any complication than wrist area can we walk after this or any issues with passing urine or so .. Please let me know . today he is getting this done and he is little discouraged by knowing this
My only worry is the doctor suggested through Groin area but would this be any complication than wrist area can we walk after this or any issues with passing urine or so .. Please let me know . today he is getting this done and he is little discouraged by knowing this
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would explain that there is no difference in the procedure outcome or complications when performed on the groin or wrist area.
The choice is made on the doctor's experience.
There is no reason to panic or worry about anything!
Wishing all the best,
Dr.Iliri
I would explain as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would explain that there is no difference in the procedure outcome or complications when performed on the groin or wrist area.
The choice is made on the doctor's experience.
There is no reason to panic or worry about anything!
Wishing all the best,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you doctor.
The procedure seems went well via groin only.
But they did use a balloon with blades as this block was little stubborn and critical location.. hopefully that should not be an issue in later on.
please share any thoughts and inputs or any questions need to ask on this to the doctor in XXXXXXX thank you
The procedure seems went well via groin only.
But they did use a balloon with blades as this block was little stubborn and critical location.. hopefully that should not be an issue in later on.
please share any thoughts and inputs or any questions need to ask on this to the doctor in XXXXXXX thank you
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
I am glad that everything has gone well!
As the coronary lesion was situated in a critical location, it is necessary to perform frequent cardiology follow ups in order to timely detect any potential late complications ( late ristenosis).
The clinical symptomatology is the best guide to show you when to ask medical assistance.
Hope you will find this information helpful!
Wishing all the best,
Dr.Iliri
I would explain as follows:
Detailed Answer:
Hello again!
I am glad that everything has gone well!
As the coronary lesion was situated in a critical location, it is necessary to perform frequent cardiology follow ups in order to timely detect any potential late complications ( late ristenosis).
The clinical symptomatology is the best guide to show you when to ask medical assistance.
Hope you will find this information helpful!
Wishing all the best,
Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
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