Interventional radiology

What is Interventional radiology?

The clinical subspecialty that uses fluoroscopy, CT, and ultrasound to guide percutaneous procedures such as performing biopsies, draining fluids, inserting catheters, or dilating or stenting narrowed ducts or vessels.

Questions and answers on "Interventional radiology"

I just had a series of tests: Stress Test; Cardiac ultrasound; peripheral circulation, camera (as follow up to the stress test); carotid ultrasound. ALL showed as OK, BUT there was one glitch on the stress test. My cardiologist wants an angiogram. That part is OK, but I want to be sure that a stent does not follow, just because I am already on the table. I know stents are over used. I would want to know if there is a way to have someone else read the lab results to let me know if I should be concerned.

doctor1 MD

Hello and thanks for the query,

I tend to disagree that stents are over used in the practice of cardiology. The use of stents has revolutionized the way we treat cardiovascular disease. If you trust your cardiologist and believe in his competency he should only treat you with such an...

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my mother is complaining that her lower leg (above the ankle) feels hard she is on cumidin and other heart meds

doctor1 MD

Hi,

Thanks for posting your query.

You need to bring this to notice of your primary care physician at the earliest.

There are a couple of possibilities in her case. The most likely is some infection or circulation problems in veins of legs.

She is already on medicines for preventing clots in the...

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Hello Doctor,

This is a question related to my mother – aged about 56 years.

Incident: She suffered a heart attack 15 days ago.

History: My mother is diabetic and her sugar has not been very well controlled. For some years, she also had problem in breathing while sleeping and breathlessness in climbing stairs.

Question: Around 20 days ago, her sugar level had reached 500 and had to be taken to a doctor. A few days after this sugar level had shot up, she suffered a heart attack. She was administered streptokinase and was taken to the hospital in Patna. The doctors mentioned that water has got inside her lungs and she has been admitted in the hospital ever since. The doctors are planning for an angiography in the next few days but will discharge my mother from the hospital tomorrow.

I am attaching her ECG reports and other reports taken after she was admitted to the hospital. I want to ask a few questions:

1. If a blockage is found in the angiography, shall we ask them to insert the Stent right during the angiography ?
2. Is bypass surgery a better option than stent in the case of my mother ?
3. Did this water collection in the lung happen before the heart attack or this happens as a result of heart attack ?
4. What are the precautions and the long time medication etc that can be suggested by the doctors in a case like this.
5. The doctors in Patna have advised that the water intake should not be more than one litre daily. Is there any precaution to be taken about the humidity level to be maintained in the room in which the patient will stay after being discharged ?

Thanks

doctor1 MD

Hello,
Thank you for your query.
I am sorry for your mother and understand your concern.
In order for me to help you better, I would request you to upload the electrocardiogram and echocardiogram as a scanned image. You can use the “Upload your reports” section on the right.
1. If the blockage is...

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Hi - My mother in law has the above ailments and is in the ICU presently after suffering a somewhat mild heart attack. The doctor said that he believed that the stents were a better option than open heart surgery and a triple bypass. Can you please explain the differences between those options and whether her prognosis at 72 (she has high blood pressure and a thyroid disorder as well) is optimistic? Please let me know if you require more information than this. Also, I don't even think that she has been seen by a cardiologist or cardio surgeon yet and she is at a hospital that is not well known and I fear that she should be at one of our wonderful hospitals here in Los Angeles like UCLA or Cedar Sinai, or even Valley Presbiterian or St. Josephs. Right now she is at a smaller hospital and I am concerned about her getting the best care possible.

Thanks,
Stacy

doctor1 MD

Hi XXXXXXX

Thanks for the query.

I understand your concern towards your mother in law.

First I'd like to say that you are probably right about shifting her to a better equipped hospital. Cardiac care is a specialized intervention and requires skilled professionals. That being said, if she hasn't...

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Sister in law went in for heart catherization today. Doctor said 90% blockage in main artery - husband tells us that Dr. said they were unable to "get to it" (put a stent in). She is in Cardiac Intensive Care. I am assuming this is the Aorta- Dr. said they may have to replace a valve?? Can they bypass the Aorta??

doctor1 MD

hello,
I have gone through your query.Thanks for using HCM.
As such i need actual Cath reprot to guide you properly,but i can assume that she has Block in left main coronary or LAD and the block is not suitable for stent placement.hence she may need a bypass surgery.She may have additional valve...

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My father had a MI initially presenting chest pain, loss of conciousness, fits and then recovered
He admitted to hospital and troponin was positive. They did an angiogram and the results are as follows

Four dominant vessel system
Left main normal following distal bifurcation LAD type 3 vessell with distal LAD having discrete 70% stenosis after 2nd diagonal
Diagonal and septal perforator normal
LCX CO-DOMINANT LARGER CALIBER DIFFUSELY ECTATIC VESSEL
om1 small caliber-70% stenosis
OM2 HAS PROXIMAL DISCRETE ECCENTRIC 60-70% STENOSIS
distal cx normal
CX-PDA HAS A DISCRETE ECCENTRIC PROXIMAL 50% STENOSIS
RCA CO-DOMINANT WITH OSTIAL DISCRETE 70% STENOSIS
REST NORMAL

4 VESSEL DOMINANT SYSTEM
ECTATIC VESSEL 3 VESSEL CAD

HIS ECG AND TROPONIN RETURNED BACK NORMAL AND HE WAS DISCHARGED ON MEDICINES WITH ADVICE OF ELECTIVE PTCA WITH STENTING OF 2 VESSELS IN 3 MONTHS

HE HAS NO OTHER RISK FACTOR HISTORY OR PREVIOUS EPISODES OTHER THAN COPD
HE IS AGED 73

IS THE COURSE BEING FOLLOWED OK

doctor1 MD

Hello,
Thank you for your query.

As per the details that you have provided, your father has had an Acute Coronary Syndrome with positive troponin and ECG changes. Coronary angiogram has shown significant distal LAD stenosis, borderline significant OM2 proximal stenosis and significant ostial RCA...

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My mother in the UK is 91 [I live in Spain so am not supervising my mother as I live too far away] .My sister has just had to admit my mother to hospital again as in one leg and foot there is absolutely no blood circulating and she has the typical wound on lower leg that just won't heal.

The doctors are going to put some fluid intravenusly to help open an artery. This is the second time in 6 months they are doing this but say that they fear they will have to remove her leg. We are devistated for our 91 year old mother. Are there any other choices ? Like stets or laiser treatments. I understand that there are no other veins nor arteries in that leg in good condition but we are praying that someone can suggedt something. Thank You, Susi B

doctor1 MD

Hello,

Without the actual detailed medical history and reports of imaging studies like doppler, angiography it is difficult to give a accurate advice.

But from the description it seems that your mother had a vascular condition like DVT, varicose veins or peripheral artery disease which has now...

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I had angioplasty oct 2010. I am turning 40 next month. For the past three weeks I have had headaches with dizziness and jaw numbness, arm tingling. My cholesterol is 130 LDL 40 hdl but I am worried about my vldl. I smoke marijuana but don't drink or smoke cigarettes.

doctor1 MD

Hi,

Thanks for the query,

Dizziness, headache etc is a very difficult symptom to find a cause for. It may be completely unrelated to any heart condition or medication, although some meds may have this as a side effect -- for example, metoprolol.

It is possible there is restenosis (blockage) of...

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Had a heart XXXXXXX done in XXXXXXX this year. It was normal per my doc except I had 40-50% Ostial stenosis in the second diagoanal branch off the LAD. Is something I should be worried about?

doctor1 MD

Hello XXXXXXX
Thank you for your query.

I understand that you have diabetes and hypertension, which are risk factors for coronary artery disease.

I would also like to know your cholesterol levels. If not done already, kindly get a fasting lipid level done and upload the results. I would also...

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My dad had a stroke, actually a TIA 3 months ago and his right vertebral artery is 100% blocked and left one is blocked a bit as well. He is 55 years old, and has hypertension and diabetes. Is there any possibility to have a surgery to get rid of the blockage or any other better treatments? Thanks

doctor1 MD

Hi,

Thanks for the query.

I understand what your dear dad is going through physically and psychologically.It is noted that most of the patients suffer from symptoms of depression after a stroke.

A history of diabetes and hypertension has chances of a recurrence of stroke.However, this does not...

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Recent questions on  Interventional radiology

doctor1 MD

My husband went for a stress test and the Dr. phoned back said there was a shadow behind his heart. His blood pressure has been running a little higher then usual, he has three stents now but has never had a heart attach, Dr said he might have to have a cath later and is sending him new medication, what does all of this mean.

doctor1 MD

hi my mum is 65 and has never been ill all her life until last year when she had a heart attack and had stents fitted and has been on medication ever since, for the past couple of days she has been feeling dizzy and it has been going black like she is going to pass out , she dosnt pass out but she cannot hold anything down either and she has low blood pressure. she went to the doctors yesterday and he sent her home with some antibiotics saying if your no better in a couple of days come back and we will send you for a chest xray. she went home took an antiobiotic and threw it straight back up, so she went to bed. the doctor just said he thinks it is some kind of infection. I am worried because my mum carries on regardless but she isn t and looks ill , I just think because of the low blood pressure the doctor should have sent her to the hospital and I am very worried about her . do you know what is wrong with her ?

doctor1 MD

age 46 ht.5`6 wt. 126 vaginal aneurysm and vascular malformation in hip thigh and buttock .. also two small brain aneurysms... they are watching the brain aneurysms but the rest the Mayo clinic doctors say they have no treatment options available.. I had coil embolization in Oct 2013 in right side of vaginal wall that made my condition worse

doctor1 MD

Hello Sir, My dad from trivandrum was advised by his doctor to consult a cardiovascualar surgeon his analysis ****************** There is a small segment of block on the right side Iliac artery. But the rest of the vessel is well filled. He is symptomatically better. I discussed the options with him. The options are: 1.Attempt angioplasty and stenting (after consultation with radiologist) 2.Continue medical management 3.Surgery ****************** please let me know if i could call you. Thanks Arun

doctor1 MD

I have a severe pain in my left calf which is relieved by moving around. I also have shortness of breath for which I went to emergency room Monday. They released me with no findings. I did not have the pain in my calf at that time. I had been to...

doctor1 MD

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