SA, a 59 year old male, underwent a coronary angiogram as part of the work up for a coronary artery bypass graft (CABG). He had a background of high blood pressure, obesity, ischaemic heart disease (with previous coronary angiogram) and smoking. He underwent a further coronary angiogram through the right radial artery (in the wrist) with a 6F TIG catheter. The test showed severe disease in the left circumflex and right coronary arteries, as well as a patent (opened) stent in the left anterior descending artery. Lesions were found to be suitable for angioplasty. The patient was referred back to the cardiothoracic surgeons for further discussion regarding his treatment.
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I had an angiogram today. Could you tell me about your experience with the procedure today, sir? Yeah, came in as per the appointment, was taken in fairly quickly, been going through the normal tests very quickly as well. Waiting time was very minimal. The procedure itself was very well done, very well explained as well throughout the procedure, which I would say is different to the previous encounters I've had at another hospital. Is there anything that you'd want to tell a prospective patient who's going to have the procedure? I would suggest that they should actually, before deciding on a bypass, is to actually have a very good look from a good team of advisors whether that is a definite part to take to resolve the problem. In a lot of instances, sometimes bypass is not the option. There is an easier option which may save time and pain in the long term. Do you mean stents? Putting in the stents. Or tablets. What about just having a diagnostic, just a procedure itself? Is there anything that you'd want to tell a patient? Very nicely done. I didn't feel anything. I mean, the medication, the needles that were put in, you know, I had no feeling at all. One final medication that was, before it went in, I was advised that a little bit of tightness maybe experienced for about a minute or so, and that's exactly what happened. Yeah, I mean, absolutely smooth. And lastly, sir, was there anything that you experienced which was unexpected during the procedure? An honest advice, I think. That was very good. At the end of the procedure, the doctor consultant had a good word with me on that respect and gave his own opinion in terms of what would be the path better in this respect, which obviously he's going to be talking with the consultant, the surgeon, and then taking it on from there. But yeah, overall experience is very good over here.
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