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Doctor insights on: Heart Stent Vs Bypass Surgery

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What are reasons to get heart bypass surgery rather than angioplasty with a stent to open the arteries?

What are reasons to get heart bypass surgery rather than angioplasty with a stent to open the arteries?

Angioplasty or bypas: Left main disease, bifurcation stenosis, calcified arteries, and multivessel disease are common reasons for opting bypass surgery over angioplasty. ...Read more

Dr. Sewa Legha
1 Doctor shared a insight

Heart Stent (Definition)

A heart stent is a small, 2.25-4.5 mm diameter (when expanded) stainless steel tube. The walls are cut with a laser, into varying patterns due to patent designs. They are compressed onto a balloon catheter that is advanced over a very small wire, (0.014" diam.) to the site of blockage, then the balloon is inflated with liquid, deploying the stent, at pressures up to 10-20 ...Read more


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I've never had a problem using viagra (sildenafil) and have had bypass surgery, recently I had to have a Stent after 15 yrs of heart surgery. Can I still take viagra (sildenafil)?

I've never had a problem using viagra (sildenafil) and have had bypass surgery, recently I had to have a Stent after 15 yrs of heart surgery. Can I still take viagra (sildenafil)?

Viagra (sildenafil) and stent: This question needs to be asked of your doctor/cardiologist who knows you, your condition and your medications. If you are taking nitrates as part of your medications then you can't use the viagra (sildenafil) type drugs. Ask your Doc to explain all this to you. ...Read more

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What are the risks and benefits of stenting diseased blood vessels / heart bypass surgery / heart transplant / artificial heart valve transplant?

What are the risks and benefits of stenting diseased blood vessels / heart bypass surgery / heart transplant / artificial heart valve transplant?

Way too complex: This question is way too complex for a short text Q&A. Individual patient information is needed to really discuss risks and benefits. This discussion needs to be with a live cardiologist and/or cardiac surgeon. ...Read more

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What exactly is heart stent surgery & are there high risks heart attack or death?

What exactly is heart stent surgery & are there high risks heart attack or death?

Stent: Coronary stent placement is done percutaneously (i.e. Through a small puncture in the groin or wrist) via an artery, and deploys a small tube/ mesh (the stent) in the blood vessels of the heart, in order to open up a blockage and keep that area open. It stays in your body indefinitely. Some stents are uncoated (bare metal), some are coated with medications in order to prevent further blockage. ...Read more

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How is heart bypass surgery performed?

How is heart bypass surgery performed?

Stepwise: In short, after anesthesia is induced, the chest is opened and in some cases, the heart and lungs are bypassed (some are not done this way). Then arteries or veins are used/harvested to bypass heart blockages and then the chest is then closed and anesthesia is reversed. It is a bit more complicated, but this is the best brief answer I can give. ...Read more

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How dangerous is heart bypass surgery?

How dangerous is heart bypass surgery?

Not very: The average mortality rate from CABG nationally is about 2-3%. This increases in older, sicker patients with more medical illnesses, and those with heart failure and acute heat attacks. ...Read more

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What happens during heart bypass surgery?

What happens during heart bypass surgery?

Open Heart Surgery: Patients are placed on a heart lung machine to support their respirations and circulation while new blood vessels (arteries and veins) are grafted onto the hear to "bypass" areas that are blocked. ...Read more

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How are eecp & heart bypass surgery different?

How are eecp & heart bypass surgery different?

Both for angina: They're both for angina. Bypass is a major open chest surgery. Eecp is non-invasive. Bypass provides lasting benefit and, in carefully selected patients, improves life expectancy. Neither is true for eecp. ...Read more

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What is minimally invasive heart bypass surgery?

What is minimally invasive heart bypass surgery?

It depends: Minimally invasive surgery can mean many things. The majority of cardiac bypass surgery is done using the heart lung machine and stopping the heart (on pump). But some surgeons do it with the heart beating (off pump). Other surgeons do it thru a 3-4 in incision between the ribs. Others do it thru several 1 inch incisions with the robot. These also can be done on or off pump. ...Read more

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What are the differences between eecp & heart bypass surgery?

What are the differences between eecp & heart bypass surgery?

CABG: Coronary bypass surgery is a highly effective treatment for symptomatic coronary artery disease not adequately controlled with diet, exercise and medications. EECP is a weakly effective treatment used when all other more effective treatments such as those above have not yielded symptom relief. It can help to improve symptoms when the more effective means haven't succeeded. ...Read more

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Is it safe to have a cough after heart bypass surgery?

Is it safe to have a cough after heart bypass surgery?

Yes, but: It hurts. Hold your chest with a pillow when you cough. If you have fever or sputum that is changing color or bloody, call your surgeon. ...Read more

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Heart bypass surgery patient. Can I try to have a baby?

Heart bypass surgery patient. Can I try to have a baby?

In most cases, yes: Coronary bypass surgery is generally done to restore normal or near-normal circulation to the heart muscle. Provided no complications occur during or after the surgery, such as heart muscle damage, childbirth is generally quite possible and of little risk. ...Read more

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What occurs with renal failure and heart bypass surgery?

What occurs with renal failure and heart bypass surgery?

? worse?: Assuming that you are asking what will happen to chronic kidney disease when having cabg. High risk of worsening, possibly needing dialysis. You need to discuss your risks vs benefits with your doctor. ...Read more

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My dad is having heart bypass surgery. What are the risks?

My dad is having heart bypass surgery. What are the risks?

Depends: Coronary blockage- bypass and generally improved prognosis are the general results

risks of procedures are being reduced all the time.
But patients are older and bring more intrinsic personal risks.
Risks are dying, bleeding, infection, stroke, recurrence. Over all about 2%. ...Read more

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How will the hospital prepare you for heart bypass surgery?

How will the hospital prepare you for heart bypass surgery?

The cardiologist: It is not the hospital but your cardiologist who will prepare you if you need a heart bypass operation -. ...Read more

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Can people that have heart bypass surgery use diphenhydramine?

Can people that have heart bypass surgery use diphenhydramine?

Yes: Benadryl
invented by dr george rieveschl of cincinnati
is an incredibly safe drug. ...Read more

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What is the life expectancy for a patient after heart bypass surgery?

What is the life expectancy for a patient after heart bypass surgery?

It depends.: Bypass surgery helps to enhance blood flow to the heart muscle. It doesn't cure the disease. Prognosis depends on the extent of heart damage which may have occurred. It is vital that risk factors for progression of plaque buildup be controlled. Cessation of smoking is essential. Control of hypertension and cholesterol are important. Diabetics must achieve good control. Exercise is important too. ...Read more

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What age does someone have to be to get coronary heart bypass surgery?

See below: It is not a matter of what age you have to be. The disease tends to be more likely to be present in older people. So as you get older you are more likely to need it. If necessary, the surgery can even be done in very old patients so that age is not really a limiting factor. A child would very rarely need this type of surgery. ...Read more

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Can someone have heart bypass surgery if his or her aorta is calcified?

Can someone have heart bypass surgery if his or her aorta is calcified?

Yes.: A calcified aorta typically makes the procedure more challenging, mainly because most heart surgery requires a "bypass" machine to keep blood perfusing the body. The"return" cannula is typically inserted into the root of aorta. Calcified aorta makes this harder and riskier to do. Other options exist however, the femoral artery is ofter used if aorta severe. ...Read more

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How can someone who has had a triple bypass surgery still die of a heart attack?

How can someone who has had a triple bypass surgery still die of a heart attack?

Secondary prevention: By 10 years after bypass, there is a 50% risk of having experienced closure of one or more vein grafts. Bypass is not a cure. Atherosclerosis is an ongoing problem and requires lifelong treatment of risk factors. ...Read more

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What is the risk for a patient, age 82 years who will undergo an open heart bypass surgery?

Depends: The answer depends on several factors mainly having to do with how healthy the heart muscle is and how healthy the other organs are such as kidneys, lungs and blood vessels to other organs. It could range from low (2 -3%) to high (>25%). ...Read more

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Can you have pre-emptive heart bypass surgery to mitigate the risk of death by heart attack?

NO: There is not such a thing as "per-emptive" bypass surgery.
If you are worried about heart attack, you have to address risk factors, including: Smoking, hypertension, diabetes, high cholesterol, obesity and sedentary lifestyle.
Exercise and a prudent diet will help you more than anything else. ...Read more

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During quad bypass surgery, my heart was stopped for 5 minutes - does that mean I was dead for 5 minutes?

During quad bypass surgery, my heart was stopped for 5 minutes - does that mean I was dead for 5 minutes?

No....: During bypass surgery, the bypass machine takes over the work of the heart so even though the heart is stopped, the bypass machine continues to circulate the oxygenated blood throughout your body and this is what keeps you alive during the surgery. ...Read more

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What is the medical term for ongoing sterum pain after heart bypass surgery. Currently at 7 months post op.

What is the medical term for ongoing sterum pain after heart bypass surgery. Currently at 7 months post op.

Sterna Pain: But needs evaluated for infection, instability, non-union of the bone sections.
Wire fracture and tenderness.
See the surgeon to assess, this is longer than common. ...Read more

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My father aged 59 was found to have 3 heart blocks...Now he underwent bypass surgery with 2 bypasses. What is his life expectancy?

My father aged 59 was found to have 3 heart blocks...Now he underwent bypass surgery with 2 bypasses. What is his life expectancy?

It depends: His surgeon would be a better resource. Life expectancy depends on several things. How well does his heart squeeze? Were all the blockages bypassed? How healthy are the rest of his arteries? Does he have lung disease, diabetes, other health issues? Is he smoking? Will he change his risk factors? Assuming no other issues and normal heart function then he should do very well. ...Read more

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How can you restart the heart after bypass surgery?

How can you restart the heart after bypass surgery?

Depends: Sometimes now it is not stopped called off pump, surgery.
When stopped with cold blood cardioplegia, many spontaneously restart with rewarming to near normal or normal temperature on the pump.
If not spontaneous, then we do electrical defibrillation. ...Read more

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Could you explain what is a bypass surgery that is done to the heart?

Could you explain what is a bypass surgery that is done to the heart?

Bypass surgery: ... Uses blood vessels from your body, like veins from your leg or arteries from your chest or arms, to route blood around blockages in the arteries that distribute blood to your heart (so the blockage is "bypassed"). Your doctor can go into more detail. ...Read more

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What is heart bypass surgery?

What is heart bypass surgery?

Bypass blockage: In simple terms, when you the arteries that take blood to the heart muscles are blocked, blood does not reach the further parts of the distribution area. So bypass literally bypasses the blockage with another artery supplying blood to the part of the heart distal to the blockage. ...Read more

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What happens in heart bypass surgery?

See below: A vein can be taken from the leg, sewn to the aorta and the other end is sewn to the coronary artery beyond a blockage. Thus blood flows from the aorta, through that vein, and then into the coronary artery bypassing the blockage. Alternatively, the internal mammary artery can be connected to the coronary artery. ...Read more

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What is a triple heart bypass surgery?

What is a triple heart bypass surgery?

3 coronaries bypasse: The heart, in general has 3 major arteries
(left anterior, circumflex and right)
but there can be a lot of variation and branches like highways and streets to get the blood traffic distributed.
We bypass those with wrecks- stenosis obstructions.
3-4 is common on the average.
More is possible depending on the anatomy and disease. ...Read more

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Is triple heart bypass surgery dangerous?

Is triple heart bypass surgery dangerous?

Define dangerous: It is major surgery. People who need it are already in danger, in danger of a heart attack, or a sudden life threatening rhythm disturbance. Every case is individualized; some patients (and mds) may opt for medical management. The best surgical results come from places and docs that have high volume (not a "factory"), not the occasional case. Can get info state by state re: success and complicatio. ...Read more

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How painful is heart bypass surgery recovery?

How painful is heart bypass surgery recovery?

Not very: As expected, the first few days are rough and intravenous narcotics are given to relieve pain and promote sleep. By a week the pain is usually just soreness and easily controlled with oral meds. By a month, most people really don't have much pain or any at all. For some, the vein harvesting site in the leg stays sore longer than the chest. ...Read more

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What does heart bypass surgery do in the heart?

What does heart bypass surgery do in the heart?

Improves blood flow: Bypass surgery is done for blockages in the heart arteries. Essentially we add more blood vessels to the heart to deliver blood to the areas blocked off. We go around the blockages (bypass). We're plumbers :). We put new pipe in by hooking up before and after the blockages. Unfortunately I can't go to home depot and buy pipe so we get it from veins in legs and arteries from breast bone and arms. ...Read more

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What to do if pre-emptive heart bypass surgery?

What to do if pre-emptive heart bypass surgery?

No such thing: There is no such a thing as pre-emptive heart bypass. By pass surgery is only done when there is already severe coronary artery disease (blockages) and never before. ...Read more

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What is the success rate of heart bypass surgery?

Bypass surgery: The overall mortality of bypass surgery is 3 percent. ...Read more

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What is the definition or description of: heart bypass surgery?

What is the definition or description of: heart bypass surgery?

CABG Surgery: Heart bypass surgery is for coronary artery atherosclerotic disease. Arteries and veins are used as bypass grafts to bring new blood supply into coronary arteries beyond these blockages. These operations are done usually with cardiopulmonary bypass via a sternotomy incision. Relief of angina, improved survival and heart function are the expected results. ...Read more

Dr. Gregg Nishi
502 Doctors shared insights

Bypass Surgery (Definition)

Bypass surgery is done to aid in weight loss and recovery from obesity by drastically diminishing the size and absorptive capacity of the stomach. Bypass surgery is often successful, but requires extensive follow-up with ...Read more


Dr. Debra Rosenblatt
2 Doctors shared insights

Stenting (Definition)

In general, a stent is a metal tube used to keep a vessel open. Stents can be placed in a huge number of places, including blood vessels, bile ducts, even in the colon ...Read more