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Doctor insights on: Heart Cath And Angioplasty

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How healthy are cardiac catherizatiion or angioplasty?

How healthy are cardiac catherizatiion or angioplasty?

Healthy?: I assume you want to know about the risks, in the right hands cardiac catheterization and angioplasty are very safe procedures. We typically quote a risk of death or stroke or possibly heart attack at less than one in one hundred thousand, other minor issues like bleeding from the access site or infection in the site are more common, but still not very common at all. ...Read more

Dr. Francis Uricchio
365 doctors shared insights

Cardiac Catheterization (Definition)

This is a procedure where narrow, flexible tubes are inserted into a peripheral artery through a cut in the skin, and advanced to the heart. Dye can be injected through the catheters into the arteries of the heart to look for blockages ("angiogram"), or to measure pressure within the cardiac chambers ("right heart cath"). Arteries can be opened with balloons/stents at the ...Read more


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Catheter Angiography of Heart for Mitral Valve Prolapse. Cardiologist said all Artery's are very good . would this mean the Carotid Artery's also?

Catheter Angiography of Heart for Mitral Valve
Prolapse. Cardiologist said all Artery's are very good .
would this mean the Carotid Artery's also?

Very likely: There is a good correlation between coronary artery disease and carotid artery disease - almost 60% . So a normal coronary artery is likely to indicate a low probability of carotid artery disease. If you absolutely need to know you can get a simple carotid artery ultrasound .( this is a non invasive simple test) ...Read more

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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?

Closed: While the chest is opened to get to the heart to do bypass surgery the heart is not opened. The arteries are on the surface of the heart and therefore approached directly. See picture. ...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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Right heart catheterization test procedure?

Right heart catheterization test procedure?

Pressure measurement: Right heart catheterization is usually carried out to measure oxygen levels, intracardiac pressures, and cardiac output, as well as cardiac tissue biopsies. The right side of the heart is reached through the venous system (from the leg (femoral) or the neck (jugular) vein). A catheter (plastic tube) is used to carry out the above tasks and a bioptome is used to do the biopsy. ...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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How could a high heart rate influence coronary artery perfusion and myocardial oxygen delivery?

How could a high heart rate influence coronary artery perfusion and myocardial oxygen delivery?

Decrease: In coronary perfusion pressure due to shortened diastole. Oxygen demand is increased but perfusion may not keep up if there is narrowing of coronary artery ...Read more

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When was the first open heart coronary artery bypass surgery?

Sometime in 1960: Click on history:http://en.M.Wikipedia.Org/wiki/coronary_artery_bypass_surgery#section_1 but also look at dr green in new york ( as i recall) that popularized this procedure. ...Read more

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Angiogram and heart stent the same thing?

Angiogram and heart stent the same thing?

No: They are often performed at the same time, but the angiogram is much safer, just injecting liquid dye into the artery (a diagnostic procedure). The stent is a therapeutic procedure that is higher risk of complications (death, bleeding, heart attack, and stroke). ...Read more

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What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

Angioplasty/stent : Heart attack is not necessarily prevented by angioplasty or stent. We do treat the underlying disease aggressively as well as dual anti platelet therapy to prevent stent thrombosis. If you smoke it negates much of the treatment. Most people do well after angioplasty and stenting. ...Read more

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Whats rotational atherectomy for heart blockage?

Whats rotational atherectomy for heart blockage?

Plaque removal: Rotational atherectomy is one of the few tools we have to actually remove part of a plaque within the artery and is usually utilized in conjunction with other means such as stenting of the artery. ...Read more

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Does angiogram show heart coronary arteries blockage?

Does angiogram show heart coronary arteries blockage?

Yes: Yes, a coronary angiogram is the most widely used test to look for blockages in the arteries of the heart and to decide the best treatment option (medication only vs stent vs bypass surgery). ...Read more

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Will atherosclerosis of the femoral artery affect heart beat and ekg?

Will atherosclerosis of the femoral artery affect heart beat and  ekg?

No: Ekgs measure the electrical activity of the heart. Palpitations ( irregular heartbeats) are also a function of the electrical activity in the heart. Neither of these will be affected by having atherosclerosis in the femoral artery of the leg. ...Read more

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What are congestive heart failure and coronary artery disease?

What are congestive heart failure and coronary artery disease?

Overlap: Atherosclerosis develops in our coronaries and can cause damage to heart. Some other diseases damage heart as well! viral, rheumatic, infections etc when enough muscle damage has happened, then heart failure, poor pumping, and congestion will occur- called CHF congestive heart failure. ...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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Might doctors see carotid artery during PFO closure in cath lab?

Might doctors see carotid artery during PFO closure in cath lab?

They don't but can: Usually angiogram of the aorta and carotid arteries is not part of the cath. Procedure for pfo closure. So it is not performed. But, technically, an angiogram of the carotids, coronaries or other structures can be performed during the same procedure if there was an indication for it. ...Read more

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Chest compressions and stents?

Chest compressions and stents?

Yes: Yes, but only if necessary for resuscitation after cardiac arrest. ...Read more

Dr. Andrew Berry
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Angioplasty (Definition)

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