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What Does This CT Scan Regarding Coronary Stenting Indicate?
Question: I have carried out a CT Angio. Everything is ok but the RCA shows diffusely diseased vessel with multiple eccentric calcified and mixed plaques with a focal significant(70%-80%) stenosis in distal segment. Doctor suggesting to go for stent. Is it possible to continue with medicines only instead of stent?
Brief Answer:
Stent is safest and best procedure for you
Detailed Answer:
Hi XXXXXX,
Thanks for writing in to us.
I have read through your query in detail and understand your concern of whether coronary stenting is necessary for you.
A stenosis of upto 70 percent can be treated by medicines alone. Since you have a focal significant stenosis of 70 to 80 percent in your right coronary artery, there is a possibility that if you are put only on medications, the blockage might not get cleared and also proceed to 100 percent block which may become an emergency and cause a heart attack.
Stenting is a simple procedure and done in many patients like you with good results. Stents are more than 99 percent successful and require only 3 days hospital stay in most patients.
If not a stent then your your doctor may suggest a bypass surgery at a later date depending on other coronary artery blockages.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Stent is safest and best procedure for you
Detailed Answer:
Hi XXXXXX,
Thanks for writing in to us.
I have read through your query in detail and understand your concern of whether coronary stenting is necessary for you.
A stenosis of upto 70 percent can be treated by medicines alone. Since you have a focal significant stenosis of 70 to 80 percent in your right coronary artery, there is a possibility that if you are put only on medications, the blockage might not get cleared and also proceed to 100 percent block which may become an emergency and cause a heart attack.
Stenting is a simple procedure and done in many patients like you with good results. Stents are more than 99 percent successful and require only 3 days hospital stay in most patients.
If not a stent then your your doctor may suggest a bypass surgery at a later date depending on other coronary artery blockages.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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