Doctor insights on:
Four Vessel 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 moreSee 1 more doctor answer
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
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
Husband had eye stroke had dopplar & mta dopplar showed blood flow no blockage mta showed severe stenosis carotid artery how does this happen next cta?
Carotid stenosis: If severe, greater than 60%, then you should consider a potential entarterectomy or even stunting to prevent additional stroke events. Some evidence to suggest also, potential benefit of anti-platelet medication such as Aggrenox and a statin. Discuss with a stroke neurologist, and a vascular surgeon. ...Read more
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
Debatable: Few vascular surgeons make decisions on carotid artery stenosis based on mr, as carotid doppler (ultrasound) has been proven to be very reliable when a good technologist performs the study. From what you're describing, your carotid arteries are likely without disease as the reporting standards for ultrasound haven't quite been set. In my lab you'd likely be found to have no disease at all. ...Read more
Coronary CT angiogram shows extremely high calcium score of 4242 and ~ 70% blockage one artery. next step cath angio. Should I consider atherectomy?
NO: You need a coronary angiogram-depending what it shows, you may need revascularization. Depending on location and extent, you may need surgery. Otherwise, balloon angioplasty followed by stenting is the treatment of choice. Atherectomy has a very limited and specific indication. If you need it, your interventionalist is the one to make the call. ...Read moreSee 2 more doctor answers
Female two half mth ago had TIA .Treatment with Clopidogrel and Fibrazate .Neck Bruit diseased vein Ultrasound ,Brain Scan.Prognosis moving forward?
Depends on risks: At 76, you have a greater chance of having a stroke than a younger person. A bruit in the neck is usually due to plaque in an ARTERY, not a vein. Assuming your brain scan did not show other disease, and ultrasound demonstrated arterial plaque, you should consult a vascular neurological specialist to discuss the relative risks of operation versus medical treatment alone. ...Read more
Which procedure is more useful to detect artery blockage, angiography, CT angiogram, or cardiac catheterization and why?
Had a doppler for the carotid arteries and the conclusion is:accelerated blood flow, reversed blood flow above the carotid bifurcation?Is this serious?
Carotid artery disease, different results from duplex ultrasound vs. Ct angiogram (cta), is that possible?
Husband had a quadruple bypass. Experiencing increased angina, had angio today to put stent in.Instead, radial artery not functioning?
Not sure: Not sure what you mean by radial artery not functioning. Was there a failed attempt at radial puncture? Was the radial artery used as bypass graft? Radial artery has mostly been abandoned as an option for bypass graft and is only used as a last resort. Please clarify. ...Read moreSee 1 more doctor answer