Angioplasty and stent may not produce the best outcomes for certain patients with coronary artery disease. Therefore other, more invasive solutions, such as coronary artery bypass graft might be suggested. Your specialist will set the ultimate choice in regards to your capacity to receive a coronary artery stent placement.
Outpatient procedure or 1 night
Up to the case
The first and most significant phase of preparations for cardiac catheterization, along with stent placement, is consulting your specialist in great detail. It is significant to brief about all of your health circumstances and medications, alongside allergies and pacemaker – these may impact the manner your specialist carries out the heart stent practice. In fact, piercing in stomach area ought to be pointed out just like pregnancy. Furthermore, blood-thinning medications, for example, aspirin have to be avoided except if your specialist permits you to keep utilizing it. Lastly, fasting for a couple of hours before coronary artery stent placement will be requested.
Heart stent placement practice is not surgery. First of all, a cardiac catheter is put in the blood vessel of the patient (commonly in the groin or arm). The balloon catheter is now directed to the heart, where it let out a particular kind of dye, serving to position the plaque, clots, or any other barriers to the bloodstream. Balloon catheter conveys with it a stent which is a little metal tube that can broaden to fit the walls of the blood vessel. When the balloon catheter with stent extends to the point where plaque or clot is positioned, it is blown up so as to demolish somewhat and straighten the plaque and put the heart stent, which can enlarge with the balloon before fitting the walls of the coronary artery. In such a way, the normal bloodstream is re-established. Throughout one PCI, more than one cardiac stent might be put.
Because coronary artery stent placement is a non-invasive heart stent practice but not surgery, most likely, you have the option to return home after a few hours, even though several patients choose to remain a night. When at home, you will gradually restart your every day activities by avoiding vigorous chores.
Despite the fact that cardiac catheterization practice with heart stent placement is a comparatively harmless and non-invasive treatment, there are a few risks and complications identified with it. One of the risks of coronary angiography is extreme bleeding from the area of the cardiac catheter entered into the vessel. There is additionally a slight probability of heart issues, for example, the development of clots, the overall shutting of the coronary artery, heart attack, or stroke. Lastly, likewise, in numerous medical techniques involving incisions, cardiac catheterization practice may result in a slight infection, simply controllable with medications given by a specialist.
As stated previously, heart stent practice may result in heart issues in the long period, comprising a heart attack or blood clot development in the region of the stent. Aside from this, no coronary artery state placement side effects are seen in most of the patients.
In about 40% of patients, heart stents are unsuccessful to stay open, thus requiring another stent placement or even heart surgery, particularly within one year from the first one.
Having cardiac catheterization together with stents in the heart doesn’t negatively affect patients’ life – they can appreciate the actions which were frequently difficult before, because of their heart issues.
What is a Stent?
A stent is a metal tube which can expand with the support of the balloon catheter. It helps to retain coronary arteries open.
Can I receive Cardiac Catheterization without a Stent? Yes, it is possible, but it proved to be highly unsuccessful – most of the patients who underwent only percutaneous coronary angioplasty had to undergo another angioplasty procedure within 6 months.
Why choosing a stent when there is a Coronary Artery Bypass Graft Procedure? Your doctor, while assessing your situation, will choose the best treatment for you. For some patients, it is better to undergo coronary artery stent placement rather than coronary artery bypass graft.
This content is written and reviewed by our medical content team in September, 2019.