posted by A. Brosh, Jerusalem, ISRAEL, December 13, 1999
I am 48. I had a successful PTCA on distal RCA occlusion 2 months ago. Six weeks later a Thalium scan showed a large inferior wall ischemia. Recurrent angioplasty showed reocclusion of the artery (RCA) but this time they could not open it (couldn't pass the last 2 mm). What options do I have? Should I repeat the angioplasty trail? I feel fine and have minor anginotic pains on exercise. Thanks.

Did you ever receive any good ideas how to solve this predicament???? In my case my RCA is totally occluded after restenosis and my doctor did not feel that additional angioplasty could even be tried since the lead wire cannot pass through. Did you look into Angiojet?
TT, 1 Jan 2001

Happy NEW Year, just read your posting re the RCA occlusion. What happened since then?? I have the same problems.
kelfg, 5 Jan 2001

Did you ever solve this predicament? I have the same problem: a chronic occluded RCA where the last attempted angioplasty was abandoned because doctor did not feel that he could even get the guide wire through the occlusion.
best, Los Angeles, California, USA, 26 Feb 2001

Did you consider showing your film to other experts? For example, Dr. Antonio Columbo in Milan, Italy is one of the best in the world and very generous about expert second opinions and not too far for you!
best, Los Angeles, California, USA, 14 Sep 2001

I have a completely blocked right coronary artery. I have just been discharged from Glenfield Hospital in Leicestershire, England. The surgeon tried two different sized guide wires with the balloons/stents but was unable to access the lesion. The good news about this was the the surgeon said the blocked RCA was supplied by collaterals. The present course of action is to continue with medical management.
Richard Thomas, Retired, Leicester, Leicestershire, England, 21 Feb 2002

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