An arteriogram/angiogram is procedure with contrast dye to establish whether or not there vessel stenoisis (narrowing) that may effect the blood supply to specific heart location. The arteriogram can be an interventional procedure (cath moved through femur vessel) or non-intervention with CT scan that takes images.
What procedure have you had to determine ischemia (low blood supply) to the heart's apex of a heart wall? Do you have symptoms for the ischemia?
hey my dad is suppose to go in for an angiogram but he fears what might happen to him if he does. i was wondering if there was possible any alternative procedure or something else he could possibly do.
Some more insight in addition to Flycaster's information.
You should get an understanding if the totally blocked arteries have developed a natural bypass (collateral vessels,angiogeneisis growth) that is now supplying the area with blood/oxygen. I and others on this forum have totally blocked arteries and manage very well without intervention (by-pass). You my not need a bypass or a stent.
I have been sick since the intial cath and am very worried that something was missed or there is a problem with the stent (bare metal stent) not certain why they did not insert a medically induced. This Thursday, I am scheduled to have a second cath, this time a radial procedure--through the arm as I had complications with the last. I believe my cardiologist is simply doing this procedure to prove to me that my ongoing symptoms are not cardiac related.
I have read thousands of posts and there are very few that have an angiogram for suspected occlusions that does not get a stent during the procedure. The cardiologist may see a 60 percenter, and stent for whatever reason even for the money! The stats indicate there are many patients that receive stent implants who may have done well with medication therapy. I would never suggest you or anyone should have relied on medication and not have stent implants.
Would a Fractional flow Reserve or FFR, posted on the New England Journal of Medicine on JAN. 2009 would have been a better procedure as opposed to an angiogram with die and implant of an Integrity RX BMS STENT on a 88 year old male with no history of cardio or pulmonary issues, fairly healthy who suffered his first heart attack at 88 years of age? just curious.
I'm having a CT angiogram Thursday. It avoids an interventional procedure that has some risk. X-ray exposture presents some risk for cancer, but my non-interventional cardiologist feels a CT angiogram is sufficient and I'm not disputing his recommendation. I had a cath angiogram and a stent 4 years ago, there was no problem as I was in a hospital setting for 3-4 days. However, some people experience a bleeding problem at the site of the cath insertion and pain that lasts several days.
jlaracuente is right. An angiogram shows all the arteries and if one or two are blocked the drs insert a stent to keep it open. Sometimes if the blockage isn't too bad, they just use a balloon to push the plaque against the artery walls and don't use a stent.
The angiogram itself is a series of "pictures". The patient lies down flat, you don't have to be sedated but can request sedation if you're really nervous.
My doctor suggested an Angiogram to make sure that something is not being missed. I am a little nervous and thought someone could answer some questions I have?
1. Is this a fairly safe procedure?
2. What are the risks?
3. Do all the serious risk only happen during the procedure?
4. What are the risk 24 hours, 48 hours and 72 hours after the procedure, meaning how long before you know you are out of the risk zone?
5.
The PCA is a cath interventional procedure that will stent and open the LAD. The stent procedure could have been done at the time of the angiogram...did your physical condition/reaction at the time of the test prevent doing a stent implant at the time?
No other problems indicated on the report. You may want to get an understanding regarding your passing out! You may have been overdosed or allergic to the dye, etc.
I had an angiogram then had a double by-pass and aortic valve replacement surgery all performed within 24 hrs.
Yes, a CT scan 64-slice angiogram is an alternative to the intervention of a cath angiogram. Because there has been too many unnecessary stent implants, there are quidelines for treatment of angina and suspected CAD.
If angina (chest pain) can be controlled with medication, then treat medically. If angina is not controlled, then stent occlusions greater than 70%. In the event there is an emergency with an occlusion then a by pass.
To do this a stent is placed . It is threaded through a cathether from the wrist or from the groin area. The stent is put in during angiography, so the cardiologist can see on screen whats happening in the artery and allowing them to see the blockage and then the increased blood flow result after the stent goes in !
This generally sorts out that particular blockage. So it seems your Dad has had a stenting procedure previously?
After performing an angiogram, i am told of a 70% block on one of the heart artery. The doctor advises me to perform a stent ,should i go ahead with it? I have no pain or shortness of breath, and currently on cardiprin and strovas for cholestrol control. I have quit smoking as well about twenty days ago.
Please advise.
An angioplasty (not surgery) is the introduction of a cath up through the vessels into the coronary (heart) vessels. The procedure is to expand the area of interest with a balloon and then insert a stent to hold the artery open. The individual is awake during the entire procedure but medicated, and usually the vessel hasn't shrunk, but there is a plague formation that narrows the opening.
The link to ANGIOGRAM at the bottom of your post gives a doctor's information about an angiogram with a cath (intervention) that is threaded through a vessel to your heart. Takes about an hour and a surgical doctor will be on standby in the event there is a puncture, etc. My complaint is an interventional cardiologists is inclined to implant stents during the procedure.
I doubt if the clot is in your left ventricle, it's probably in the LAD the left coronary artery. The stent procedure is very safe and it's the clot they want to remove by stenting it.
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