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post surgery bypass arteries are clogged
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bbswan posted:
He had quad bypass surgery 13 years ago and now the bypass arteries are clotted. He is told another bypass is not an option. He is going in to talk to a specialist in another hospital on Tuesday. What questions would be good to ask? I have the normal "what are the options, long term expectations (1-5 years), etc.
What options can be looked at? crrp, angioplasty,etc.
Thanks for your input.
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cardiostarusa1 responded:
Hi:

"He is told another bypass is not an option"

In general-only here, and beyond drug-therapy, if/when common procedures, first time or re-do, such as angioplasty, with or without stents, or coronary artery bypass graft (CABG) surgey are not deemed feasible, as applicable to the patient, there may/can be other options, that includes non-invasive EECP, laser-based TMR and gene therapy/transfer.

FDA approved non-invasive Enhanced External Counterpulsation (EECP) treatments.

Are You a Candidate for EECP Therapy?

http://www.eecp.com

Surgical-based transmyocardial revascularization (TMR, FDA approved).

Holmium:YAG laser

http://www.cardiogenesis.com

Growing your own so-called "bio-bypass" (collateral vessels) around blockages in the heart, and in the legs
It's known as gene therapy/gene transfer, which has been in experimental phases for quite some time now.
.
As reported, over the last 20 years, gene therapy has moved from pre-clinical animal investigations (animal models) to human clinical studies for many diseases ranging from single gene disorders, to much more complex, multi-factorial, multi-conditional diseases such as dreaded cancer and cardiovascular disorders.

Readers Digest Online - February 2008

An experimental treatment is giving desperately ill heart patients a new lease on life.

A process called angiogenesis. The experimental procedure had shown great promise in two German studies, and the FDA had approved the launch of the first American clinical trial.

The technique involves injecting the heart with a protein called fibroblast growth factor 1 (FGF-1).

"The protein is like a seed that causes new vessels to sprout, creating a network of capillaries and small arteries."
FGF-1 occurs naturally in the body.

http://www.readersdigest.com.au/heart-hope

The bottom line

Coronary artery disease (CAD) is a life-long unpredictable condition (can exhibit periods of stabilization, acceleration, and even some regression), requiring a continuum of care.

Take care,

CardioStar*

WebMD member (since 8/99)

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Living with Coronary Artery Disease (CAD)

CAD is a chronic disease with no cure. When you have coronary artery disease, it is important to take care of your....

This is especially true if you have had an interventional procedure or......

Recognize the symptoms...

Reduce your risk factors...

Take your medications...

See your doctor for regular check-ups...


http://www.webmd.com/heart-disease/guide/living-with-heart-disease

Coronary artery anatomy

Starting with the LAD, the most critical, next to the ultra-critical LM.

http://www.heartsite.com/html/lad.html

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Good to know, for the primary and secondary prevention of heart attack and brain attack

Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes, smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).

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The hospital/medical center you choose can make a difference...a critical difference. Choose wisely!

Credentials, Experience, Research

U.S. News & World Report

Best Hospitals: Heart & Heart Surgery

http://health.usnews.com/best-hospitals/rankings/heart-and-heart-surgery

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Quote!

"Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

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