cardiac cath - does this make sense?

There was proximal severe hazing 95% stenosis in the LAD which was treated successfully with Taxus drug-eluding stent 3.0 by 16 mm which was post dilated with 3.5 mm noncompliant balloon. The patient had 2nd DINA vessel which was jailed by the stent but this was a very small caliper size vessel. There is also small caliper size vessel of the right posterolateral vessel with some moderate disease which we will continue to treat with medical therapy.

• cardiac cath - does this make sense? - jss
  • Can you hear high-grade 95% stenosis? nm - M.A.
  • 2 other corrections: caliber and drug-eluting stent.....sm - oldtimer
  • tx cathy and ss - jss
    • You are welcome. They are not easy or fun. Good Luck - ss
  • Some help--sm - Cathy
    • just thought I'd say thanks for this reply- it just helped me w/ a similar question! :) (nm) - Bonjeanjo
  • There is a noncompliant balloon. Found in Surgical Word Book - ss
    • and may be just could be hazy 95% stenosis - ss

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born with _______  double-outlet right ventricle

Sounds like SBN. 

Thanks.

The patient has undergone cardiac catheterization, which revealed multi-vessel disease. She has a totally __________ s/l pitted RCA, which is well collateralized from the left ____ s/l systa. 

shows an essentially patent stent in the RCA, patent s/l brightness??? intermedious??? but with persistent restenosis.

doc is racing through this so i might be off on the pronunciation a bit as everything is slurred.  this is listed under primary procedure...

Left heart catheterization s/l cudding boo-d to the LAD and a Taxus into the LAD.

Dictator says, "We then advanced a 3-French pigtail catheter into the ascending aorta over a 0.018-inch TERUMA wire." 

Any ideas on what the "teruma" wire is.  I'm guessing it's a surgical brand, but I can't find anything close. 

Help Please!

A 6 French sheath was percutaneously placed into the right femoral artery using the modified Seldinger technique and after S/L PELVICATION,  20 cc of 1% lidocaine solution for local anesthesia, 2 mg of Versed and 50 mg of fentanyl were administered intravenous prior to the procedure for sedation and pain control. 

Help please....

Anyone ever heard of mini-crash technique? This is a heavily accented dictator who is speaking through a mouth full of marbles.

Here's a running start:  "Then 3 x 30 mm stent was positioned in the PDA using a 'mini-crash' technique."

Thx! 

pt had a cholecystectomy symptomatic with right upper quadrant pain with elevated liver function studies thereafter.

Is there a better way to say this?

Certainly, if there is any kind of stricture or lesion that might improve his nutritional status, this certainly could lead to his improved comfort and increased survival.

The pt has dysphagia and has lost weight, so doc is sending him to an ENT physician.

He is talking about lab results and he says:

"negative immunofixation s/l tighter"

does "tighter" make sense here?

It sounds like he is saying: Temperature was flat at the time of discharge. 

I have never heard that before. Would that be right? TIA!

I am covering this acct for someone and don't know if this makes sense. 

This patient is returning for followup after a left carotid endarterectomy.

The doctor says:

My impression is that the patient has s/l failed to the left carotid endarterectomy, and the right side has 50-79% stenosis, which is asymptomatic.

Both sides have 50-79% stenosis...............................THANKS FOR ANY HELP!

pt already had the colectomy and I don't hear her say "with" takedown.

Not sure that he is saying this exactly...

BTA of the circumflex was performed with stent in 2 proportions; proximal and mid-circumflex.

Thank you!

On exam, he dictates, "No focal motor or neurological s/l os."   

tia.

The patient had bilateral breath sounds, s/l color transient capnometer and no epigastric sounds. 

s/l color transient ??

some s/l vertusion or hematamatic material was in the right fallopian tube. 

I don't think hematamatic is a word, but I am nearly 100% sure that is what is being said

It sounds pretty clear - Pt has dull headache, with 3 episodes of intermittent, severe, sharp pain, left-sided.  Last 3067.  Had left eye twitching. 

I can't figure out what the "last 3067" means??

TIA