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Angioplasty for blockages
Hello Doctor,
Please see my father's angiography report and advise if angioplasty is required and for how many blockages?
LAD - Type III, shows 60% lesion in mid LAD
LCX - Non dominant , shows 80% lesion in proximal segment
RCA - Dominant, 90% lesion in mid RCA
Thanks
Answers (3)
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As per the report two vessels need angioplasty LCx and RCA
However a final decision will be given once a cardiologist has a look at the CD
Dr Ashish Srivastava
General Physician and Clinical Cardiologist
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Hi. The best way to judge the further management (bypass or angioplasty) would be to see the angiography CD because these percentages are very subjective (for eg. the 60% may be reported by other doctor as 50% or 70%). But from the report that you have given, I can say:
1. The vessels must be opened (the RCA and LCX). LAD will have to be reassessed.
2. Angioplasty seems to be a better option as it has less risk involved than bypass and technically seems to be possible in your case.
Hope this helps.
Dr Chandrashekhar Munjewar
www.thefitheart.in
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It's a triple vessel disease. Going by the description both options are there. He can undergo multivessel angioplasty (PTCA) or CABG(Bypass surgery). If angiogram CD is available or atleast the angio pictures are available decision will b easy .For LAD he needs FFR (fractional flow reserve) to assess the criticality hemodynamic wise . If FFR is negative then he will need 2 stents or else 3
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.