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Doctor insights on: Silverhawk Atherectomy Device

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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

Dr. Najam Wasty
96 doctors shared insights

Atherectomy (Definition)

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


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How often robotic assisted coronary artery bypass surgery used and advantage co or pro over the regular bypass. ?

It depends: In the hands of some surgeons, robotic results may not be as good as for others. Choose your surgeon and medical center well. ...Read more

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Is an implantable cardioverter defibrillator removed in heart bypass surgery?

Is an implantable cardioverter defibrillator removed in heart bypass surgery?

No: The defib. Device is implatnted in the inner chambers of the heart and bypass is on the out side of the heart where the coronary arteries lie.Unless theres another reason to remove the device ie an infection the device is left in. ...Read more

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For what artery does minimally invasive robotic bypass best used?

For what artery does minimally invasive robotic bypass best  used?

LAD: The most common robotic operation is a lima to lad bypass graft. This is done through small incisions in left chest on a beating heart. ...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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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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Can atherectomy replace a vein bypass for lower leg artery disease treatment?

Can atherectomy replace a vein bypass for lower leg artery disease treatment?

Peripheral artery dz: You need to discuss your disease with your vascular surgeon. The choice of procedures depends on the anatomy of your problem and your physiology, none of which is present here. Atherectomy can sometimes be used in peripheral arterial disease. ...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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Clopidogrel for TIA versus Or Surgery for Female 75 If Carotid Artery over 70% Occluded with a Surgeon with High Volumes of Carotid endarterectomy ?

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

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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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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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What is a venous access device (port-a-cath)?

What is a venous access device (port-a-cath)?

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 more

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What device is used to remove plaque during an endarterectomy?

What device is used to remove plaque during an endarterectomy?

Penfield Elevator: Open endarterectomy is done through a surgical incision with an instrument that looks like a spatula with a small rounded end. The plaque is held with a forceps while the elevator pushes the remaining artery away. Sharp scissors are sometimes needed. ...Read more

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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. ?

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. ?

Hard to say: It is hard to say without seeing the catheterization films. Robo CABG can bypass lad, diagonals, and high obtuse marginals or ramus. In order to know which is best one has to evaluate the films, targets, all around anatomy, etc... ...Read more

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Penile implant surgery or prosthetic penile implant. Which is better?

Penile implant surgery or prosthetic penile implant. Which is better?

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 more

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When CABG, doctor talk that my LAA will ligation. how is the procedure the LAA ligation? With amputation (removal), sewing, or ligation with thread?

When CABG, doctor talk that my  LAA will ligation. how is the procedure the LAA ligation?  With amputation (removal), sewing, or ligation with thread?

All 3 or a clip: Left Atrial Appendage removal or exclusion can be done by putting a large clip across it, by oversewing it, of if in the heart, by sewing inside. ...Read more

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Is stenting or carotid endarterectomy better?

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 more

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I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

Different things: Bypass surgery (CABG) treats the blockages in the heart vessels, while the defibrillator (icd) treats dangerous heart beats such as ventricular tachycardia or fibrillation. A person may need both, depending on their medical condition. ...Read more

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Is bridging to transplantation with a left ventricular assist device a risky procedure?

Is bridging to transplantation with a left ventricular assist device a risky procedure?

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 more

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