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Doctor insights on: Angiogram Aorta

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On labetelol tambocor (flecainide) diathazide severe PVC hypertension recent angiogram show ascending thoracic aorta prominent with 3.7 CM dilation. Concerned?

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

Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


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Would a chest CT angiogram for PE or CT-PE scan also reveal an abnormality with the thoracic aorta such as aortic aneurysm/vasculitis??

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

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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

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 more

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Is an angiogram painful?

Is an angiogram painful?

No: No, they use numbing medicine like when you go to the dentist. ...Read more

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How is an angiogram performed?

Invasive exam: A needle is used to blood vessel in the groin or arm. This is used as access site to other blood vessels with a catheter. ...Read more

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Why is an angiogram performed?

Why is an angiogram performed?

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 more

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How much does it costs for angiograms?

How much does it costs for angiograms?

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 more

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What should I expect from having an angiogram done?

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 more

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How do doctors read an angiogram?

How do doctors read an angiogram?

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 more

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What are the risks of an angiogram?

Angiogram: Less than 1% risk of clot, bruising, arrhythmia, bleeding. Discuss with your physician to determine if the benefit of the procedure is greater than the risk. That is the best question to ask on any test performed. ...Read more

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When do doctors order an angiogram?

Diagnose blockage: angiograms are done to diagnose clogged up arteries when there is decreased blood flow to any organ ...Read more

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Are there side effects of an angiogram?

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 more

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What is an angiogram versus an angioplasty?

What is an angiogram versus an angioplasty?

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 more

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Which patients should not have an angiogram?

Non-surgical: Patients who are unwilling to have surgery even if needed should not have an angiogram because there are risks with this invasive procedure that would outweigh the zero benefits in this setting of no plan to act on the obtained information. ...Read more

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Are angiogram and angiography the same thing?

Are angiogram and angiography the same thing?

No: Technically no. An angiogram is the image taken when the artery is injected with dye and imaged under x-rays. Angiography is the procedure used to obtain an angiogram. They are often used interchangeably in the vernacular. ...Read more

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Is an angiogram and angiography the same thing?

Is an angiogram and angiography the same thing?

Almost: One is the procedure. The other is the result. The analogy (in sat form) is angiogram : angiography :: photograph : photography. So you do angiography to get the picture (the angiogram). ...Read more

Dr. Ed Friedlander
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Angiogram (Definition)

An angiogram is a picture of the inside of ones blood vessel (vein or artery) created by injecting a clear liquid (radiopaque dye) which appears to be white (or ...Read more