Doctor insights on:
Four Vessel Cerebral Angiography
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
encompasses several medical imaging tests that visualize the anatomy and pathology of blood vessels. Standard angiography involves catheterizing a vessel and injecting contrast under X-ray visualization. Less invasive angiographic techniques include MR angiography ...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
Periventricular isch chnges, infarcts both cerebral hemispheres incl rt parietal? Vascular event.Blood & vessels ok.Next check pfo, but could it be ms
Possible, but...: Fine to check for pfo, but real question involves potentials for stroke. You could have cadasil, which is a genetic disorder. A spinal tap could assist in diagnosis perhaps. Vasculitis, arteritis, even sjogren's might be considered. Description not necessarily ms, but part of considerations. ...Read more
With single vessel luminal (phenobarbital) narrowing coronary artery disease what percent requires angio?
Several factors: One of the factors is the distribution of the infarct. The arteries of the brain have a very well-defined territory that they supply and venous infarcts may not be isolated to one of those territories. Also, there may be direct or indirect evidence on a noncontrast ct or MRI that suggest occlusion of one of the major venous structures. Clinical history is also considered. ...Read moreSee 1 more doctor answer
Brain MRI says satisfactory intraluminal signal is noted in distal carotid vertebral and basilar arteries. Unremarkable brain MRA. What does this mean?
Normal vessels.: means normal vessels.Get a more detailed answer ›
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
Can L-carotid artery hypoplasia cause temporary R-eye blindness? CTA, CT, MRI show only L-side abnormalities and a 3mm aneurysm
Cerebrovascular Duplex Scan reveals bilateral homogeneous plaque present in carotid bulbs. No evidence stenosis/plaque in ICA. Lower stroke risk?
2 things: Carotid artery stenosis means narrowing of the artery. Stroke is death or damage to brain due to circulatory issues. Many strokes (approx 1/3rd) are due to carotid artery disease. Although frequently connected, they are not the same. Many strokes occur without carotid stenosis. Many carotids are completely occluded (slowly) without resultant strokes. ...Read moreSee 3 more doctor answers
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
Yes: If you have failed medical management and are high risk for surgery, then carotid angioplasty and stenting with distal protection should be considered. Find an experienced operator and the risk of stroke during the procedure can be as low as 1%, which rivals surgery results. I have been doing carotid stents since 1999 and this procedure has helped many of my patients. ...Read moreSee 2 more doctor answers
MRI vertebrobasilar hypoplasia right side theres robust flow void anastomosing the basilar artery w cavernous portion of internal carotid artery/mean?
Normal variant: The arteries at the base of the brain can course in several different patterns but ultimately get the job done, that is, supply brain tissue. Your pattern is like your fingerprint. Some more unusual patterns have an increased association with aneurysms, but this would have likely been described if present and vertebro basilar hypoplasia, as in the picture, is pretty common. ...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
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