If a diagnostic angiogram confirms complex, multi-vessel disease, what specialist might an Invasive Cardiologist consult regarding better long-term management?
Answer
A Cardiothoracic Surgeon
When a general invasive cardiologist performs a diagnostic catheterization and discovers highly complex or extensive coronary artery blockages—often termed multi-vessel disease—they must weigh the benefits of immediate percutaneous intervention (stenting) against long-term outcomes. In cases where stenting might not be the optimal solution due to the complexity or location of the blockages, the invasive cardiologist will often stabilize the patient and then refer them for consultation with a Cardiothoracic Surgeon. This consultation aims to evaluate whether traditional open-heart bypass surgery would provide a superior, more durable long-term repair strategy for the patient.
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