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

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@gingerw

@caretakermom You may find out from your medical team that the heart surgery is not optimal right now because of your husband's kidney issues. It creates quite a catch-22, doesn't it? I also have a rare kidney disease, and am Stage 4. I cannot be transplanted due to that autoimmune disease that would attack a new kidney, and I am a cancer patient, too. I cannot tolerate a surgical procedure. UCLA, Cedars-Sinai, and Keck USC all have outstanding doctors, with dedicated cardiology centers. CTO is considered a highly technical procedure, and you want to be comfortable with your choice of medical professionals, whether there in LA or at Mayo.

There are many people who live well on dialysis, for many years. Some opt to not consider transplant, for their own reasons. Home hemodialysis, since it is done everyday, helps keep your body functioning closer to normal.

Scripps Green Hospital in La Jolla/Torrey Pines is not affiliated with UC San Diego. My husband had his transplant at Scripps, driving down from San Gabriel Valley when the call came on October1, 2016. He had a deceased donor, who was 25 yrs younger than his 61 yrs at time of transplant. He was on dialysis for 5.5 years, after skating by with declining kidney function for 10 years before that. His kidney disease was due to high blood pressure. He has done remarkably well since then, and retired this year from full time work.
Ginger

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Replies to "@caretakermom You may find out from your medical team that the heart surgery is not optimal..."

@gingerw, I grew up in the San Gabriel Valley as well but presently living in Ventura County California. Per the UCLA cardiologist, bypass is not recommended for hubby because doctor says it's usually not recommended for hubby's situation. Has nothing to do with my husband being ESRD. To me it sounds like the doctor is saying he would NOT recommend a bypass for anyone in a situation where the patient is asymptomatic, collateral arteries are supplying adequate blood flood, and heart muscle not affected. A bypass in this situation would be an "overkill" and the risks greatly outweighs the gains.
There are of course tradeoffs for getting a kidney transplant. The main one being quality of life. Hubby still wants a kidney transplant but I'm just thinking of the worst case that can happen which would be the only way to fix his blockage is a bypass. Hopefully we will know more when we consult with Mayo cardiologist and hear what options are available, hopefully they can put in a stent.
May I ask how long your husband waited for his kidney transplant at Scripps? UCLA and UCSD told us 7-10 years for hubby's blood type.