Doctor insights on:
I have chronic DVT in my iliofemoral vein. I have had stents and they have clotted off. Is iliofemoral venous bypass an option? If it is which doctor?
Not a great option: What I would do first is find an Interventional Radiologist or Vascular Surgeon who specializes in advanced venous care. We have techniques to reopen stents and clot and it may be that you need the stents extended or opened more. Venous bypasses are done to heal ulcers but not usually for simple occlusion. Www. Sirweb. Org or www. Vascularweb. Org are resources to find these doctors. ...Read more
Depends: Bariatric surgery is effective in weight reduction. The person must understand it is just like pressing a "reset button" in which weight loss will be accomplished, but it must otherwise be followed by voluntary lifestyle changes for it to be permanent (ie. Good eating habits and exercise). If not, weight will come back. Insulin resistance will decrease, lowering required Insulin doses. ...Read more
Hard to know: You may mean cardiac bypass or gastric bypass. The question you should ask is "what are the risks and the benefits of this surgery? What would happen if you didn't do surgery? " it may be that a gastric bypass surgery is necessary in order to relieve symptoms or remove the pancreatic cancer. But ask the doctor to explain until you're satisfied you understand the answer! ...Read more
Is the removal of the wires used to close the sterum after heart bypass sugery a valid option in an effort to reduce non-cardiac chest pain?
Help please! Is bypass surgery a viable option when arteries in both legs are clogged from groin to knee?
Yrs: Vascular bypass surgery is common and can treat diseases on the legs. You should see a vascular surgeon. ...Read more
Unusual: Options such as laser transmyocardial revacularization are possible, or injections of angiogenic factors experimentally. It's unusual for blocked stents to prevent construction of a bypass graft, since stents are generally placed proximally in a coronary artery and bypass grafts can be placed more distally. Severe disease which necessitated the stents may prevent effective bypasses, however. ...Read more
From earlier question why is best for Estradoil to bypass the liver? Therefore making the pellet or patch the best option
Have chronic thrombosis of radial artery. Was told bypass could kill me since it"s been s year. Do I have other options apart from exercise.....
Any dr.'s in my area that use methadone in tx of chronic pain. My options for prescription limited by gastric bypass & min. Help by oct/ other narcotic rx?
Fentanyl: Fentanyl patches are an option. They diffused an opioid directly through your skin. Not affected by gastric bypass. In general, I frown on Methadone for chronic pain. It is approved to get people off of opioids, and not as a drug for "chronic pain", but I realize it is used "off label" for this. The labeling is for "restricted to authorized opioid addiction detox/maintenance tx facilities. ...Read more
Due to an arteriosclerosis, my mum, 83 has had 2 femoral bypass within 1 year. After 5 months, both surgeries have failed. What are the options left? Could another 1 be more successful? Alternatives?
Impossible to say: Your question is complex. If 2 surgeries have failed, severe, diffuse, complex disease is implied. Depending on her symptoms, medication can be tried. If she has gangrene and is not felt to be a candidate for further palliative surgery, the only other option is amputation. Sorry - good luck. ...Read more
I have had bypass surgery and still have sharp pain in the left side of chest. What are my options?
You have options: How long ago was surgery? If in past six months, could be a rib fracture (see chest radiograph), could be from sternal retractor, could be a costal neuralgia (damaged intercostal nerve. These are potential complications that do occur not infrequently. A rib fracture will resolve, a nerve problem may be treated by a pain doctor with good success. Talk to your surgeon. ...Read more
Yes: Yes, they stay open longer than veins do. ...Read more
Triple vessel cornary disease with 3 blockages, what are his options other than triple bypass surgery?
Cardiac cripple: To understand the risk/benefit of recommended bypass, start with the risk of non-operative therapy. With medical therapy alone, the risk for ischemic damage to the heart muscle is real. This can lead to death or weak heart muscle, aka cardiac cripple. The surgical risk is real, but lower than non operative risk. Bypass preserves the heart muscle and you stay on medication. Ok to ask your surgeon. ...Read more
My moms angiography show 3 arteries blocked! 99%, 80%, 79%. So shld we go for triple bypass surgery or any other substitute option? 63yrs old diabetic
Yes: Studies have shown that diabetics with triple vessel disease do better with bypass. Your mom would benefit most from a bypass. Best of luck ...Read more
Unfused sternum after bypass surgery resulting in chronic pain two years after surgery...treatment options?
What did surgeon say: This is going to be a problem for you if not addressed, as even simple things like inhaling, sitting, or anything requiring your ribs to expand or contract is destabilized from not having your sternum connected (fused) from the CABG surgery/stenting. Have you spoken to your surgeon? That is a good place to start, so you can discuss options. Hard to replace Mother's Nature's own design. Start there ...Read more
Can an angioplasty fail for any reason? What happens if it doesn’t work? What are the other treatment options? Will I have to have heart bypass surgery?
Second opinion?: Some lesions are not ameniable to angioplasty or stents. Some combinations of lesions are best treated surgically. Without details all that can be said is that the doctor that performed the angiography likely felt other treatments would be unwise. If you have concerns, why not ask for a second opinion? ...Read more
Father, 67, had silent heart attack 1 month back. Angiogram revealed 100% lesion in left anterior & circumflex. Bypass was suggested but later rejected due to deceased artery. Treatment options needed?
Chronic thrombosis of radial artery. Vascular surgeon says bypass could kill me. Do I have any other options. Only on Bayer aspirin.
Second opinion: It's unlikely that a radial artery bypass would kill you, as most perioperative mortality in vascular surgery is a result of cardiac events and this can be minimized in this setting with regional anesthesia. I would get a second opinion from a board certified vascular surgeon. Check with the society for vascular surgery at www. Vascularweb. Org. ...Read more
2 month: It should takes up to 2 months however if the baseline medical condition is poor the recovery may take longer. ...Read more
Varies: Many bypasses and stents will eventually fail at some point. The durability really depends on numerous factors and it really varies. Some of these factors include the size of the vessel treated, the length of the stent or bypass, the type of stent, the vessels below the area treated, the quality of the vessel other patient related factors. Your doctor can give you a decent estimate. ...Read more
Of course: Any major surgery should be a concern. However, now a daysbypass is common in the elderly. Things to monitor post op are confusion and sensitivyt to meds- pain meds, sleeping pills, anyhting that may contribute to delirium (acute confusion) in the hosptial. Often times the recovery is worse then the surgery ...Read more
Family practice: This must be a question concerning a friend or family member. It does depend on age and other medical conditions. The success rate is fairly high. Most patients do well life style, diet, and exercise are encouraged. No smoking. Lowering high cholesterol and controlling blood pressure. ...Read more