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Medical Forum / General / Cardiology / September 2006

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how long can a heart bypass last ?

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liaM - 08 Sep 2004 18:51 GMT
Something very heartening happened today :

I met a friend who told me he has a double bypass (using
a sephanous vein from his leg) that has lasted 20 years
so far.

liaM
Hawki63 - 08 Sep 2004 20:28 GMT
>Subject: how long can a heart bypass last ?
>From: liaM cuddly@mindless.com
>Date: 9/8/2004 10:51 AM Pacific Daylight Time
>Message-id: <chngnf$nuo$1@news-reader5.wanadoo.fr>

>I met a friend who told me he has a double bypass (using
>a sephanous vein from his leg) that has lasted 20 years
>so far.

not that uncommon...

bypass is "supposed" to buy you at least 10 years...

unlike angioplasty/stents.....

of course..the increased years are also likely to do with lifestyle and diet
changes...so theoritically he may be set for LIFE

hawki.....
uplbet - 08 Sep 2004 20:59 GMT
>bypass is "supposed" to buy you at least 10 years...
>
>unlike angioplasty/stents.....

by the way, how long are they supposed to last?
--
uplbet
(in email reply delete 01234xxx from the address)
Hawki63 - 08 Sep 2004 21:38 GMT
>Subject: Re: how long can a heart bypass last ?
>From: uplbet uplbet01234xxx@fastwebnet.it
>Date: 9/8/2004 12:59 PM Pacific Daylight Time
>Message-id: <91puj0931t5gmjgkhjosuaoc5q6du29ac4@4ax.com>

>by the way, how long are they supposed to last?
>--
>uplbet
>(in email reply delete 01234xxx from the address)

if you are replying to angioplasty and stents..well about 4-5 years...UNLESS
one is in the 40% or so who's stents re occlude less than 6 months!! ( as with
my hubby)

bypass on the other hand..statistically speaking..are "supposed" to last 10
years..tho many outlive their owners!!

hawki.....
Bill - 08 Sep 2004 23:38 GMT
> >Subject: Re: how long can a heart bypass last ?
>>From: uplbet uplbet01234xxx@fastwebnet.it
[quoted text clipped - 13 lines]
> bypass on the other hand..statistically speaking..are "supposed" to last 10
> years..tho many outlive their owners!!

I think with the newer drug eluting stents the incidence of resentosis is much
less.

Assuming you get beyond the 6 month period and you get your act together with
lifestyle modifications and taking medications, I would have thought the
angioplasties would last longer. I understand how a vein would weaken over
time. But if they substantially reduce a blockage with a balloon what would
cause that area in particular to grow back - beyond the restenosis stage?

BTW I was in and out of WMC so often in the late 80s and early 90s that the
staff in the cath. lab and I  became quite familiar.

Bill
Hawki63 - 08 Sep 2004 23:58 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Bill" xxx@yy.zz
>Date: 9/8/2004 3:38 PM Pacific Daylight Time
>Message-id: <ERL%c.9087$ZC7.6636@newssvr19.news.prodigy.com>

>I think with the newer drug eluting stents the incidence of resentosis is
>much
>less.

Bill....tho that was the hope....it isn't quite panning out....also the drug
eluding (think it is a "d"....but you may be right)...cost $3000 a PIECE so
many insurances won't pay for them...sad

>Assuming you get beyond the 6 month period and you get your act together with

>lifestyle modifications and taking medications, I would have thought the
>angioplasties would last longer. I understand how a vein would weaken over
>time. But if they substantially reduce a blockage with a balloon what woul

hmmmm....firstly..remember we are talking arteries..not veins..so weakening is
not the problem..re clogging with junk is..

also stents are "foreign bodies"..so obstensibly they may increase
inflammation..but not sure

> But if they substantially reduce a blockage with a balloon what would
>cause that area in particular to grow

>back - beyond the restenosis stage?

all the balloon actually does is push back the occlusion...perhaps reducing the
%% of blockage from say...90% to 50%...then the possibility of that area
beginning to narrow again..

with a graft...one would think that a "virgin" artery would be wide open to
start with (yes..it is true that ALL arteries of someone with CAD are probably
atherscelerotic)....so IF lifestyle and diet changes occur,....tho %% blockage
is apt to recur..it should take awhile...reason for the 10 years on a
graft...less with a stent

hawki.....
Zee - 09 Sep 2004 01:01 GMT
Friends

I would  like to jump in here with a comment regarding stents and US
vs.Canada healthcare.

Ahem....

A friend had a stent implanted (?) in April. He had an unplanned heart
attack while 'home' in Virginia for a month. He is American, but lives
here. He only had some kind of temporary /travel/visitor insurance.
Anyway he had the stent implanted, came home, and three weeks later
while taking a stress test was ripped off the treadmill and whipped
into hospital with wild tachycardia or something. They found the stent
all clogged up and replaced it. The cardiologist said the Virginia
stent was a (now these are not my words but his wife's a steadfast
Virginia girl) $500 cheapo and the new stent replacing it, implanted
here in Canada, was the $5000 variety. Of course, the stent and whole
procedure and following cardio rehab (still ongoing) is  covered by
unversal health care here in Canada.

Zee
Hawki63 - 09 Sep 2004 01:08 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Zee" fresh~horses@despammed.com
>Date: 9/8/2004 5:01 PM Pacific Daylight Time
>Message-id: <cho6h3$prc@odak26.prod.google.co

>Anyway he had the stent implanted, came home, and three weeks later
>while taking a stress test was ripped off the treadmill and whipped
>into hospital with wild tachycardia or something. They found the stent
>all clogged up and replaced it. The

Zee

stent cannot be removed and replaced EVER.....

they can attempt to open up a clogged stent with angioplasty

obviously he had the non drug eluding stent.....still used in many many places

at least he didn't get put on a waiting list for open heart surgery...as
happens in Canada

ahem......

yes..the non drug eluding are "cheaper" .....

>implanted
>here in Canada, was the $5000 variety

the drug eluding ones are about $3000 here...

before you go on and on about Canada's great "free" healthcare..etc..

can you explain why the open heart programs in Michigan and Minnesota are doing
so many Canadians who are willing to pay cash??

ahhhmmmmmmm

hawki.....
Hawki63 - 09 Sep 2004 01:37 GMT
>Subject: Re: how long can a heart bypass last ?
>From: hawki63@aol.com  (Hawki63)
>Date: 9/8/2004 5:08 PM Pacific Daylight Time
>Message-id: <20040908200833.15758.00000219@mb-m13.aol.com>

>obviously he had the non drug eluding stent.....still used in many many place

whoops...Bill was correct...it is eluting,,not eluding...

oh well....

actually in my looking it up..I read that stents take about 4+ weeks to
"epitheliaize" ie the interior to be covered with new cells....thus stents are
NEVER removed...

hawki.....
Zee - 09 Sep 2004 02:41 GMT
> >Subject: Re: how long can a heart bypass last ?
> >From: hawki63@aol.com  (Hawki63)
[quoted text clipped - 12 lines]
>
> hawki.....

Wonder what they did then? Was sure she said removed and replaced with
a different, more gonzo version. Will ask.

Zee
Hawki63 - 09 Sep 2004 02:45 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Zee" fresh~horses@despammed.com
>Date: 9/8/2004 6:41 PM Pacific Daylight Time
>Message-id: <chocc4$5s2@odak26.prod.google.com>

>Wonder what they did then? Was sure she said removed and replaced with
>a different, more gonzo version. Will ask.
>
>Zee

perhaps they put the drug kind inside the other??  cannot fathom how else...

imagine a piece of metal mesh..that has had months to "grow into" the vessel in
question...and you might get a mental picture of why they are not removed..

actually they can't be(well maybe surgically??)

hawki.....
Zee - 09 Sep 2004 03:04 GMT
Ok here's the scoop: They put a coated one in, on top of or inside the
old one. She said it was coated. She doesn't know if it was drug
eleuting, but the cardio here said, as I mentioned, the old one was a
$500 one and the new one $5000. He is feeling much better. While in
Virginia he had only travel insurance.

Zee
Bill - 09 Sep 2004 05:10 GMT
> Ok here's the scoop: They put a coated one in, on top of or inside the
> old one. She said it was coated. She doesn't know if it was drug
[quoted text clipped - 3 lines]
>
> Zee

Coated implies drug eluting. The new one goes inside the old one. The drug
eluting stents are much more expensive than plain metal. I don't know exactly
when they got FDA approval for widespread use, but I think about a year ago or
so.

I think in the US most people get the more expensive kind now.

Bill
Zee - 09 Sep 2004 05:39 GMT
> > Ok here's the scoop: They put a coated one in, on top of or inside the
> > old one. She said it was coated. She doesn't know if it was drug
[quoted text clipped - 12 lines]
>
> Bill

What drug(s) would the stent be 'eleuting'? How long do the drugs last?
Zee
Dr. Andrew B. Chung, MD/PhD - 09 Sep 2004 06:22 GMT
> > > Ok here's the scoop: They put a coated one in, on top of or inside
> the
[quoted text clipped - 19 lines]
>
> What drug(s) would the stent be 'eleuting'?

Rapamycin (aka Sirolimus)

> How long do the drugs last?

The elution lasts for about a few weeks. The effect of preventing
in-stent restenosis extends beyond three months.


Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
Zee - 09 Sep 2004 19:21 GMT
Andrew and Hawki63

I see. It's a 'novel'immunosuppresssant. I think it best to know all I
can. Not because I am planning to have heart surgery but because odds
are I will, if I'm lucky. So I thank you Andrew and Hawki63 for giving
*all* the information you can think of in an understandable way.
Zee
Hawki63 - 09 Sep 2004 20:21 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Zee" fresh~horses@despammed.com
>Date: 9/9/2004 11:21 AM Pacific Daylight Time
>Message-id: <chq6ve$v71@odak26.prod.google.com>

>Andrew and Hawki63
>
>I see. It's a 'novel'immunosuppresssant. I think it best to know all I
>can. Not because I am planning to ha

re...drug eluting stents

I guess that it as good a description as any...sort of anti inflammatory

actually I thought the drug eluted for about a year..but I will defer to Dr
C...as I couldn't find a specific timeframe anywhere

there are two "brand names" that I know of...the Cordis that elutes the drug Dr
C mentioned(which I can't remember right now!)...also a newer one,,made by
Boston Scientific called the Taxus Stent that has a drug called
pacilitaxel...obviously they both work the same way..

my guess of the price being in the range of $3000 PER stent comes from Medicare
sites...the higher cost has actually created a financial burden for
Medicare,,as hospitals are reimbursed the SAME regardless of whether the drug
or non drug kind are used...which means taking a hit when using the drug
kind...

my hubby spent his career in "medical device manufacturing"...actually in open
heart stuff...so this is a field we have some info on

hawki.....
Bill - 09 Sep 2004 20:50 GMT
> >Subject: Re: how long can a heart bypass last ?
>>From: "Zee" fresh~horses@despammed.com
[quoted text clipped - 12 lines]
> actually I thought the drug eluted for about a year..but I will defer to Dr
> C...as I couldn't find a specific timeframe anywhere

I'm sure he is right about that. I recall hearing/reading in a couple of
places that the drug lasted for about a month or so. And that's the period
when you want to stop the start of the restenosis process.

Bill

> there are two "brand names" that I know of...the Cordis that elutes the drug
> Dr
[quoted text clipped - 15 lines]
>
> hawki.....
Hawki63 - 09 Sep 2004 21:28 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Bill" xxx@yy.zz
>Date: 9/9/2004 12:50 PM Pacific Daylight Time
>Message-id: <ku20d.14233$FV3.4342@newssvr17.news.prodigy.com>

>> actually I thought the drug eluted for about a year..but I will defer to Dr
>> C...as I couldn't find a specific timeframe anywhere
>
>I'm sure he is right about that. I recall hearing/reading in a couple of
>places that the drug lasted for about a

>month or so. And that's the period
>when you want to stop the start of the restenosis process.
>
>Bill

agreed

hawki.....
Zee - 10 Sep 2004 00:50 GMT
> >Subject: Re: how long can a heart bypass last ?
> >From: "Bill" xxx@yy.zz
> >Date: 9/9/2004 12:50 PM Pacific Daylight Time
> >Message-id: <ku20d.14233$FV3.4342@newssvr17.news.prodigy.com>

Hawki and Bill

The Boston Scientific Taxus stent has had some problems, apparently:
http://www.lieffcabraser.com/stent-recall.htm

The stent my friend had implanted in Virginia ($500?) was a "Multi-Link
Vision Coronary Stent Family" cobalt chromium stent.

The second stent implanted here in Canada ($5000) was a Cypher stent:
http://www.fda.gov/cdrh/safety/cypher.html

And here's a page on 'drug eleuting stent' news:
http://www.ptca.org/nv/desnewsframe.html

Here is a page on the drug Rapamycin:
http://www.ch.ic.ac.uk/local/projects/russell/

Note the side effects of rapamycin.

Side effects of rapamycin:

*Raised lipid and cholesterol levels*
*Hypertension*

Anaemia
Diarrhea
Rash
Acne
Thrombocytopenia
Decreases in platelets and haemoglobin



Zee
Hawki63 - 10 Sep 2004 01:26 GMT
>Subject: Re: how long can a heart bypass last ? stent recall
>From: "Zee" fresh~horses@despammed.com
>Date: 9/9/2004 4:50 PM Pacific Daylight Time
>Message-id: <chqq8m$13j@odah37.prod.google.co

>The Boston Scientific Taxus stent has had some problems, apparently:

actually not with the stent itself..but with the device used to implant the
stent over the angiocath guide wire

these kinds of things do happen with new technology

>The second stent implanted here in Canada ($5000) was a Cypher stent:
>http://www.fda.gov/cdrh/safety/cypher.html

is there some reason you continue to stress the $5000??  which actually is not
the price BTW (maybe what Canada pays..but not what Medicare does)

yes..drug eluting stents are better..no question

>Side effects of rapamycin:
>
>*Raised lipid and cholester

snip..

remember that the amount of drug in the stent is quite limited in quantity..if
all of it is gone within a month..

what you are quoting from is a discussion of this drug's use in organ
transplant anti rejection

anyone who gets an organ transplant HAS to accept the risks of the anti
rejection drugs...or not get transplanted...

there is NO way to place a foreign organ into a human body without use of anti
rejection drugs...

however..without the transplant..well...one would die....

hawki.....
Dr. Andrew B. Chung, MD/PhD - 09 Sep 2004 06:24 GMT
> > > Ok here's the scoop: They put a coated one in, on top of or inside
> the
[quoted text clipped - 19 lines]
>
> What drug(s) would the stent be 'eleuting'?

Rapamycin (aka Sirolimus)

> How long do the drugs last?

The elution lasts for about a few weeks. The effect of preventing
in-stent restenosis extends beyond three months.


Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
Don Kirkman - 11 Sep 2004 00:48 GMT
It seems to me I heard somewhere that Zee wrote in article
<chomp4$ro5@odak26.prod.google.com>:

>> > Ok here's the scoop: They put a coated one in, on top of or inside
>the
[quoted text clipped - 3 lines]
>> > $500 one and the new one $5000. He is feeling much better. While in
>> > Virginia he had only travel insurance.

>> Coated implies drug eluting. The new one goes inside the old one. The
>drug
[quoted text clipped - 3 lines]
>year ago or
>> so.

>> I think in the US most people get the more expensive kind now.

>What drug(s) would the stent be 'eleuting'? How long do the drugs last?

This article discusses a trial of a sirolimus (Rapamune)-eluting stent
(Cypher) showing significant reduction of restenosis up to two years.
The article also discusses stents based on other drugs for which tests
were still in progress.
http://www.medicalpost.com/mpcontent/article.jsp?content=/content/EXTRACT/RAWART
/3816/19B.html


The paclitaxel (taxol)-eluting stent (TAXUS) showed similar results over
a somewhat later nine-month study.
http://www.ptca.org/articles/taxus_profileframe.html

This article indicates that a newer stent being discussed (June, 2003)
maintained elution for as much as two weeks.
http://pharmalicensing.com/features/disp/1055610245_3eeb558600db8
Signature

Don
donkirk@covad.net

Elva4 - 09 Sep 2004 03:19 GMT
>imagine a piece of metal mesh..that has had months to "grow into" the vessel
>in
>question...and you might get a mental picture of why they are not removed..
>
>actually they can't be(well maybe surgically??)

A stent is a permanent implant. Designed to keep the narrowed vessel section
open, it remains in the artery for the patient’s entire life.

The above is an excerpt from this site:
http://www.biotronik.com/content/detail.php?id=1273

Virginia
Hawki63 - 09 Sep 2004 07:38 GMT
>Subject: Re: how long can a heart bypass last ?/stent removal?
>From: elva4@aol.com  (Elva4)
>Date: 9/8/2004 7:19 PM Pacific Daylight Time
>Message-id: <20040908221954.03719.00000350@mb-m26.aol.com>

>>actually they can't be(well maybe surgically??)

> A stent is a permanent implant. Designed to keep the narrowed vessel section
>open, it remains in the artery for the patient’s entire life.

I am well aware of this..

Zee's friend either had a second drug eluting stent implant INSIDE a non drug
eluting one...or more likely..the first had occluded..and a second was placed
distal to the first...

my thought is that putting a second stent inside the first would significantly
narrow an already narrow segment of artery

just my h.o.

hawki.....
Zee - 09 Sep 2004 02:46 GMT
> >Subject: Re: how long can a heart bypass last ?
> >From: "Zee" fresh~horses@despammed.com
[quoted text clipped - 34 lines]
>
> hawki.....

Greed.

Zee
Hawki63 - 09 Sep 2004 07:36 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Zee" fresh~horses@despammed.com
>Date: 9/8/2004 6:46 PM Pacific Daylight Time
>Message-id: <chocm4$gfl@odbk17.prod.google.com>

>> can you explain why the open heart programs in Michigan and Minnesota
>are doing
>> so many Canadians who are willing to pay cash??

>Greed.
>
>Zee

whose??

the Americans doing the ops?? or the Canadians not willing to wait their turn
for "elective bypass" ops??

hawki.....
Zee - 09 Sep 2004 14:56 GMT
> >Subject: Re: how long can a heart bypass last ?
> >From: "Zee" fresh~horses@despammed.com
[quoted text clipped - 15 lines]
>
> hawki.....

Both. My friend needed immediate care. He got it. That's the way it
works. A form of triage. People who are responding to fearmongering,
people who are used to buying their way through life, people who want
it "now". On another similar subject, I have other friends who schedule
their cesaerean sections for their or their husband's spring break.

It snowed. Huge wet clumps covering everything. Cars white mounds.
Visibility stratus crapus with intermittent spruce trees.

Zee
Hawki63 - 09 Sep 2004 18:45 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Zee" fresh~horses@despammed.com
>Date: 9/9/2004 6:56 AM Pacific Daylight Time
>Message-id: <chpndj$lrt@odah37.prod.google.com>

>On another similar subject, I have other friends who schedule
>their cesaerean sections for their or

>their husband's spring break.
>
>It snowed. Huge wet clumps covering everything. Cars white mounds.
>Visibility stratus crapus with intermittent spruce trees.

LOL at the csection thing....MOST women I have known at least TRY and schedule
their pregnancies to accommodate something..."don't want a holiday baby...don't
want to be huge pregnant in July..etc etc"..not an uncommon thing to do in this
overly busy society we live in...not many can afford to stay home and raise
kids...as probably most of our moms did...

snow???? it is still summer...HOT summer..even humid today as we actually got a
few drops of rain as I was going to bed...

snow..ice..etc...not for me...

hawki.....
Zee - 09 Sep 2004 19:00 GMT
> >Subject: Re: how long can a heart bypass last ?
> >From: "Zee" fresh~horses@despammed.com
[quoted text clipped - 11 lines]
> LOL at the csection thing....MOST women I have known at least TRY and schedule
> their pregnancies to accommodate something...

Convenient pregnancies yes. But planning a c-section so 'birth' occurs
during spring break?

Zee

"don't want a holiday baby...don't
> want to be huge pregnant in July..etc etc"..not an uncommon thing to do in this
> overly busy society we live in...not many can afford to stay home and raise
[quoted text clipped - 6 lines]
>
> hawki.....
Jim Chinnis - 09 Sep 2004 03:18 GMT
"Zee" <fresh~horses@despammed.com> wrote in part:

>Friends
>
[quoted text clipped - 17 lines]
>
>Zee

Sounds like he got perfect treatment in both countries.
--
Jim Chinnis   Warrenton, Virginia, USA
Zee - 09 Sep 2004 05:25 GMT
Hi Jim

What could the treatment reasons be for putting in the other type first
I wonder? He was very miserable and ill from the time he returned home
(here) until the second procedure.  He's a different person now.

More worrisome is the fact the stent and the artery would clog again so
quickly.

Zee
Hawki63 - 09 Sep 2004 07:31 GMT
>Subject: Re: how long can a heart bypass last ?
>From: "Zee" fresh~horses@despammed.com
>Date: 9/8/2004 9:25 PM Pacific Daylight Time
>Message-id: <chom0i$jg6@odah37.prod.google.com>

>Hi Jim
>
>What could the treatment reasons be for putting in the other type first
>I wonder? He was very miserable and ill from the time he returned home
>(here) until the second procedure.  He's a different person now.

it is unlikely ..highly unlikely..that the drug eluting stent ..if placed
inside the non drug eluting stent..would make one iota of difference in how he
felt..

more likely he had a second stent inserted...which was the one more responsible
for "opening up his blood flow" thus making him feel better..

one feels no difference with the drug eluting kind..just that they have the
effect of preventing early re occlusion..

my guess is the first stent was occluded...they placed a SECOND stent...which
re established adequate blood flow...and it was the better kind to boot..

my h.o. only

every facility here do not have access to drug eluting stents ...YET...due to
the cost

medical journals quote the cost at $2200 to $3000 range...as opposed to about
$500 ...at first Medicare was not going to pay for the drug ones...

>More worrisome is the fact the stent and the artery would clog again so
>quickly.
>
>Zee

this is the problem with stents...both kinds

hawki.....
Don Kirkman - 11 Sep 2004 00:53 GMT
It seems to me I heard somewhere that Hawki63 wrote in article
<20040908163800.03602.00000403@mb-m04.aol.com>:

>>Subject: Re: how long can a heart bypass last ?
>>From: uplbet uplbet01234xxx@fastwebnet.it
>>Date: 9/8/2004 12:59 PM Pacific Daylight Time
>>Message-id: <91puj0931t5gmjgkhjosuaoc5q6du29ac4@4ax.com>

>>by the way, how long are they supposed to last?

>if you are replying to angioplasty and stents..well about 4-5 years...UNLESS
>one is in the 40% or so who's stents re occlude less than 6 months!! ( as with
>my hubby)

Two arteries from my first angioplasty occluded in three months, but
they took a calculated risk in not doing the full set of stents the
first time around, choosing to install only one.  I'm now six years +
with three stents, and no symptoms, FWIW.  Just my lucky decade, I
guess.  :-)

>bypass on the other hand..statistically speaking..are "supposed" to last 10
>years..tho many outlive their owners!!
Signature

Don
donkirk@covad.net

liaM - 08 Sep 2004 21:14 GMT
When the pipes clog again, do people get a second bypass operation ?
What's the record for number of bypass operations performed on
a single person ?
Hawki63 - 08 Sep 2004 21:41 GMT
>Subject: Having more than one by-pass operation..
>From: liaM cuddly@mindless.com
>Date: 9/8/2004 1:14 PM Pacific Daylight Time
>Message-id: <chnp2g$9k5$1@news-reader2.wanadoo.fr>

>When the pipes clog again, do people get a second bypass operation ?
>What's the record for number of bypass operations performed on
>a single person ?

depends...

remember once a stent ..or a bypass reclogs..."usually" that portion of the
artery cannot be opened,,so a subsequent bypass must be placed BEYOND the
blockage...coronary arteries do not always have sufficient "good length" to
allow re bypassing...

if a subsequent problem develops in a different artery ( there are three
coronary arteries..with lots of branches)...then a rebypass can be done
successfully

just the thought tho of having one's sternum split twice tho gives me the
"owies!!"

rarely are more than two done...tho they can attempt angioplasty on a clogged
graft..with or without success

hawki.....
William Wagner - 08 Sep 2004 22:10 GMT
> just the thought tho of having one's sternum split twice tho gives me the
> "owies!!"

> hawki.....

Me  Too!!

First time I did not know what was  entailed .  

And I hope I will never ask  for  these wish list items.  ;))

1. Get that tube out of my mouth at the earliest possible time.  (I?d
consider a major bribe for that.) Gagging in total darkness is not
desirable.

2.  When time to pull the dual tubes out of my chest I?d like oxygen
available to help me exhale and someone?s hand to hold.

3. Figure a way to remove leg veins yet leaving the crease or action
joint of my knee not cut.  Would help in healing.

4. Toilets  20 inches higher as one can?t use all those hand rail?s as
it could open up chest.

5. Nurses who only work 28 hours a week and only 16 hours  a week in ICU.

William(Bill)

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Hawki63 - 08 Sep 2004 23:47 GMT
>Subject: Re: Having more than one by-pass operation..
>From: William Wagner Non11Spamb2wagner@snip.net
>Date: 9/8/2004 2:10 PM Pacific Daylight Time
>Message-id: <Non11Spamb2wagner-B096CD.17104708092004@altnews.snip.net>

to answer Bill's concerns

>1. Get that tube out of my mouth at the earliest possible time.  (I¹d
>consider a major bribe for that.) Gagging in total darkness is not
>desirable.

hubby's was out the moment he regained consciousness...in the recovery
room..before we even saw him!!  no need (if stable)..to make someone wake up
with that chokey thing in

>2.  When time to pull the dual tubes out of my chest I¹d like oxygen
>available to help me exhale and someone¹s hand to hold.

that is a good suggestion...

>3. Figure a way to remove leg veins yet leaving the crease or action
>joint of my knee not cut.  Would help in healing.

actually this is done...all the time...called "endoscopic vein harvest"...ie a
scope is used instead of a lonnnnnngg incision...only have two wee
incisions...hubby had this (actually he demanded it!!)....way way easier
recovery

>4. Toilets  20 inches higher as one can¹t use all those hand rail¹s as
>it could open up chest.

believe me...that chest will NOT open up..remember the sternum is WIRED shut...

however...your suggestion is valid..hubby said the turning in bed was the
worst...we moved him to a "daybed" which had a frame around three
sides...helped him to reach over his head and "hang on" when he turned

>5. Nurses who only work 28 hours a week and only 16 hours  a week in ICU.

you dear man!!!  nursing shortage and all that...

tho we found the nurses to be excellent...esp in the ICU..he was 1:1 first
night...

once on the floor...well..luckily he has a sweet rn for a wife!!

hawki.....
Dr. Andrew B. Chung, MD/PhD - 08 Sep 2004 23:13 GMT
> When the pipes clog again, do people get a second bypass operation ?

Yes.

> What's the record for number of bypass operations performed on
> a single person ?

These days a redo (#2) is rare.  #3 is very rare.  #4 is probably the
record.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

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deb151 - 20 Sep 2006 15:24 GMT
Hawki63     I had my first CABGx4 in Jan. 03  had probs and had 7 stents put
in 5 in LAD then probs again and had 2nd CABGx4 in Spt. 03 have been well
since how long will this all lastnow ? I know for initial one they said about
10 years but can get an estimate after all this.   thanks  deb

>>Subject: how long can a heart bypass last ?
>>From: liaM cuddly@mindless.com
[quoted text clipped - 15 lines]
>
>hawki.....
 
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