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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Angioplasty And Stents Good For Narrowing Left Anterior Descending Artery?

Hi, I am a 67 yr old male, 5'10", 210 lbs. I have never smoked, drank alcohol very little and am a retired firefighter. Last Wednesday I had an angiogram and they found 3 narrowings in the Left Anterior Descending artery, one 80%, and 2 at 70%. I have not had a heart attack and there is no damage to the heart. At first the doctor suggested I may need bypass surgery to fix the problem. When he came to the recovery area he told me he had a second look at the pictures and said he believes it could be dealt with with angioplasty and stents. I am scheduled to have this procedure done this Thursday. I have been put on Plavex and asa. Do you think that this is the best treatment in my situation?
posted on Fri, 14 Mar 2014
Twitter Tue, 19 Jul 2016 Answered on
Twitter Wed, 20 Jul 2016 Last reviewed on
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Cardiologist,  's  Response
Hello if you are non diabetic and because it's a single artery Lad , angioplasty would give equivalent results and bypass would surely not be needed , however other technical issues like the calcium content , curvature of artery are important to decide about angioplasty which can be commented after reviewing the angiogram. However as your cardiologist have said angioplasty with 1 or 2 stents depending on the location of lesions would be a ideal way forward. Do continue Asa and plain atleast for 1 year post procedure afterwards single antiplatlet would be ok .
Also if possible opt for a Drug eluting stent.
Regards Dr Priyank Mody
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Are Angioplasty And Stents Good For Narrowing Left Anterior Descending Artery?

Hello if you are non diabetic and because it s a single artery Lad , angioplasty would give equivalent results and bypass would surely not be needed , however other technical issues like the calcium content , curvature of artery are important to decide about angioplasty which can be commented after reviewing the angiogram. However as your cardiologist have said angioplasty with 1 or 2 stents depending on the location of lesions would be a ideal way forward. Do continue Asa and plain atleast for 1 year post procedure afterwards single antiplatlet would be ok . Also if possible opt for a Drug eluting stent. Regards Dr Priyank Mody