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How is an atherectomy done?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My calcium score is 2000. My arteries were found to be very hardened during a stent surgery. I was told that I could need an atherectomy. To be certain, I will have to get a Thallium stress test, computed tomography (CT), and coronary angiography. Can I do them all at once? If yes, in which order?

Kindly help.

Hello,

Welcome to icliniq.com.

If you have a calcium score of 2000, you will need to undergo atherectomy procedures such as rotablation, tornus, or laser atherectomy, based on your angiographic assessment. A thallium scan is recommended to determine the vitality of cardiac tissue and assess the suitability of stenting. I am not sure why you require CT (computerized tomography) angiography since invasive angiography may demonstrate coronary calcium and the necessity for a proper debulking device.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At December 6, 2023
Reviewed AtNovember 12, 2024

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