Doctor insights on:
On labetelol tambocor (flecainide) diathazide severe PVC hypertension recent angiogram show ascending thoracic aorta prominent with 3.7 CM dilation. Concerned?
Close observation: It sounds like you have a couple different issues that require regular observation. While your aortic root diameter does not suggest that surgery is needed at this time, your blood pressure needs strict control and regular imaging studies can detect enlargement. And if your pvcs are not well controlled on tambocor (flecainide) or if you have more than 10-15, 000 per day, catheter ablation can be a good option. ...Read more
CT coronary angiogra: Yes. It takes those pictures also.Get a more detailed answer ›
Would a chest CT angiogram for PE or CT-PE scan also reveal an abnormality with the thoracic aorta such as aortic aneurysm/vasculitis??
YES: The gold-standard image study for an aneurism its actually a thoracic CT-scan study, so if the study covers all pulmonary area, you can clearly see if there is any kind of abnormalities. An aneurism its very easy to detect in this kind of studies ...Read more
Abd pain & nausea w/eating.Neg GI tests.Aortic US &CT show hook shaped celiac artery. Surgeon suspects MALS.Ordered angiogram.Might surgery help ?
If mra showed abi on right dorsalis pedis is zero before surgery should doctor freak out after aortic bypass surgery o again then he does a r ileofemarol thrombolectomy and a intraoperative angiogram and a r distal pop-tibial exposure then a r greater sap
I : I believe that you also asked this question elsewhere, so escuse me if the first part of my answer is a repeat. The ankle-brachial index (abi) is a screening test done with blood pressure cuffs and an ultrasound probe. An mra, in contrast, uses magnetic fields and injected dye to directly visualize the anatomy of the blood vessels. Therefore, while an mra might show a blocked dorsalis pedis artery, it would not be reported as showing an abi of zero. The abi tests blood pressure in the dorsalis pedis and the posterior tibial arteries and compares those measurements to blood pressures in the arms. If the pressures in the feet are significantly lower than those in the arms, and/or the patient has clinical signs of decreased blood flow to the feet, then one may decide to intervene. It sounds to me like you had no pulse in your dorsais pedis artery before your surgery, regardless of what your abi might have been. This could have happened because of chronic blockage or because of new clot that might have formed a) because of decreased flow in an already-diseased dorsalis pedis or b) because of clot that came from abnormal vessels upstream. You had an aortic bypass, so there certainly was disease upstream. It sounds to me like your surgery was a difficult one. However, it's hard to know whether your doctor was fixing problems that were caused by the surgery or whether you just had a lot of disease to begin with and he or she was trying to fix a of of problems at the same time. Unfortunately, a lot of people with bad arterial disease wind up in a wheelchair or with amputations despite the best efforts of good doctors. Still, if you think your doctor made a mistake, you should certainly talk it over with him or her and consider seeing another doctor for a second opinion. ...Read moreSee 1 more doctor answer
Diagnosis: An angiogram is an invasive diagnostic test, perfomed in a catheterization laboratory using fluoroscopy (the x-ray) and an injected contrast dye to evaluate the vasular system. It is possible to perform angiograms for different parts of the body, such as the left and/or right heart, the aorta, selective veins such as the subclavian, the renal artery and peripheral angiograms (the limbs) as well. ...Read moreSee 1 more doctor answer
Thousands up to 20x: Angiogram means blood picture; pictures show a 2d image, still or motion, of dye added into the blood, so that the dye/blood column shows on x-ray. The equipment required to perform is expensive (100k to 4m) & experience required to perform then reasonably safely is high (translate that more money). I have seen client bills: only hospital charges, out-pt <1 day, procedures i did in past, over $30k. ...Read moreSee 1 more doctor answer
Before & After: Before: no eating or drinking 4-8 hours before procedure. Stop Aspirin or blood thinners several days before the test. Be sure to pee! after: you will wait several hours in the recovery room. Bring music or reading. Have someone drive you home because the sedative/relaxing medicine may make you loopy for awhile. Wishing you well. ...Read moreSee 1 more doctor answer
Comparing to normal: Doctors inject dye or carbon dioxide into the blood vessels, outlining the shape of the inside of the tube. If the wall of the tube is uneven or blocked from a atherosclerotic plaque, the dye will outline its shape or stop completely. Normal vessels are smooth and taper like the branches of a tree or veins on a leaf. They also have patterns in numbers and types of branches that are well known. ...Read moreSee 1 more doctor answer
Yes: Side effects from the angiogram can be related to the procedure (bleeding or injury to the blood vessels from the catheters used to inject the contrast; embolization of intraluminal plaque or air from the catheter) or a reaction to the contrast (allergic reaction, kidney failure). ...Read moreSee 1 more doctor answer
Picture/Intervention: An angiogram is an image of the lumen of a blood vessel, typically done with due from within a vessel. If the angiogram shows a narrowing or stenosis, an angioplasty may be performed, which is inflating a balloon within the vessel to dilate it. ...Read moreSee 3 more doctor answers