← Return to Treatment for Coronary Total Occlusion(100% blockage)

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@thankful, not sure the technical name but the 100% occluded artery is the one in the back of the heart that runs to the front right. According to the cardiologist, this artery does not really affect the heart muscle, and the collateral blood vessels formed as a result of the occlusion, is supplying adequate, while not optimal, blood to the heart. As such, the cardiologist seems to suggest it should be left alone, since my husband is asymptomatic(no chest pain) doing normal activity. The occlusion, unfortunately, is about 12cm long suggesting that it has been there for quite some time. Surprising because last year during nuclear stress test, the result came back normal. It was the stress test done this year that showed abnormality. Could a 12cm blockage occur within 1 year, or was it there all along and the first nuclear stress test didn't pick it up? Due to the length of the occlusion, cardiologist says it will be a very challenging job to stent the artery and the chance of success is a mere 30%!!! And that is his honest opinion. He is giving me the impression it's almost not worth fixing and it's a valid argument. Except that my husband is also a dialysis patient and he wants to be eligible to get a kidney transplant. Our intention is to list with Mayo in Arizona because the wait list is shorter than California(we live in soCal). To be eligible of transplant listing, the center will require clearance of the heart which means the CTO must be fixed. Sounds like the longer the occlusion, the more complex the procedure. UCLA can do this procedure but they will select certain candidates, mainly the ones with symptoms, which will exclude my husband.
Jim, where did you get treatment for your 100% occluded artery? Was the procedure done at Mayo Clinic in AZ? How big was the occlusion? Are you pleased with the treatment you received? We are looking for a second opinion and was thinking about Mayo Clinic, but I couldn't find anything about treatment for CTO on their website. We are looking for a center that has the technology and expertise to perform Coronary Percutaneous Intervention on CTO. If you have any suggestions, would like to hear your input. Anna

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Replies to "@thankful, not sure the technical name but the 100% occluded artery is the one in the..."

@caretakermom- Anna, Hello. Since my HA was the result of finding out about my occlusion the stent was placed here at our local hospital in the Willamette Valley of OR. Because of the damage to my heart I had issues with my EF (Ejection Fraction) and had both an Echo as well as a nuclear stress test a year afterwards that really didn't show any changes (collateral blood vessels developing).
I decided to go to the AZ. Mayo for a battery of tests which was led by a great cardiologist named Dr. Lynch. He was amazing!!
The day ended with a Stress Echo which provided the best info he felt for him to determine my actual EF.
Prior to that last Echo back in Corvallis I had gone back to my normal workout regime of 3x a week in an effort to boost my EF, but had been told after my 2nd Echo that there was no real change. After going through the tests at AZ. Mayo in consultation with Dr. Lynch he told me that he felt my EF was more closer to 45-47% rather than the 30% I was being told here. I have felt great after receiving the stent and a new lease on life, but the psychological feeling of what I called "damaged goods" weighed on me and I was determined to do all I could do to reverse that. My visit to the AZ. Mayo put me on that path and I hope you reach out to them.
Mayo provides superior care in so many ways that I will continue to go there for 2nd opinions if needed. For now I remain in great health and am Thankful!
Jim @thankful