Dr. Stephen R. Topper, MD is a radiologist in Philadelphia, PA specializing in interventional radiology/diagnostic radiology (ir/dr), diagnostic radiology and surgery. He graduated from Thomas Jefferson University, Jefferson Medical College. Dr. Stephen R. Topper, MD is affiliated with Jefferson Health, Jefferson University Physicians (JUP) and Thomas Jefferson University Hospital.
111 South 11th Street
Philadelphia, PA 19107
132 S 10th Street 10 Th Floor Main
Philadelphia, PA 19107
2301 South Broad Street
Philadelphia, PA 19148
909 Walnut Street
Philadelphia, PA 19107
Angiogram (Angiography)
Angiography is the use of x-rays to examine blood vessels, especially in order to identify any blocked or misshapen vessels that may cause problems. The test itself is called an angiogram. Some of the disorders that angiograms can be used to diagnose include:
During an angiogram, the doctor inserts a very thin, flexible tube called a catheter into a blood vessel through an opening in the groin or arm. The catheter is threaded through the body to the site of the suspected problem, where a small amount of dye is injected into the bloodstream and x-rays are taken. The dye makes the surrounding blood vessels visible via x-ray.
If necessary, certain procedures can be performed after an angiogram while the catheter is in place. Angioplasty is the use of a catheter to widen narrowed or blocked arteries. Stents are like tiny coiled springs that hold blood vessels open, and they can be placed during a catheterization. Damaged heart valves can also be repaired or replaced.
A typical angiogram takes about an hour to perform, but it may be longer if the catheterization is used to perform procedures on the blood vessels. It may be uncomfortable at times but is usually not painful. Afterwards, patients may be monitored for up to six hours to make sure any bleeding from the insertion site has stopped. They are given fluids to help flush the dye from their body. For a day or two after an angiogram it is important for patients to drink plenty of fluids and keep strenuous activity to a minimum.
Angioplasty
Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.
Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:
During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.
There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.
Radioembolization (Selective Internal Radiation Therapy)
Radioembolization, or selective internal radiation therapy (SIRT), is a minimally invasive procedure that uses radiation to treat liver tumors. By targeting the hepatic artery, or the main blood vessel that supplies the liver, radioembolization can cut off the blood supply to liver tumors. The tumors shrink, and minimal damage is done to healthy tissue. Radioembolization is a treatment option for tumors that cannot be removed by surgery or other radiation therapies, for liver cancer that is confined to the liver, or for liver cancer patients that have more than 3 months of life expectancy.
To perform radioembolization, a catheter is inserted into an artery in the groin and threaded to the liver. Radioactive beads, or pellets, are delivered through the catheter. The pellets will continuously deliver radiation for 10-14 days. The pellets will remain in the body permanently without causing any complications. If the tumor or cancer is confined to one portion of the liver, radioembolization will be performed in one treatment session. If both sides of the liver are affected, a second treatment session will be done about 8 weeks after the first.
Typically, most patients can return home and do light activity within hours following the procedure. Patients will be given medication to treat any possible side effects, which can include nausea, fever, abdominal pain, or tiredness.
Volume of procedures performed by Dr. Stephen R. Topper, MD for Medicare patients.
The highest averages for the top procedures that Dr. Stephen R. Topper, MD treated as a radiologist in Philadelphia, PA were aspiration and catheterization.
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Dr. Stephen R. Topper, MD graduated from Thomas Jefferson University, Jefferson Medical College. He completed residency at Jefferson University Hospitals. He is certified by the Radiology, Vascular & Interventional Radiology and has a state license in Pennsylvania.
Medical School: Thomas Jefferson University, Jefferson Medical College
Residency: Jefferson University Hospitals
Board Certification: Radiology, Vascular & Interventional Radiology
Licensed In: Pennsylvania
Dr. Stephen R. Topper, MD is associated with these hospitals and organizations:
Dr. Stephen R. Topper, MD appears to accept the following insurance providers: United Healthcare Community Plan (AmeriChoice), QualCare, Aetna Medicare, Highmark Blue Cross Blue Shield, CIGNA Medicare, Blue Cross Federal, Horizon Blue Cross Blue Shield, GEHA, WellCare, AmeriHealth, AARP, MultiPlan, CIGNA Commercial, Aetna, Geisinger Health Plan, US Family Health Plan, United Healthcare, Medicaid, Humana, Workers' Compensation, Cigna, Devon Health, TRICARE, First Health, WellPoint, Jefferson Health Plans (Medicare & ACA), Medical Assistance of New Jersey, Provider Partners Medicare, PA Health and Wellness CHC, Devoted Medicare, Medical Assistance of Delaware, Keystone First/CHC/VIP, Blue Card by BCBS, Medicare FFS, Medical Assistance of Pennsylvania, Independence Blue Cross - Various plans, UPMC, Highmark Wholecare, Ambetter from PA Health and Wellness and Keystone First VIP.
According to our sources, Dr. Stephen R. Topper, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Stephen R. Topper, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$1,530
TheraSphere Y90 Glass Microspheres 10 GBq $1,300 |
EMBOLD Fibered $203 |
$27 |
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$485
CT THROMBECTOMY SYSTEM KIT $465 |
FLOWTRIEVER CATHETER, S $20 |
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$166
TRINAV INFUSION SYSTEM $166 |
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$140
CT SCANNER $140 |
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$39
Neuwave $39 |
| $1,569 | |
| $791 |
Dr. Stephen Topper's areas of specialization are interventional radiology/diagnostic radiology (IR/DR) and diagnostic radiology. He is affiliated with Jefferson University Physicians (JUP).
