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Stent Vs Bypass - Difficult Decision Made Easy. How We Do It. | Dr. Mahesh Wadhwani
Hear it from renowned Dr. Mahesh Wadhwani, Chief of Cardiac Surgery & HOD, Department of Paediatric and Adult Cardiac Surgery Paras Hospital, Gurgaon.
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Timings: 7 pm
Topic: Stent Vs Bypass - Difficult Decision Made Easy. How We Do It.
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Пікірлер: 33
Great explanation. it took a second opinion at a Chicago major hospital and the discussed my case at the hospital grand rounds was to recommend heart bypass, however, they said that they would consider doing stent if I do not t agree to bypass, Your explanation will help me make up my mind, Thanks much for your thorough explanation
@mandatereporter7928
Жыл бұрын
What did you decide
Dr. Wadhwani sahab, aap ka jitna bhi prasanhsa karun utna kam hai. Kaas mein asaani se India aa sakta toh aap ke haaton mera bypass surgery karwata. Main England mein rehta hoon aur abhi NHS ke waiting list pe hoon apna bypass surgery ke liye.
@cardiacsecondopinion2880
6 ай бұрын
In India, bypass is truly very cheap. Even if you are foreign national, the cost is hardly 5000-5500$
Hi Sir, my father had undergone angiography yesterday and here is his report says: 1. Type III vessel, proximal 99% stenosis, followed by 100% total occlusion. It fills via collaterals from RCA. 2. OMI Proximal 80% stenoiss. Its multivessle blockage with 2 blockages in LAD. We need to decide between Angioplasty Vs CABG. His age is 61, with no comorbidity & very active lifestyle. Please suggest Sir.
Great Presentation, his explanation, clarity, communication, information is bang on.. Only thing he looks young so less experience but he his best for 2nd opinion.. Thanks👍
@cardiacsecondopinion2880
Жыл бұрын
Thank You
Good morning sir, My Dad is 57 Years Old. After his Angiography reports doctor has recommended him to go with Bypass Surgery. But as he is a High Diabetic patient (Since Last 15 Years taking Insulins twice a day) along with high BP we choose to go with Angioplasty as Bypass would be much Painful & Post Bypass conditions can be fatal for him. My Dad also has Triple Vessel Diseases with Tropie Score: 8.13 & CP Chem Score: 39.0 As of now the Angioplasty Surgery has been performed successfully today. But after going through your Video I am a bit worried. 2 Stents , 3 Ballons, 1 Catheter , 2 Guide Wires are placed in the patient's body during operation. Please give your opinion as if it was a right choice made by us or Not. & if Not that what's the best we can do as of now. Our Total operation Cost was around 4.2 Lakhs.
@cardiacsecondopinion2880
4 ай бұрын
Whatever was done, is the right thing. Once you decided on something and got it done, stick by it. Time for a second opinion is before the procedure and not after.
@ABHISHEKSHARMA-nr2vt
4 ай бұрын
@@cardiacsecondopinion2880 Ok Sir, The 1st Hospital (Govt Hospital where his Angiography was done they wrote a remark saying he is having TVD so recommended for Bypass. After I got him discharge from there & admitted him in a Private hospital the MD there said that he isn't having TVD but he's having a DVD. The Remus was having 40 percent blockage which he told to be cured with the help of Medicines. So in the short the 2nd (Private hospital) clarifies that 1st Hospital (Goverment) didn't read the Case properly & suggested for Surgery (to be done by MS). The 2nd (Private) hospital suggestion for Angioplasty was given by MD & the same was performed later.
Thank you very much doctor for your kind information
I lost my father with same presentation. Before presentation, doctor suggested to admit my father on Monday but once Presentation was done , doctor ask her secretory to push to admit on Saturday itself. We were trapped in doctor's sweet voice. They did all test in 2 days and then surgery was planned on Monday as they were happy with the Reports. Surgery time which doctor was telling for 2 HRs end in 10 Hrs. My Father was unconscious for 3 weeks with No improvement at all. Till the time we have Corporate Insurance, they kept the Bed in front of them. The day we give them Army Card, next day my Father was declared dead.
@Youu12321
Жыл бұрын
Sorry for your loss brother. But what was his condition and age?? Was he diabetic?? Any previous attacks before?? Symptoms of chest pain before?? What reason did the doctor's gave ?? N which hospital?? Please respond.. as my dad is going through the same situation .
@hindustanraj7331
Жыл бұрын
@@Youu12321 No attack earlier, but 3years back he felt uneasy then we take him to Rewari hospital,they told nothing serious but better to undergo surgery there is 60% blockage. But when we discussed with doctor for surgery after 3 years he was normal but to avoid last minute risk, we want the operation. In Paras Hospital Be careful to get operated there, operation was done so carelessly but they will not let u feel all this in starting. One person will come to you and explain about different type of valves and try to sell u the one which has more margin and he will push it upto large extent,I forgot his name right now
@Youu12321
Жыл бұрын
@@hindustanraj7331brother did your father had any sugar issues like diabetes?? What was his age during operation??
@hindustanraj7331
Жыл бұрын
@@Youu12321 No diabetes age was 60
@Youu12321
Жыл бұрын
@@hindustanraj7331 thankyou Sir🙏🏻 Which hospital u said? Paras hospital of Gurgaon??? And can u prefer any best hospital for bypass surgery in Delhi?
Doctor Sir, Whether laser angioplasty can clear the blockage in coronary artery. without stent
@cardiacsecondopinion2880
10 ай бұрын
Not for all patients, it will be possible only a 1-2% of patients. Those 1-2% are the individuals where there is so much calcium that there is no other true modality to improve.
was it necessary to mention the educational qualificatios naming the Degrees and Diplomas etc?
@cardiacsecondopinion2880
9 ай бұрын
Why not? Qualification means training beyond MBBS
Thank you very much doctor
Thank you🙏
Sir, My PFT is not normal and lung capacity is between 40 to 50 %..I am told that at least 70% lungs efficiency for doing CABG. PLEASE ADVISE ON THIS.
@cardiacsecondopinion2880
10 ай бұрын
Nothing like that It's just that postop course is too be Nahant Managed better
गल्तीसे 4:36लिख दिया हैं
Sir meri age 34 hai...chalne firne me koi dikkat nehi...but sine me baithe baithe dard hota hai 1 to 2 second ke liye but CT coronary angiography me lad 90%block hai keya karu
Sir the Angiography of my father was done this week.Sir can I send you the CD of Angiography or report for consultation.please help Sir
can bypass / surgey over stent,?
Thank you alot sir for all these information about bypass and stent, sir please share contact details if possible.
no doctor here?