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Doctor insights on: Silverhawk Atherectomy Catheter

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What is percutaneous transluminal coronary angioplasty (ptca)?

What is percutaneous transluminal coronary angioplasty (ptca)?

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 more

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Catheter (Definition)

A catheter is a thin plastic tube that is inserted into the body to obtain fluids/blood or give medicine. So some catheters can be placed in the veins and medicine given directly into the body, IV fluids given or blood sampled. A catheter can be placed in the bladder ...Read more


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What is the best stent for angioplasty? "Xience stent" or "resolute integrity stent"?

What is the best stent for angioplasty? "Xience stent" or "resolute integrity stent"?

Stent: You need to discuss stents with your interventional cardiologist. The various stents available have subtle differences which make different operators prefer different stents. There is no stent which has markedly better results than the others. ...Read more

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Robotic assisted cornary artery bypass sugery?

Robotic assisted cornary artery bypass sugery?

Remote surgery: Bypass surgery done through tubes or scopes in which the surgery operates by sitting at a console and operates the scopes or tubes remotely. Much less invasive in that the cutting of the sternum or breastbone is not needed. The disadvantage is that it cannot reached all areas of blockage in some patients. ...Read more

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How is coronary artery bypass graft proceudre performed?

How is coronary artery bypass graft proceudre performed?

Carefully: Bypass surgery involves connecting a new tube ( artery or vein) to a coronary artery past a blockage. It is done on a stopped heart using the heart lung machine or on a beating heart by stabilizing the heart with certain devices. ...Read more

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How effective is a robotic assisted cornary artery bypass sugery?

How effective is a robotic assisted cornary artery bypass sugery?

Depends: Both on the disease and on the surgeon -- trained surgeons have excellent result with bypass to the lad. ...Read more

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How is coronary artery bypass graft performed?

How is coronary artery bypass graft performed?

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 more

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Whats a peripheral intravascular stent placement?

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

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Anyone done a carotid arteriogram and stenting after carotid artery surgery?

Anyone done a carotid arteriogram and stenting after carotid artery surgery?

Yes: Usually for re-stenosis most surgeon will perform stenting if indicated instead of redo surgery although no true benefit of stenting over surgery in these cases. In acute sitting , yes stenting is being done to repair a post carotid surgery flap or dissection. ...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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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?

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 more

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What's a coronary artery bypass graft for?

What's a coronary artery bypass graft for?

Rerouting of blood: A coronary artery bypass brings more blood to the heart muscle by connecting a new tube(vein or artery) past a blockage in an artery on the heart. ...Read more

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Is catheter angiography necessary before bypass surgery for someone with CAD ?

Is catheter angiography necessary before bypass surgery for someone with CAD ?

Yes: Is not possible to have bypass surgery without first having cardiac catheterization. The surgeon requires a detailed picture of the coronary anatomy to know if the patient is suitable for bypass surgery and to know where to put the bypass grafts during the operation. ...Read more

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How is a carotid artery stent done?

How is a carotid artery stent done?

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 more

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How is a renal artery stent restenosis done?

How is a renal artery stent restenosis done?

Place new stent: In old stent. Sometimes need a covered stent. Others just balloon again. ...Read more

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How is coronary artery bypass surgery conducted?

How is coronary artery bypass surgery conducted?

Step by step: Hello leenicole-- coronary artery bypass ad graft surgery is done in a strict step by step procedure involving first obtaining the bypass graft vessels -- which could be veins in the leg or arteries in the arms/chest -- then the sternum (chest bone) is split and forced open to access the heart in full view and the blocked vessel is bypassed -- etc. ...Read more

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Who cannot have a carotid stent operation?

Who cannot have a carotid stent operation?

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 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. Najam Wasty
96 doctors shared insights

Atherectomy (Definition)

It is a percutaneous intervention -- a vascular procedure like 'scrapping' the vascular wall ...Read more