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Rotablator Angioplasty

There is one 95% blockage in his Right Coronary Artery. We did the
Angioplasty on 11th August but the procedure had to be abandoned as
even after inflating two-three balloons of size 1.5mm,2mm the region
of artery could not be inflated and the blockage minimised. Also 2.5
mm balloon could not be crossed. So Doctor after thorough evaluation
said that there is heavy calcification in the artery so we may need
to do Rotablator Angioplasty.

In Rotablator Angioplasty , diamond coated device is rotated at 2
lakh revolutions per min inside the artery so that the blockage is
cut into minute particles and passes out through blood. This
Rotablator Angioplasty may be done by renowned Dr. Samuel Mathews of
Chennai.
one of my mates father had a minor heart attack.

After checking my father's report's, Angioplasty CD and his stable
health post Angioplasty, majority doctors are saying that Rotablator
Angioplasty is not required as collateral arteries will be developed
around the blockage so that blood flow to that particular heart area
will be restored.And as my father is not experiencing any chest pain
or related problems now ,he does not need another Angioplasty so
soon. Also Rotablator Angioplasty will have it's own complications
and risk.

So my question is "should we go ahead with the Rotablator
Angioplasty or carry on the Normal Medications alongwith changed
eating habits ? "

If anyone of you have come across similar case ,please reply with
the actions taken.
Reply 1
New blocks can develop pretty fast he would certainly have to be on the watch for any kind of pain or impaired performance (hard breathing..) and think of that as a warning sign.
There is always bypass surgery to consider.
The medication you are talking about+changed eating habits will certainly not better things (i.e. get rid of any calcifications that are there already) but might help prevent the calcifications from going any further. Quite a few people suffer minor heart attacks whilst undergoing angioplasty - while pumping up the balloon the artery is blocked, quite like it would be if it were blocked by a clot or calcification. Often there are severe rhythm problems, defibrillation or resucitation, but usually since you are the best place to be when having heart problems (ie. a cardiology unit) the chances of coming out basically unharmed are high.
But as was said in the post before mine, it is a very individual decision.
"Person who have already undergone ROTABLATOR ANGIOPLASTY may be able
to tell it's EFFICIENCY and RESULTS"
Not true. one person can give their experience yes, but everyone is didfferent, everyone reacts differently etc etc.

Am not sure i understand the procedure. Is this a thombus? because otherwise you will be shredding endothelial layer to get through to the fibrous cap.
This level of stenosis is much more likely to either be stable angina blockage (which like you were told will make collaterals) or a VERY unstable angina.

My best advice - fook what doctors or med students tell you - trust the specialists. they will know what is best.
Reply 3
My uncle has had an angioplasty and felt it made no difference, but a family friend has had one and it has changed his life and made his breathing more stable and meant he's able to do a lot more active things.

Simple it may be but I think the pros and cons of having one/not having one need to be weighed up, including health benefits/risks as well as quality of life and happiness.

Get as many medical opinions as you can and look around on the internet..theres a lot of useful stuff out there.