Doctor insights on:
Angiogram With Runoff
Which procedure is more useful to detect artery blockage, angiography, CT angiogram, or cardiac catheterization and why?
Ct vs cath: In simplest terms the ct angiogram would be safer than a coronary angiogram, however, they are usually used in different circumstances. The ct angiogram is useful as a screening tool to see if coronary disease is present. A cardiac catheterization is performed when a patient has an acute coronary syndrome or a myocardial infarction to evaluate coronary disease, or even treated. ...Read moreSee 1 more doctor answer
Yes: Usually for re-stenosis most surgeon will perform stenting if indicated instead of redo surgery although no true benefit of stenting over surgery in these cases. In acute sitting , yes stenting is being done to repair a post carotid surgery flap or dissection. ...Read moreSee 5 more doctor answers
Clopidogrel for TIA versus Or Surgery for Female 75 If Carotid Artery over 70% Occluded with a Surgeon with High Volumes of Carotid endarterectomy ?
Get 2nd opinion : Other than medical therapy (which would be dual anti platelet + statin) and endartectomy, there is also catheter based treatment option (that is thrombectomy and stenting) in the hands of an experienced intwrvwntional cardiologist. Without knowing more about the plaque morphology, hard to advise. Carotid endartectomy is high risk vascular surgery. Pls obtain opinion U.S.interventional cardiologist ...Read more
Both safe: Both also have risks such as radiation and contrast usage. Coronary arteriography has small bleeding risk at puncture site. Need to get the right test for your problem. Coronary arteriography is the gold standard. ...Read more
3D echo, chest Ct with contrast and cardiac MRI MRA MR with gadolinium. Could all 3 miss a vsd or asd? Done at mayo in arizona. I have a CHD PAPVR.
Studies: it is always possible to miss something, even with multiple studies. It is not likely to miss a substantial ASD or VSD with all three studies. You should discuss with your Docs, they can explain to you what your situation is . ...Read more
Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?
Depends: If you're diabetic, CABG has better outcomes. If your LEFT MAIN coronary artery has >50% blockage, CABG has better outcomes. Aside from those 2 points, it depends on the skill of the team you have. If they do a lot of angioplasty, that would be preferred. If they don't but their surgical team is first rate, then that would be preferred. ...Read more
Yes and No: Coronary artery bypass requires some form of conduit for bypass. Superficial veins from the lower limbs have been used for bypass. Smaller arteries from the underside of the chest wall have been used in favor of veins for the left side of the heart. Early enlarged varicose veins can still be used for bypass; however more advanced wall bulges and wall aneurysms Prohibit use of the varicosed veins. ...Read moreSee 3 more doctor answers
Abd CT showed severe stenosis of celiac artery with post stenotic dilation.Does that mean an aneurysm? Was referred to vascular surgeon.
They don't but can: Usually angiogram of the aorta and carotid arteries is not part of the cath. Procedure for pfo closure. So it is not performed. But, technically, an angiogram of the carotids, coronaries or other structures can be performed during the same procedure if there was an indication for it. ...Read moreSee 1 more doctor answer
From heart cath, coronary procedure notes: femoral angio with loss of flow into sf. no closure. what does this mean?
See below: SF is superficial femoral artery. From your brief description, it sounds like you had temporary compromise to the circulation in your leg. That can be from spasm, clot, or tear. It must be okay or you'd be in pain and they would have operated. However, to not exacerbate it, they did not use a closure device which, otherwise, would have been used. ...Read more
My cardiac MRI showed persistent left sided superior vena cava drains into a dilated coronary sinus w/ mild dilation of the main pulmonary artery?
Mostly a normal: Variant. Every fetus has one, but in most it involutes before birth. 0.3% of the general population has one. It is the most common variation of the thoracic venous system. Left svc draining into coronary sinus is expected 90% of the time. Discuss with your doctor the significance in your case of the mild dilation of the pulmonary artery. ...Read moreSee 1 more doctor answer
Asymptomatic with 2/6 murmur over the aortic area with radiation to carotids. Where should echo be done? At the cardiologist or at imaging center?
Both are fine: The quality of an EchoCG, like all other tests, depends on the quality of the people performing and interpreting it. Both Cardiologist's office and imaging center may be OK if they are quality people. But you need to see a cardiologist to evaluate the findings in a given case, and to advise you what needs to be done. ...Read moreSee 1 more doctor answer
What is the cpt code for a percutaneous transluminal coronary angioplasy of the left anterior descending coronary artery?
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- Arteriogram with runoff
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