Doctor insights on:
Silverhawk Atherectomy Device
Depends: Both on the disease and on the surgeon -- trained surgeons have excellent result with bypass to the lad. ...Read more
How often robotic assisted coronary artery bypass surgery used and advantage co or pro over the regular bypass.
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
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
Clopidogrel for TIA versus Or Surgery for Female 75 If Carotid Artery over 70% Occluded with a Surgeon with High Volumes of Carotid endarterectomy ?
Get 2nd opinion : Other than medical therapy (which would be dual anti platelet + statin) and endartectomy, there is also catheter based treatment option (that is thrombectomy and stenting) in the hands of an experienced intwrvwntional cardiologist. Without knowing more about the plaque morphology, hard to advise. Carotid endartectomy is high risk vascular surgery. Pls obtain opinion U.S.interventional cardiologist ...Read more
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 moreSee 5 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
PORT-A-CATH: This is a device that works by monitoring a catheter in a vein to keep ready access to injection of intravenous medications or fluids. The device stays in place for a prolonged period and thereby avoids the need to repeatedly puncture a vein to administer medications or fluids. ...Read moreSee 1 more doctor answer
100% blockage in (lad) & (100% in oy but it has collaterals).Do you recommend regular open heart CABG or robotic assisted bypass, cones&pros please. ?
Implant = Prosthesis: The inflatable penile prosthesis (ipp) is an excellent solution for men with severe e.D. That does not respond to other measures. The implant surgery takes about an hour, is usually done as an outpatient, and has a pretty brief recovery. All surgery has risks, so do some research and find someone with some experience placing implants. ...Read moreSee 1 more doctor answer
When CABG, doctor talk that my LAA will ligation. how is the procedure the LAA ligation? With amputation (removal), sewing, or ligation with thread?
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
Depends: Like most of medicine and life, you have to balance relative risk vs absolute risk. The absolute risk of an lvad is high (stroke, infection, death) but if the heart is really failing and a donor cannot be found, the relative risk of not doing an lvad may be higher than putting one in. It all depends on the overall clinical circumstances. ...Read moreSee 1 more doctor answer
What are indications/outcome of lazer to open calcified cardac artery not successfully opened using a catheter with drill on the end ?
Laser: You need to ask an interventional cardiologist that question ...Read more