Doctor insights on:
Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read moreSee 1 more doctor answer
Depends on location: Stents are used to treat various amounts of blockage. There are locations that develop restenosis more than others after treatment with balloons and stents. Medicated stents are designed to prevent this restenosis. In smaller vessels such as heart vessels there is a proven benefit. In larger, peripheral vessels no benefit has been shown compared to regular stents. So it depends. ...Read moreSee 1 more doctor answer
See below.: Patients with calcified arteries or plaque in the arteries in their chest - risk of it breaking off and causing a stroke. This includes many older patients >80 years. Patients with tortuous or twisted arteries - can't get the stent up to the carotid. Some argue that low surgical risk asymptomatic patients should get surgery or nothing due to the higher stroke risk in several studies with stents. ...Read moreSee 2 more doctor answers
Dilation of blockage: Using a vascular catheter, not an open surgical procedure, a balloon is used to dilate a blocked artery. This may be followed by placing a stent, a metal alloy support scaffold, can be placed to hold the vessel open. Aggressive medications will be needed to control the risk factors that contributed to the blockage. ...Read more
For a patient who never had bypass, no stent, but had asd closure, a-fib and chf, clopidogrel+warfarin really required?
To clot or bleed?: For a patient in their 30's with history of ASD s/p closure, a-fib and chf, but no cad, dual therapy may be required. Facts such as CHF severity, prior thromoembolic events from a-fib or asd, ventricular clots, and personal & family history of blood clots can help influence the decision to stop or continue dual therapy. Decision is best made by collaboration between cardiology & the ct surgery. ...Read more
Carotid intervention: CEA has lower stroke risk than stent, stent has lower risk of MI and cranial nerve injury. Each suitable at times. Best to go to provider that can do either. CEA generally better for standard risk patients, stent generally best if patient has had neck radiation, tracheostomy, or prior CEA. Can get biased view if provider can only do one or the other. Go to someone that can advise on risk/benefit. ...Read moreSee 5 more doctor answers
Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?
Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck. ...Read more
Do you have kidney: stones or urinary tract infections? A chronic kidney infection can cause flank pain. Do you have pain urinating? Burning? A quick urine analysis can help rule out infections or blood (might be due to stones). Your primary care doc can usually do this test. ...Read moreSee 1 more doctor answer
HX Nstemi Aug10,distal LAD occlusion,med therapy Crestor20mg,Toprol (metoprolol) XL 100 mg ,Plavix75mg ,Nov13 ,TC100LDL60HDL35TG60 LpPLA244 Lpa50 recommendations?
What's your Question: Looks like your numbers are pretty good with a good drug regimen. See your cardiologist, looks like he is doing a good job! ...Read more
Cardiac catherization showed100% blockage in LAD & other(oy has collateral). Do i need immediately cabg, robotic assisted bypass, or just medicine now?
It depends: CABG gives good revascularization with durable, dependable results for most. The risks are dependent on other factors heart and lung and kidney function. If you are stable, work with your doctors to be in the best shape before procedures. The specific coronary anatomy, distal target sites help us guide the choices. ...Read moreSee 1 more doctor answer