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
Procedure: Performed from a small puncture into the artery in your groin area. A catheter is inserted and is used to evaluate the stenosis. A protection device is then inserted through the blockage and deployed. A suitable stent is inserted and deployed. A balloon opens stent to final diameter. Completion images are taken. Protection device retrieved. Catheters removed. See sirweb.Org. ...Read moreSee 2 more doctor answers
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
Angiography report of dad
lad- proximal seg 90% stenois
lcx- distal diseased. Ostial total occlu.
Rca- domi, prox total
Sounds reasonable: Obviously many factors need to be considered, but the anatomy you are describing would be difficult to approach with stents. Other factors such as age, frailty, and other medical conditions play a significant role as well. Each decision should be individualized based on his situation. ...Read moreSee 1 more doctor answer
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
Carefully: The distal end of the internal mammary artery is anastomosed to the coronary artery distal to the atheromatous plaque using 8-0 polypropilene and high power magnification. Radial artery or grater saphenous vein grafts are anastomosed to the ascending aorta and tho the coronary distal to the plaque. Obviously the thorax has to be entered and cardiopulmonary bypass may or not be used, . ...Read moreSee 1 more doctor answer
Arteriography showed 100% blocked Circumflex..had bypass on LAD 16 yrs ago..I'm 83.....prognosis?...worried
Need more info....: Not all 100% blocked lesions need to be fixed. Depends on symptoms, if any, and more importantly can they be attributed to that lesion. That is, your body might have already formed "auto-bypasses" to the chronic blockage. You and your cardiologist need to have a frank discussion about your options: do nothing, medical management or interventional based treatment; risks/benefits and trade-offs. ...Read more
Endarterectomy : Endarterectomy refers to a procedure wherein a surgical plane of resection of the inner lining of a diffuse narrowed blood vessel is undertaken. This improves the blood flow. Because of the diffuse involvement however there is a greater risk of recurrent narrowings there. ...Read more
Tradional CABG: A traditional cabg, involves using the heart-lung machine to sustain circulation while the heart is stopped so it can be operated on. Saphenous vein and an artery from the inside of the chest wall (lima) are used to bypass the blocked part of the coronary arteries. When the bypass grafts are completed, the heart will naturally start beating again. ...Read more
Both are safe: Vascular lesions in the carotid arteries increase stroke risk. Both stents and endarterectomy or lesion removal are safe and effective procedures to lower your stroke risk. Each procedure also carries a small risk of stroke during procedure. Your providers results should be available to you, and may help you decide. ...Read moreSee 3 more doctor answers
Not necessarily: A CABG if done without cardiopulmonary bypass (cpb) does not require the heart to be opened, however most cabgs are done with cpb requires cannula placement in the heart. However, most people consider any surgery on the heart where the chest is opened open heart surgery. ...Read moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer