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Treatment for Coronary Total Occlusion(100% blockage)
Heart & Blood Health | Last Active: Nov 8, 2023 | Replies (45)Comment receiving replies
@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.
Replies to "@gingerw, I grew up in the San Gabriel Valley as well but presently living in Ventura..."
@caretakermom My husband was told 7-10 years at Loma Linda, 5-7 years at Scripps, due to different procurement areas. He was transplanted after 5.5 years on dialysis. His time while listed at Loma Linda was used on the Scripps list also; that is, he did not start over. He basically said "whoever calls first", and a patient can be listed at multiple places.
Again, each transplant center has its own criteria to meet. Where one may say his occlusion issue is not a problem for the transplant procedure, another one may say differently. Here is a website that will show you transplant centers based on criteria you enter, plus contact numbers: https://www.txmultilisting.com/wait.htm?gclid=EAIaIQobChMIo8PQhPyq7QIVFz2tBh0XfAD8EAAYAiAAEgJeavD_BwE
What is the cause of your husband's kidney disease? That might play a factor, also. I lived in Ventura/Oxnard area for over 15 years, so I know that area well!
I invite you to take a look at the transplants discussion group https://connect.mayoclinic.org/group/transplants/ for some conversations you might find informative, and likewise, the kidney and bladder discussion group, where I "hang out" a lot! https://connect.mayoclinic.org/group/kidney-conditions/
How are you doing today?
Ginger
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Caretakermom:
I can only offer my own situation that you might find similar. I was diagnosed with 100% blockage in my LAD, which is the main inlet to the heart. The doctors then gave less than a 20% chance of success due to the time that passed (which I understood was a few years). They said I had a heart attack years ago but I never felt or knew it.
Per my understanding, my body grown capillaries to supply the heart with adequate blood flow. Since the chance for success was so low for open heart surgery (and time for recuperation so long) I elected not to have the surgery, a decision with which my doctor agreed.
I exercised at home (with an old piece of equipment known as a gazelle) and later joined a gym. That was over 25 years ago, and I’m still around to talk about it.
I hope that information was useful to you and your decisions, and wish you and your husband all the best and will be in prayer for your family.
Howard