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Doctor insights on: Bypass Or Angioplasty

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Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Not necessarily: A CABG if done without cardiopulmonary bypass (cpb) does not require the heart to be opened, however most cabgs are done with cpb requires cannula placement in the heart. However, most people consider any surgery on the heart where the chest is opened open heart surgery. ...Read more

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Dr. Katharine Cox
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Angioplasty (Definition)

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


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Which is more severe: stents or quadruple coronary artery bypass?

Which is more severe: stents or quadruple coronary artery bypass?

Severe: Generally the more disease the more likely we are to do bypass rather than multiple stents. This is not a universal truth however. ...Read more

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Which is better angioplasty or bypass surgery?

Which is  better angioplasty or bypass surgery?

Depends: It depends on what patient with what conditions. For example, if a patient comes in while they're having a heart attack, going to the cath lab for an angioplasty is much better than a bypass operation. In diabetics with two or more vessels blocked, bypass is much better. It depends on the person's medical condition and the number of vessels really. ...Read more

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What's a traditional coronary artery bypass?

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

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Should my arterial stenoses be stented or bypassed?

Should my arterial stenoses be stented or bypassed?

Depends: Depends on where the stenosis is and what your overall medical issues are. Also, it depends on the condition of your blood vessels. ...Read more

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When shoud heart artery stenoses be stented or bypassed?

When shoud heart artery stenoses be stented or bypassed?

Depends: When blood flow is sufficiently reduced by a greater than 70% blockage of an artery or arteries, to the point of permanent damage or weaknening of the heart muscle, or when a plaque ruptures and a blood clot repeatedly forms with resulting blockage of blood flow, then an artery needs to be stented, or bypassed. ...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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Is angioplasty coronary or congenital?

Is angioplasty coronary or congenital?

Coronary: What you describe is called coronary stent angioplasty. This is almost always done for coronary artery disease from atherosclerosis. Very rarely is this congenital, but early atherosclerosis can be related to family or genetics. ...Read more

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Can Triple vessel coronary artery disease treated with angioplasty and placement of stents?

Angioplasty: The treatment of multivessel disease depends on many factors. If you have triple vessel disease you should discuss your status with your cardiologist and ask the options open to you. ...Read more

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Dr. Irv Loh Dr. Loh
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How is a coronary artery bypass surgery (cabg) done?

Dr. Irv Loh Dr. Loh
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How is a  coronary artery bypass surgery (cabg) done?

Complex, routine: With or without a heart-lung machine to isolate the heart from the circulation, conduits like vein segments or arteries are placed from the aorta (oxygenated blood) to the target artery beyond the blockage site, thus restoring oxygen to the heart muscle. If suitable, off-pump procedures can be used, though uncertain how much is gained with that less traumatic technique. ...Read more

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Should renal artery stenosis be treated using stenting or bypass?

Should renal artery stenosis be treated using stenting or bypass?

Rx of renal art sten: 33 asks Should renal artery stenosis (RAS) be treated by stenosis or bypass. RAS should only be treated if it is cause of high blood pressure, Only reliable way to tell is to collect blood from veins draining each kidney and measure hormone renin. If stenotic side side has high renin & meds fail to control BP then repair depends on what is causing blockage and how bad it is. I specialize in this ...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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Can you describe coronary artery bypass surgery?

Can you describe coronary artery bypass surgery?

Yes: 1.Sternotomy, 2.Conduit harvest, 3.Full heparinization and institution of cardiopulmonary bypass, 4. With or without induction of cardioplegic arrest, 5. Microsurgical arteriotomies and anastomoses of the end of the conduits to the side of the coronaries distal to the obstruction and to the aorta, 6.Restoration of systolic function, wean off cpb reverse hep., hemostasis, chest tubes, pacing leads, close. ...Read more

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What is coronary artery bypass surgery like?

What is coronary artery bypass surgery like?

See video: In you tube there is a nice video showing the procedure. There are also visual graphics and animations. ...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 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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Which is better: angioplasty or a bypass surgery?

Depends: Too broad a question. Pts with poor heart function , mutiple vessels invoved, diabetics and left main involvement tend to be treated by bypass. The data suggests that the higher risk pts need complete revascularization and this is usually achieved by surger . With drug coated stents and improved technology the gap has closed and either may be suitable. Risks/benefits/alternatives should be discussed. ...Read more

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What's a coronary artery bypass graft for?

What's a coronary artery bypass graft for?

Rerouting of blood: A coronary artery bypass brings more blood to the heart muscle by connecting a new tube(vein or artery) past a blockage in an artery on the heart. ...Read more

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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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