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Doctor insights on: Arteriogram Vs Angioplasty

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What is percutaneous transluminal coronary angioplasty (ptca)?

What is percutaneous transluminal coronary angioplasty (ptca)?

Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read more

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Dr. Linda Callaghan
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Angioplasty (Definition)

Angioplasty is vascular modification -- a vascular repair procedure ...Read more


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Whats safer: coronary angiogram or CT angiogram?

Whats safer: coronary angiogram or CT angiogram?

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 more

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What's safer: coronary angiogram or CT angiogram?

What's safer: coronary angiogram or CT angiogram?

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

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Is stenting or carotid endarterectomy better?

Is stenting or carotid endarterectomy better?

Carotid intervention: CEA has lower stroke risk than stent, stent has lower risk of MI and cranial nerve injury. Each suitable at times. Best to go to provider that can do either. CEA generally better for standard risk patients, stent generally best if patient has had neck radiation, tracheostomy, or prior CEA. Can get biased view if provider can only do one or the other. Go to someone that can advise on risk/benefit. ...Read more

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How is coronary artery bypass graft performed?

How is coronary artery bypass graft performed?

Carefully: The distal end of the internal mammary artery is anastomosed to the coronary artery distal to the atheromatous plaque using 8-0 polypropilene and high power magnification. Radial artery or grater saphenous vein grafts are anastomosed to the ascending aorta and tho the coronary distal to the plaque. Obviously the thorax has to be entered and cardiopulmonary bypass may or not be used, . ...Read more

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Anyone done a carotid arteriogram and stenting after carotid artery surgery?

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 more

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How is coronary artery bypass graft proceudre performed?

How is coronary artery bypass graft proceudre performed?

Carefully: Bypass surgery involves connecting a new tube ( artery or vein) to a coronary artery past a blockage. It is done on a stopped heart using the heart lung machine or on a beating heart by stabilizing the heart with certain devices. ...Read more

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Is coronary CT angiogram more reliable than invasive coronary angiogram?

Is coronary CT angiogram more reliable than invasive coronary angiogram?

No : Each of these tests has its advantages and disadvantages. But coronary angiogram (cardiac cath) is still the most reliable way to look at coronary arteries. ...Read more

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Carotid artery disease, different results from duplex ultrasound vs. Ct angiogram (cta), is that possible?

Carotid artery disease, different results from duplex ultrasound vs. Ct angiogram (cta), is that possible?

Results: Because these are two different imaging modalities, it is possible to get divergent results. Generally however these two studies show congruent data. ...Read more

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Can you explain percutaneous transluminal coronary angioplasty?

Catheter based: A catheter is placed in an artery leg or arm a ballon expands and dilates the blood vessel to correct the narrowing. ...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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Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?

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

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Between carotid endartectomy and stentis, is the stentsafer?

Between carotid endartectomy and stentis, is the stentsafer?

Both are safe: Vascular lesions in the carotid arteries increase stroke risk. Both stents and endarterectomy or lesion removal are safe and effective procedures to lower your stroke risk. Each procedure also carries a small risk of stroke during procedure. Your providers results should be available to you, and may help you decide. ...Read more

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What's a traditional coronary artery bypass?

Tradional CABG: A traditional cabg, involves using the heart-lung machine to sustain circulation while the heart is stopped so it can be operated on. Saphenous vein and an artery from the inside of the chest wall (lima) are used to bypass the blocked part of the coronary arteries. When the bypass grafts are completed, the heart will naturally start beating again. ...Read more

Dr. Irv Loh Dr. Loh
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Whats a peripheral intravascular stent placement?

Dr. Irv Loh Dr. Loh
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Whats a peripheral intravascular stent placement?

Dilation of blockage: Using a vascular catheter, not an open surgical procedure, a balloon is used to dilate a blocked artery. This may be followed by placing a stent, a metal alloy support scaffold, can be placed to hold the vessel open. Aggressive medications will be needed to control the risk factors that contributed to the blockage. ...Read more

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How is a carotid artery stent done?

How is a carotid artery stent done?

Procedure: Performed from a small puncture into the artery in your groin area. A catheter is inserted and is used to evaluate the stenosis. A protection device is then inserted through the blockage and deployed. A suitable stent is inserted and deployed. A balloon opens stent to final diameter. Completion images are taken. Protection device retrieved. Catheters removed. See sirweb.Org. ...Read more

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How is a renal artery stent restenosis done?

How is a renal artery stent restenosis done?

Place new stent: In old stent. Sometimes need a covered stent. Others just balloon again. ...Read more

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How is coronary artery bypass surgery conducted?

How is coronary artery bypass surgery conducted?

Step by step: Hello leenicole-- coronary artery bypass ad graft surgery is done in a strict step by step procedure involving first obtaining the bypass graft vessels -- which could be veins in the leg or arteries in the arms/chest -- then the sternum (chest bone) is split and forced open to access the heart in full view and the blocked vessel is bypassed -- etc. ...Read more

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Carotid artery disease, what to believe, if different results from duplex ultrasound vs. Ct angiogram (cta)?

CTA better: Although cta is more accurate but it also depends on image quality done by radiology . If there is two conflicting studies of the carotid artery , then you should get the gold standard conventional arteriography if clinically indicated. ...Read more

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