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अति हर चीज की बुरी होती है

Glad it was helpful!

Thank you for the kind words always. Good to know

Very very rarely, if at all. Stent collapse are generally an acute phenomenon that are usually observed in the cath lab itself. Rarely (but not limited to these clinical scenarios) a stent may land in a Myocardial bridge or a very calcific portion of the Artery, and may lead to underexpansion or even stent crushing/collapse which may present as a collapsed stent. Moving is extremely rare. I'd do an OCT/IVUS before labeling it such. However, it is a very rare occurrence and I'm quite sure, there might even be another reason to it, depending on the scenario or the clinical context text, which presently, I am not very well aware of. Wishing you the best of health, today and always.

Thank you very much for answering me. God bless you for helping me 🙏🏼. There is something extremely rotten about all of this. The doc and the hospital involved have refused to discuss any of this with me. They told me to “go get a lawyer”.

@jpdunamislodge I'm extremely disappointed that you'd have to go through something like this. Wishing you the best of health, always. Try and Get a second opinion, if you can and fix anything that might be causing a problem. Life isn't to be played with. My good wishes always.

@ it is looking like I may have underwent a Cath procedure and a stent was placed for no reason other than for the hospital and the doc to make money. I am about to finally find out the truth about what happened to me.

Thank you for your kind words. Hope you're doing okay and in the best of health. Today and always. My good wishes.

If possible, after consulting your primary doctor, get a Xray Cervical Spine - AP and Lateral View done. It is not a very expensive test.

Thank you Sir 🙏

Yes, that was my exact thought. Thank you for your kind words.

Thank you so much for your kind words.

I'll get back to you on this, will have to check the records. Have a great day ahead.

Myocardial bridge itself causes a compression of the Artery during systole, mimicking a type of Stenosis during systole, relieved during diastole by itself. The question more apt would be, can atherosclerosis/plaque Rupture happen in a Myocardial bridge- yes, it can, specially at the proximal or the distal edge. Hence antiplatelets are usually recommended in a case of Myocardial bridge and also to aggressively control all risk factors.

Thank you so much

Thank you so much

Thank you so much

Hello, Hope you have a great day ahead and remain in the best of health. 90% stenosis/ blockage is a critical blockage- requiring intervention more often than not. Whether it requires a bypass or not- depends also on the location of the block, comorbidity and number of arteries involved. Hence, the information is a little insufficient for me to actually comment on whether bypass is required or angioplasty. Hence, kindly give more details on the blocks location, estimated length of the blocks, number of vessels involved, comorbidity, age, and EF. Thanks and have a great day ahead sir.

Heart disease and disease of lungs can go hand in hand and often mimic each other, or sometimes even co-exist. Heart disease can still be there, without blockages- for example as in case of valvular heart disease, or endothelial dysfunction or Myocardial bridge or congenital cardiac anomalies amongst others. Hence, I would suggest a comprehensive examination to rule everything out and not just blockages. Have a great day ahead, and hope you remain in the best of your health always.

Hello, hope you're in the best of health. To answer your question, whether 2.5×38mm is counted as a large stent or not- the answer is quite simple - large stent or not does not matter, the stent put is matched according to the lesion length and the natural artery size to give the best results possible. Hope you have a great health always. Never leave medications without consultation of doctor. Do not consume cigarettes, bidi, tobacco, pan masala and alcohol. Have a great day ahead sir.

@@hearthealthy past 6 years doctors prescribe me (clupid asp 75mg)clopedrogral+asp.they said your stent is large thats why your dual anti plates never could stoped .thats why i put a question. Thanks sir. Your are kind.

Hello, Good morning. Hope you're doing well and may you remain in good health always. See, the thing is - even cardiologists wish that number of stents implanted be less, however, many times, the anatomy, the length of lesions, or different arteries are involved- which necessitate more number of stents. If your doctor thought that 1 stent will not be able to give the desired result, then he/she may have out additional stents. Less number of stents is always desirable, however, having said that, most of the times, situations demand more number of stents. Hence, I think nothing wrong is done, it is just that, your artery anatomy/ lesion length / number of vessels involved may have necessitated more number of stents. Don't leave medications without consultation of doctor. And don't smoke/don't consume alcohol, tobacco and pan masala. Hope you remain in great health always sir.

3mm - Post dilated with 3.5mm NC.

Thank you so much

Thank you. Kind words are the real motivators.

On case to case basis. Healthcare still has to consider the cost of doing something. We do have IVUS, but we can only do them in cases where they can afford it. It is a desirable thing.

​@@hearthealthy😮

Thanks

So nice of you

I have same problem of balloon pulmonary angiography foe my cousin,,,could you help please

Well thank you for the question Dr. Medical Management alone for such patients is futile in my opinion. I am guessing, we are discussing about the presence of the thrombus scenario in a patient. The reason is that in this particular case- the thrombus is well organized and "hard" (not exactly 'soft' as you might put it. Such type of thrombus do poorly with medical management alone and take a lot of time to clear, if they clear at all, that is. In a patient with ongoing chest pain, and no distal flow, with a not-soft thrombus, there is limited scope of medical treatment alone, and patient would require PCI asap, like in this case, to protect the myocardium as much as possible. About intracoronary tirofiban, I like tirofiban, and some use cangrelor, well, it all depends on a lot of factors. About the triple therapy, in this case, the patient was only kept on DAPT after adequate treatment with PCI. Triple therapy may theoretically sound better, but it subjects the patient to a massive amount of risk for bleeding. But yes, if the thrombus was soft, and the flow was non-limiting and patient pain free at the time, i might have gone with the approach that you were talking about. But in this case. The only right option was this one due to all the factors mentioned above.

Of course. That's a key point. Dislodgement of aspirated thrombus can be catastrophic.

Stents can be removed surgically, but it is a risky procedure. Most of the time, after sometime, stents get embedded within the arteries structure and become a part of the Artery hence usually removal of stents is not required. Stents are put when there are blockages to allow passage of blood unhindered and preventing collapse of the Artery. Sometimes, stent may be required to be removed, if needed, in case of any infection that somehow reaches the Stent Or there is reaction to the Stent, which can only be found out after putting a Stent and not before. It is a very very rare event, but sometimes still happens. It is a risk that most of the time has to be taken. But still Stent removal is not a common thing to do.

Thanks and welcome

Thank you so much for thr kind words. There is no thing like appreciation.

7830000618 For appointment : Agra Heart Center. Please book appointment one or two days before so that adequate time can be given for check up. Dr Rajat Rawat does not see more than 15 patients per day in OPD. Due to busy schedule and otherwise patient care might get hampered. Hence, please book appointment before hand. Thanks.

Many many thanks

All the best

Already posted Myocardial bridge video in one of the posts. Thanks and regards.

Recommended in the literature provided with the product. Mostly because it is a very soft material and very prone to kinking.

@@hearthealthy i see, thank you for answering :)

Thank you

Thank you, I will