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Doctor insights on: Hepatic Arterial Infusion

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Dr. Sandra Lora Cremers
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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Which are more effective in your opinion: transjugular intrahepatic portosystemic shunt(tips) vs tranditional portal systemic shunt?

Which are more effective in your opinion: transjugular intrahepatic portosystemic shunt(tips) vs tranditional portal systemic shunt?

Both: Both are effective. The benefit of TIPS is that it is done fairly noninvasively - with a traditional portocaval shunt the operation is bigger. Most have now gone away from doing surgical shunts in favor of the TIPS procedure. TIPS can be very effective in treating ascites (fluid) and varices (dilated veins in the esophagus). ...Read more

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Whats disseminated intravascular coagulopathy?

Whats disseminated intravascular coagulopathy?

DIC: Disseminated intravascular coagulation (dic) is a complex systemic thrombohemorrhagic disorder involving the generation of intravascular fibrin and the consumption of procoagulants and platelets. The resultant clinical condition is characterized by intravascular coagulation and hemorrhage. ...Read more

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Which has higher co2, cord arterial blood gas or venous?

Which has higher co2, cord arterial blood gas or venous?

The non-red blood: in the cord I forget which one has the oxygen, but that has the good air and not the bad air. I'm pretty sure it works reasonably with arterial going IN with oxygen and nutrients and coming back out with wastes and CO2. ...Read more

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What causes mesenteric arterial thrombosis?

What causes mesenteric arterial thrombosis?

3 major factors: Condition of the artery (caliber, plaque, injury, inflammation...) viscosity of the blood (hydration, tobacco, blood element derangement...) and the force of the blood flow (stasis, poor heart functions...) are the main factors leading to mesentary arterial thrombosis. It can happen in association to an embolic event. ...Read more

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With single vessel luminal (phenobarbital) narrowing coronary artery disease what percent requires angio?

With single vessel luminal (phenobarbital) narrowing coronary artery disease what percent requires angio?

CAD: If a suspicion of significant CAD is present (symptoms or abnormal stress study), angiography might be indicated. Intervention might be indicated if a blockage of greater than 70% is present. ...Read more

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Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Here are some...: A 400-letter space is impossible to address many indicated subjects as questioned here. Why not type in the terms as keywords to search online? Thereby you surely gain a lot of pertinent information to feed your appetite of knowledge. Or you may just ask your doc who should be able to answer your questions to the point much easier. ...Read more

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What CT Scan conclusion means? "three arterialized hepatic lesions showing washout on portal venous phase imaging upon background nodular cirrhosis"

What CT Scan conclusion means? "three arterialized hepatic lesions showing washout on portal venous phase imaging upon background nodular cirrhosis"

Findings. Sx? Biopsy: 1st, the basic problem is nodular cirrhosis - there are signs of liver damage (from what cause, only a doc who knows your history can tell). There are 3 lesions- or nodules- in the liver, fed by an artery, which takes up the dye that was injected at the time of CT scan. The dye washes out, so that's encouraging, but whatever the nodules are, you'll need a biopsy to figure out degree of livr damage ...Read more

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What does coronary occlusion acute, arterio-sclerotic cardio vascular disease and acute myocardial infarction mean?

What does coronary occlusion acute, arterio-sclerotic cardio vascular disease and acute myocardial infarction mean?

the same thing: Arteriosclerotic cardiovascular disease means blockages in the coronary arteries. The manifestation of coronary artery blockage is a heart attack. When this happen suddenly, we say it is acute. ...Read more

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MRI - the liver appears normal without mass, porta hepatis lymphadenopathy or venous thrombus. U/S hepatic echogencity normal. Please interpret.

MRI - the liver appears normal without mass, porta hepatis lymphadenopathy  or venous thrombus.  U/S hepatic echogencity normal. Please interpret.

Normal exams.: The description you have posted is that of a normal liver. Feel free to ask your primary physician to explain the outcome of all of your tests. If you would like a second opinion of your MRI, feel free to schedule a HealthTap Concierge Inbox Consult with me and I can review your images and provide a complete explanation. ...Read more

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Please explain why is pulmonary arterial blood pressure less than systemic arterial blood pressure?

Please explain why is pulmonary arterial blood pressure less than systemic arterial blood pressure?

PAP: The resistance to flow of blood is much lower in the lung than in the systemic circulation, this is why the pa pressure is normally lower than systemic pressure, the blood flow in both circuits is normally the same and pressure equals flow times resistance. ...Read more

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Is coronary artery bypass surgery compatible with varicose veins?

Is coronary artery bypass surgery compatible with varicose veins?

Yes and No: Coronary artery bypass requires some form of conduit for bypass. Superficial veins from the lower limbs have been used for bypass. Smaller arteries from the underside of the chest wall have been used in favor of veins for the left side of the heart. Early enlarged varicose veins can still be used for bypass; however more advanced wall bulges and wall aneurysms Prohibit use of the varicosed veins. ...Read more

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Dr. Ziad Akl Dr. Akl
2 doctors agreed:
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Increased /coarse hepatic parenchymal echotexture (liver parenchymal disease ) with prominent portal vein and splenomegaly? Wat it means

Dr. Ziad Akl Dr. Akl
2 doctors agreed:
Increased /coarse hepatic parenchymal echotexture (liver parenchymal disease ) with prominent portal vein and splenomegaly?  Wat it means

Severe damage: When damage to the liver occurs for a long time, meaning years, the liver becomes scarred and the veins that bring blood to the liver become distended because of resistance inside the liver. This increased pressure causes the spleen to take more blood and become enlarged. This is called cirrhosis of the liver and can be due to any number of things including alcohol and viral hepatitis. ...Read more

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Abdominal ultrasound demonstrated mild intra and extra hepatic biliary dilatation. CBD: 1cm. MRCP demonstrated no ductal dil but pancr enlargement?

 Abdominal ultrasound demonstrated mild intra and extra hepatic biliary dilatation.  CBD: 1cm.  MRCP demonstrated no ductal dil but pancr enlargement?

Pancreatitis: Mild ductal dilatation with a 1 cm. CD is mild. That there is pancreatic enlargement suggest probable inflammation. This would impinge on the CD as it passes to ampulla of duodenum. Farthest site ie mild duct enlargement fits picture. To R.O tumor a transduodenal ultrasound of pancreatic head would show a hidden lesion. Otherwise if needed, a PET/CAT could help. ...Read more

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Can you tell me how hepatic portal vein anastomose with superior vena cava and inferior vena cava?

Can you tell me how hepatic portal vein anastomose with superior vena cava and inferior vena cava?

Normal anatomy?: The portal vein is majority blood supply to the liver. It carries nutrient-rich blood from the gut to the liver. After passing through the liver, blood leaves via the hepatic veins and enters the inferior vena cava. There is a procedure, called TIPS, which creates a direct shunt between the portal vein and hepatic vein. ...Read more

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Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?

Coronary Angiography report concluded;"atherosclerotic coronary artery disease showing moderate proximal LAD mixed stenotic lesion 50%"what it means?

Test Result: I find it is best to discuss any test result with the physician who did the test or ordered the test. They can interpret it knowing all the clinical history involved and tell you exactly what is going on. ...Read more

Infusion (Definition)

An infusion implies a substance administered via IV 2 a person, such as blood (transfusion), antibiotics and pain meds or other meds. Some can be ...Read more


Hepatic (Definition)

Hepatic refers to something that is ...Read more