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Doctor insights on: Four Vessel Angiogram

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What is the purpose of a 4 vessel angiogram?

What is the purpose of a 4 vessel angiogram?

Cerebrovascular flow: Many different reasons to evaluate cerebrovascular blood flow. A 4-vessel angiogram is meant to study both anterior (carotid) and posterior (vertebro-basilar) circulation to the brain. This can be to evaluate pathology, intervene endovascularly, or plan for open surgery in some cases. ...Read more

Dr. Stephen Scholand
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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I had an angiogram done and it shows 4 blockages in every vessel except my lad...Which has two...He says something about transplant...What should I do?

I had an angiogram done and it shows 4 blockages in every vessel except my lad...Which has two...He says something about transplant...What should I do?

Coronary disease: This is severe coronary disease for a young man like you. Consider evaluation at the cleveland clinic or mayo clinic. Before getting to transplant, i assume they've discussed options for stenting and bypass. Given the complexity, i suggest those facilities to get the best care. Also, you should have genetic testing and advanced lipid analysis. Good luck! ...Read more

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I had a MRI done on my spine and brain. And it came back abnormal. I am asked to do a angiogram, wht could this mean. I have a cluster or blood vessel?

I had a MRI done on my spine and brain. And it came back abnormal. I am asked to do a angiogram, wht could this mean. I have a cluster or blood vessel?

Answering why: Most doctors rule out or ensure the absence of life threatening events. A typical problem with a tumor that is cancerous is "angiogenesis" which is developement of new blood vessels. It does not mean that a cancer is there. It means that bads things are ensured to not be there. ...Read more

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Angiogram at age 26. Main coronaries are clear, but "endothelial dysfunction" of the small vessels. Is this bad? They explained badly. Heart atk risk?

Angiogram at age 26. Main coronaries are clear, but "endothelial dysfunction" of the small vessels. Is this bad? They explained badly. Heart atk risk?

Endothelial dysfxn : Reviewing endothelial distinction would require paragraphs and chapters, but practically it means that you really need to watch your risk factors, even at this young age. If you smoke, stop. Lose weight. Exercise regularly. Monitor blood pressure, cholesterol and blood sugar and treat if necessary. ...Read more

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Is there a less invasive procedure (imaging,i.e.) than angiogram to diagnose heart blood vessel blockage?

Is there a less invasive procedure (imaging,i.e.) than angiogram to diagnose heart blood vessel blockage?

It depends: The answer is more complicated than you can imagine. It depends on the definition of "blockage", the presence or absence of symptoms and the reason for the test. A nuclear medicine stress test is the first test done if a physician suspects a patients symptoms are due to coronary disease but isn't 100% sure. It will usually give the answer. If the results are equivocal a CT angiogram will be done. ...Read more

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Doctor suspects a avm or narrowing of vessels from mri. When I have an angiogram can they be wrong? The angiogram is for exploration.

Doctor suspects a avm or narrowing of vessels from mri. When I have an angiogram can they be wrong? The angiogram is for exploration.

Yes: An MRI is a screening tool that can detect an avm. The cerebral angiogram provides a more detailed view of the vessels in the brain. It is true that there are suspicious areas seen on the MRI which are not true avm vessels. Conversely, there may be areas that may not be interpreted as avm, but become apparent on the angiogram. ...Read more

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A MRI may have shown a cluster of blood vessels in my brain. They are unsure. They ordered a angiogram. What if they don't see a cluster?

A MRI may have shown a cluster of blood vessels in my brain. They are unsure. They ordered a angiogram. What if they don't see a cluster?

No cluster?: Actually, what you really want is for them not to see a cluster. This would tend to mean that the original findings on the MRI were a "false positive"--something that looked abnormal without any real abnormality. This happens a fair amount. Good luck. ...Read more

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Upcoming angiogram for brain. To check for avm or narrowing of vessels. Or fistula. What symptoms would I have for either condition?

Upcoming angiogram for brain. To check for avm or narrowing of vessels. Or fistula. What symptoms would I have for either condition?

Symptoms: The symptoms could be quite varied for an aneursym or avm, but would include headache, changes in vision (spots, blurring, transient loss of vision, etc), in some cases, could even cause seizures, weakness of a limb, affected speech, impaired coordination. It all depends in what portion of the brain the lesion is located. ...Read more

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Doctor suspects avm or narrowing of vessels in brain from mri. Have upcoming angiogram. Can they be wrong. Im told this is strictly for exploration. ?

Possibly: Mris are good screening tests for the avm. The final test is the angiogram. That is because this is a dynamic test, meaning that one can see the flow of the blood in the vessels. This will help with defining the anatomy of the vessels in the abnormality. As to whether an MRI may be wrong in diagnosing an avm, that is possible if the findings on the MRI are not clear. ...Read more

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Is daughter's cumulative dose of radiation from angiogram to look at veins in spine concerning or abnormally high?since she's a child,how likely cncr?

Is daughter's cumulative dose of radiation from angiogram to look at veins in spine concerning or abnormally high?since she's a child,how likely cncr?

Radiation dose: http://www.radiologyinfo.org/en/safety/index.cfm?pg=sfty_xray i would not worry to much .They tend to be careful and conservative with radiation exposure in children . Would put her in the mild category .(see heart section) don't worry it is a one time thing not daily ...Read more

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What would show up on a angiogram that would trigger the doctor to recommend quadruple bypass surgery?

What would show up on a angiogram that would trigger the doctor to recommend quadruple bypass surgery?

Severe disease: Usually when an angio shows multiple blockages that are complex and in multiple vessels they will reccomend bypass. Others cases would be left main coronary art dz. Multiple vessels and low ef especially in a diabetic. Each patient is a unique case and with improved technology more pts are going for stents that would have been sent to bypass in the past. ...Read more

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I had an angiogram.A week ago now I am feeling numbness in my thigh. Is this normal?

I had an angiogram.A week ago now I am feeling numbness in my thigh. Is this normal?

likely transient: The catheter enters a femoral blood vessel in the inguinal region, where there are cutaneous nerves providing sensation. Since the insertion involves a small incision, the local nerves can be temporarily injured, but should recover fully within 4 weeks. Check with your doctor if this does not reverse. ...Read more

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I am getting an angiogram, but the hospital can't perform an angioplasty, if needed. Is it better to change to a hospital where they do both?

I am getting an angiogram, but the hospital can't perform an angioplasty, if needed.  Is it better to change to a hospital where they do both?

Yes: If there is a blockage is found during angiogram, it can often be treated during the same procedure, with angioplasty and/or stent placement. This can eliminate the necessity of a second procedure. There are risks associated with the procedure which you should understand prior to proceeding. ...Read more

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I have an angiogram coming up, I am so scared as it is my first procedure. What can I do to calm my self. Ease my mind please!?

Worrying: Worrying about the unknown can cause anticipation anxiety. Strategies include: Exercise, yoga, Meditation, focus on here and now, develop an action plan, build social support, plan for procedure, educate yourself, focus on what you can do and can control. Free Apps: 1)MyCalmBeat, 2)StressCheck, 3)TacticalBreather, 4)LifeArmor, 5)Breathe2Relax, 6)BioZen, 7) BinauralBeats 8)InstantHeartRate ...Read more

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Hello sir, I am an Indian , 36 yrs old male, 4 years back had Acute myocardial infraction subsequently tested with Angiogram dye penetration method, -?

Acute MI: If you had acute myocardial infarction, its possible that you doctor might have recommended/performed coronary angiogram to see if you have severe blockage in any artery around the heart. If there was severe blockage, they would have recommended for stent or surgery. However, your question is incomplete. What do you want to know? ...Read more