Right brain and heart vascular occlusion and kidney failure should have coronary stents?

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Hello doctor!
My mother is 82 years old with diabetes, high blood pressure and heart valve regurgitation 2/4 10 years, in January 2020 she had a left brain occlusive stroke and now she fell, the doctor checked her and said she had an obstructive stroke. right cerebral occlusion, cardiac vascular occlusion, renal failure. So the doctor asked me, my mother had a stroke on the right brain and heart vessels and kidney failure, should coronary artery stents be placed?
Looking forward to the doctor's advice, thank you!
Duong Thi Truc Phuong (1980)
Reply
Hello!
The doctor would like to answer the question: Should the coronary artery stent be placed in the right brain and heart vascular accident and kidney failure? ” as follows:
According to the information you provided, the doctor noticed: Your mother has two major problems: cerebrovascular disease (cerebral infarction), coronary artery disease (unknown extent of damage). injury - stenosis). However, the underlying disease is quite complicated: kidney failure, hypertension, diabetes, old age (82 years old). This is a very difficult clinical situation for any treating physician.
Usually, the doctor will conduct a comprehensive assessment of the patient, weighing the benefits and risks of stenting. Only perform coronary stenting if there is benefit to the patient. It is difficult to have a specific advice for you to make an optimal choice when the doctor does not have enough information about your mother's medical condition. Our advice to you is: Talk directly to the treating doctor and listen to their advice.
If you still have questions about this, you can take your mother to the Vinmec Health System Hospital for a more thorough examination and consultation by doctors. Thank you for sending your question to Vinmec, wish you all the best.
Best regards!

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Answered by Doctor Le Duc Hiep - Internal Medicine and Cardiovascular Interventionist - Cardiology Center, Vinmec Times City International Hospital
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