Doctor insights on:
Vas Cath Dialysis
Pressure measurement: Right heart catheterization is usually carried out to measure oxygen levels, intracardiac pressures, and cardiac output, as well as cardiac tissue biopsies. The right side of the heart is reached through the venous system (from the leg (femoral) or the neck (jugular) vein). A catheter (plastic tube) is used to carry out the above tasks and a bioptome is used to do the biopsy. ...Read more
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
38 wk pregnant, bilateral hydronephroses rt kidney7.5mm, 1.5cmlft kidney, bladder elongated, 2vessel cord 1umbilical artery. Complicated & surgery need?
Fetal hydronephrosis: Mild right, moderate left kidney. Presume normal amniotic fluid. Elongated bladder suggests baby, if male, may have urethral valves, or bladder reflux if of either sex. Should be able to proceed with pregnancy as normal. Suggest contact a pediatric urologist. Baby needs work-up after birth, ultrasound & VCUG (bladder xray). Start antibiotics (amoxicillin) & circ. If a boy. May need surgery later. ...Read moreSee 1 more doctor answer
Aunt kidney problem creatinine 17. Kidney size normal dr. Says chances of revival ofkidney function. Biopsy sent. Passes urine.Can kidney revive age60?
Creatinine of 17?: Are you sure that your aunt's creatinine (c) is 17, not 1.7? If her c is 17, she should be on dialysis. A biopsy would not be done in someone that high a c. If the c is 1.7, it seems that she had a glomerulonephritis, the cause of which needs to be determined for a diagnosis and prognosis. The best way to get more information about your aunt is to call the doctor who ordered the renal biopsy. ...Read more
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
Probably ok, but ...: If it's a nonmagnetic clip its ok. If it can be magnetized it distorts the MRI magnet field and may cause streak artifacts or local heating safety problems. The only sure way to know is to look it up the specific clip and check with its manufacturer or manufacturer's literature. It may be listed on www.mrisafety.com which lists many surgical clips, some are safe, others conditional or unsafe. ...Read more
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
Result of Angiography: three vessel coronary artery desease. preserved LV systolic function.what is best FOR MEAngioplasty or bypass operation?
Depends: If you're diabetic, CABG has better outcomes. If your LEFT MAIN coronary artery has >50% blockage, CABG has better outcomes. Aside from those 2 points, it depends on the skill of the team you have. If they do a lot of angioplasty, that would be preferred. If they don't but their surgical team is first rate, then that would be preferred. ...Read more
What about risk of dialysis after heart cath and 3 stent w ceratinine 1.5 but before operation in average 2.0 ?
Cath/dialysis: There is an increased risk of needing dialysis when your creatinine pre cath/intervention is abnormal. The angiographers/interventionalists deal with this everyday and take hydration and dye precautions to decrease this risk. The risks/benefits need to be considered for every procedure and you should discuss with your doctors. ...Read more
Pulmonary atresia IVS, echo findings c/w coronary to RV sinusoids. will undergo a shunt only. Do they all deserve pre op cath and why?
Article: An intra operative pulmonary blood flow study can be performed. I found this reference which hopefully will help: http://circ.ahajournals.org/content/101/15/1826.long ...Read more
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 moreSee 3 more doctor answers
Cardiologist suspected 2 major blockages in rca on CT angiogram. Heart cath done today totally clear. Md states could've been artifact? Cp still! ?
90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation 90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript. ...Read moreSee 3 more doctor answers
From heart cath, coronary procedure notes: femoral angio with loss of flow into sf. no closure. what does this mean?
See below: SF is superficial femoral artery. From your brief description, it sounds like you had temporary compromise to the circulation in your leg. That can be from spasm, clot, or tear. It must be okay or you'd be in pain and they would have operated. However, to not exacerbate it, they did not use a closure device which, otherwise, would have been used. ...Read more