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RCA stenosis

Mother is diagnosed with 80% stenosis in the mid RCA and 50% instent re-stenosis in the distal RCA where PTCA Stent was done in year 2010. Whether again angioplasty need to be done in both the places and what should be the line of action for instent re-stenosis? I have two opinions, one Doc says do another says don't.
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Dr. Ashwin M Daware
Cardiologist 12 yrs exp Bangalore
RCA STENOSIS 80% IN MID SEGMENT WILL INFLUENCE EFFECT OF DISTAL STENOSIS. ONCE U OPEN MID RCA LESION WITH BALOON AND DO ANGIOPLASTY THEN CHECK THE INSTENT RESTENOSIS LESION WITH FFR. IF FFR IS MORE THAN O.8 THEN NOTHING FOR DISTAL AND IF FFR IS LESS THAN 0.8 ANGIOPLASTY TO INSTENT RESTENOSIS.
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