There are a few types of PACNS, including GACNS (a pathologic diagnosis made by biopsy), and BACNS, a diagnosis which is made by angiography (a procedure whereby dye is injected into the blood vessels of the brain and they are visualized).
The doc puts the device up through the groin and into the brain like an angiogram. If she is having this procedure, she is very lucky. There are not many docs that are trained to do this procedure and there is a small window of time that the procedure can be done after the onset of the stroke. Good luck to your sister in law and your family!
To follow up and close out - my throacic surgeon followed up with the doctors doing the angiogram and made it clear that he only wanted the angiogram done. (I might mention that my thoracic surgeon is one of the top in the world.) And, as the angiogram turned out, I have absolutely no blockage at all - zip, nil, none. (This to the absolute disgust of my wife who nags at me incessantly for putting so much butter on pancakes or 1/2 and 1/2 on my cereal.
ve had many of them. The drive to the hospital tomorrow carries a bigger risk of death than the procedure. You will be completely relaxed going in for the procedure, be ready for a cold room, but usually they will give you warm blankets.
I hope you post the results of the procedure. Keep us informed.
I also have Abnormal Dilatation of the left middle cerebral artery region. The called the aneurysm a Bulbous expansion of the trifurcation on the left middle cerebral artery. I also had some Sino-Inflammatory or Sino-Polyposis changes. Other than that they didn't find anything wrong. I was wondering what treatment they will do for my aneurysm if any at all. My family doctor told me to continue with normal acitvities and exercise. He was not to concerned about it bursting.
The Dr performing the procedure said I need further investigations, ie, an MRI Stress test because of. Here is the report they gave me.
Managment Plan:
Depending on the result of MRI, may require PCI of circumflex and LAD, or CABG.
Is this an indication that two or more of my arteris are blocked. Since the angiogram, I frequently get minor chest pains without stress.
nuclear stress test 1 week ago showed restricted blood flow. Angiogram done. One of the grafts has backed up blood which is restricting flow. Doc said may get better with exercise or stent the original blocked artery which is a 5 yr old stent on right side that is 90% blocked. Unsure what to do grafts on left side are doing great. What do u think Bill S.
You will also be given a few pills before the procedure, to thin your blood and lower the risk of clotting. In the UK we are given around 600mg of Plavix, That's 8x75mg pills, but some countries give 300mg. If you have any questions about the procedure, please ask, we have lots of experience to share. I promise you, nothing hurts and it is over before you know it.
The CT scan 64 slice is not the state-of-art for CAD detection. The CT scan 256 slice 3D images is very good as the images provide a view as if actually seeing the source. The 3D CCG differs from CT as it measures blood velocity to determine fault that may or may not be due to blockage but another cause. A cath angiogram has the advantage if there is blockage, the blockage can be stented at the time, and it is not painful at all!.
Did they use sufficient local anaesthetic? During different parts of the procedure, they inject different volumes of contrast. This, depending on which artery is receiving the dye, causes heat sensations in the body, pain down the sides of the body, chest pains etc. They only last for about 5 seconds, but can be alarming if you don't know it's going to happen.
Hello Crwstar,
Thank you for your comment. I gave up checking the forum , I thought noone read my request. I hope you're feeling good these days. I decided to go in for the CTangio catheter nxt wk.
Do you mind if I ask about your procedure?
- did you have anesthesia? was it painful inserting the catheter? were there any residual cognitive side effects you noticed?
I have gov.health ins. which means I don't have the same doc. following my case.
Hello Padma,
Sorry to learn about your dad. I had a CT angiogram for heart this week. Compared to a regular angiogram or catheterization , the CT angiogram can be considered a noninvasive procedure. However, in your dad's case the CT angiogram may also be considered risky because of kidney problems. His kidneys may not be able to deal with the dye used for CT angiogram. I am not a doctor so here I am just giving advice based on my on experience.
t be any risk with a CT scan, and if the procedure is with a cath the risk may be a problem at the entery site (groan) as a diabetic may have some difficuty with the healing process other risks are minimal i.e. rupture, uncontrolled bleeding, etc. Doctors are quickly available if there is a problem.
The word shunting means to bypass blood flow. I assume it is a coronary artery bypass, and the risk depends on general health and whether or not the conditions cited are under control, etc.
for some reason that same hand is tender over the top of my hand, where they put in the Angiogram camera tubing. I have had a groin Angiogram about 7 years ago. Even though I had this wrist discomfort, I would seriously ONLY ever recommend the wrist Angiogram, should you be reading my experience here.
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