{"id":1053057,"date":"2011-02-14T14:03:29","date_gmt":"2011-02-14T14:03:29","guid":{"rendered":"http:\/\/www.immortalitymedicine.tv\/a-heart-has-endured-67-stents-and-28-coronary-angiograms-how-much-is-too-much\/"},"modified":"2024-08-17T18:47:48","modified_gmt":"2024-08-17T22:47:48","slug":"a-heart-has-endured-67-stents-and-28-coronary-angiograms-how-much-is-too-much","status":"publish","type":"post","link":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/neurology\/a-heart-has-endured-67-stents-and-28-coronary-angiograms-how-much-is-too-much.php","title":{"rendered":"A Heart Has Endured 67 Stents and 28 Coronary Angiograms – How Much is Too Much?"},"content":{"rendered":"

\"\"<\/a>A 56-year-old male with coronary artery disease (CAD) presented with angina, nonspecific electrocardiographic (ECG) changes, and elevated troponins.<\/p>

Coronary angiography revealed total occlusion of a stent in the circumflex artery, where another was deployed—his 67th stent<\/b>. <\/p>

<\/div>
The patient had 28 catheterizations over 10 years, with stents placed in his native coronary arteries as well as in 3 bypass grafts. All stents were placed to relieve his angina, refractory to maximal medical treatment and transmyocardial laser revascularization. <\/div>
<\/div>
Stents can be a great tool to help revascularization and relieve symptoms; unfortunately, they are prone to thrombosis and restenosis. If they fail while medical management is maximized unsuccessfully, alternative tools are lacking.

This case raises many questions, among them: \"How much is too much?\"<\/p>

Clearly, this is not an example of standard of care. Should we be concerned that this case is indicative of a system that has lost its way?<\/p>

References:<\/b><\/p><\/div>

A Heart With 67 Stents<\/a>. J Am Coll Cardiol, 2010; 56:1605, doi:10.1016\/j.jacc.2010.02.077
67 stents, 28 coronary angiograms, and a crippled healthcare system<\/a>. Eric Topol, 2010.<\/div>
Image source: Gray's Anatomy, 1918, public domain.<\/div>
<\/div>
Comments from Facebook and Twitter:<\/b><\/div>
<\/div>
Talk about a full metal jacket! Baby! <\/div>
<\/div>
One thing's for sure, no surgeon is going to touch him now for bypass. I did note, however, that he still does not have an LV lead for biV pacing, so he might not be done with procedures yet! \ud83d\ude42<\/div>
<\/div>
Surgeons are smart these days, they separate stent struts and graft! There is definite scope for a Combo device .<\/div>
<\/div>
This case is indicative of system , that is addicted to invasive interventoin I suppose...Nevertheless it's quite interesting.<\/div>
<\/div>
Not to mention the radiation.<\/div><\/div>

Posted at Clinical Cases and Images<\/a>. Stay updated and subscribe<\/a>, follow us on Twitter<\/a> and connect on Facebook<\/a>.\"\"<\/p><\/div>

<\/a>
<\/a><\/p>

<\/p>","protected":false},"excerpt":{"rendered":"

A 56-year-old male with coronary artery disease (CAD) presented with angina, nonspecific electrocardiographic (ECG) changes, and elevated troponins.Coronary angiography revealed total occlusion of a stent in the circumflex artery, where another was deployed—his 67th stent. The patient had 28 catheterizations … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[1246864],"tags":[],"class_list":["post-1053057","post","type-post","status-publish","format-standard","hentry","category-neurology"],"modified_by":null,"_links":{"self":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/1053057"}],"collection":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/comments?post=1053057"}],"version-history":[{"count":0,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/1053057\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/media?parent=1053057"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/categories?post=1053057"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/tags?post=1053057"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}