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Doctor insights on: Four Vessel Angiogram

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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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Dr. Hamid Sajjadi
1 doctor shared a insight

Angiogram (Definition)

An angiogram is a picture of the inside of ones blood vessel (vein or artery) created by injecting a clear liquid (radiopaque dye) which appears to be white (or ...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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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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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?

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

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

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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Had a heart angiogram show blockage in my left main coronary artery.Ok.Why?

Had a heart angiogram show blockage in my left main coronary artery.Ok.Why?

Emergency: Blockage in the left main coronary artery is considered an emergency condition requiring urgent intervention by angioplasty or bypass surgery. This situation is associated with high mortality if left alone. ...Read more

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Carotid doppler showed 50% bilateral blockage, mr angiogram was negative. Which is more accurate?

Carotid doppler showed 50% bilateral blockage, mr angiogram was negative. Which is more accurate?

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

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Coronary CT angiogram shows extremely high calcium score of 4242 and ~ 70% blockage one artery. next step cath angio. Should I consider atherectomy?

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 more

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What cavernous carotid artery flow void on my MRI mean?

What cavernous carotid artery flow void on my MRI mean?

Need CT angiogram: Flow void on MRI means that in flow is not seen with MRI technique this could be artefact. Ct angiogram or angiogram can help to make sure that artery is ok. ...Read more

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Is 700/0 carotid artery narrowing a TIA symtom?

Is 700/0 carotid artery narrowing a TIA symtom?

Not clear: Your question is not clear. Please reframe the question to get correct answer. ...Read more

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Female two half mth ago had TIA .Treatment with Clopidogrel and Fibrazate .Neck Bruit diseased vein Ultrasound ,Brain Scan.Prognosis moving forward?

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

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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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Had a doppler for the carotid arteries and the conclusion is:accelerated blood flow, reversed blood flow above the carotid bifurcation?Is this serious?

Had a doppler for the carotid arteries and the conclusion is:accelerated blood flow, reversed blood flow above the carotid bifurcation?Is this serious?

Probably yes: You should consult a vascular surgeon. While this could be serious, it could also be a false positive finding. It is not something that you should handle over the iinternrt. ...Read more

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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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Husband had a quadruple bypass. Experiencing increased angina, had angio today to put stent in.Instead, radial artery not functioning?

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 more

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