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Doctor insights on: Heart Stint Or Stent

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When shoud heart artery stenoses be stented or bypassed?

When shoud heart artery stenoses be stented or bypassed?

Depends: When blood flow is sufficiently reduced by a greater than 70% blockage of an artery or arteries, to the point of permanent damage or weaknening of the heart muscle, or when a plaque ruptures and a blood clot repeatedly forms with resulting blockage of blood flow, then an artery needs to be stented, or bypassed. ...Read more

Dr. Ira Friedlander
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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What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

Angioplasty/stent : Heart attack is not necessarily prevented by angioplasty or stent. We do treat the underlying disease aggressively as well as dual anti platelet therapy to prevent stent thrombosis. If you smoke it negates much of the treatment. Most people do well after angioplasty and stenting. ...Read more

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Husband had a quadruple bypass. Experiencing increased angina, had angio today to put stent in.Instead, radial artery not functioning?

Husband  had a quadruple bypass.  Experiencing increased angina, had angio today  to put stent in.Instead, radial artery not functioning?

Not sure: Not sure what you mean by radial artery not functioning. Was there a failed attempt at radial puncture? Was the radial artery used as bypass graft? Radial artery has mostly been abandoned as an option for bypass graft and is only used as a last resort. Please clarify. ...Read more

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Which is more severe: stents or quadruple coronary artery bypass?

Which is more severe: stents or quadruple coronary artery bypass?

Severe: Generally the more disease the more likely we are to do bypass rather than multiple stents. This is not a universal truth however. ...Read more

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Does every person with coronary stent implants die from coronary artery disease?

Does every person with coronary stent implants die from coronary artery disease?

No: Atherosclerosis can occur in any arteries in the body. The most prevalent are cardiac, extremity, and cerebral. In addition, people die from their co- morbidities, such as lung problems, cancer, etc. If you have coronary atherosclerosis, you have a higher chance of dying from that, but not exclusively from that. ...Read more

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Should my arterial stenoses be stented or bypassed?

Should my arterial stenoses be stented or bypassed?

Depends: Depends on where the stenosis is and what your overall medical issues are. Also, it depends on the condition of your blood vessels. ...Read more

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After a heart attack I had 6 stents placed in my right coronay artery. Is it plavix (clopidogrel) forever now?

After a heart attack I had 6 stents placed in my right coronay artery. Is it plavix (clopidogrel) forever now?

1 year: Most agree that to prevent blood clots forming on a drug coated stent, 1 year of Plavix (clopidogrel) ( with baby aspirin) is recommended . 30 days is recommended for uncoated stents. In your case with extensive stents 1 year is reasonable. ...Read more

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Cardiac catherization showed100% blockage in LAD & other(oy has collateral). Do i need immediately cabg, robotic assisted bypass, or just medicine now?

Cardiac catherization showed100% blockage in LAD & other(oy has collateral). Do i need immediately cabg,  robotic assisted bypass, or just medicine now?

It depends: CABG gives good revascularization with durable, dependable results for most. The risks are dependent on other factors heart and lung and kidney function. If you are stable, work with your doctors to be in the best shape before procedures. The specific coronary anatomy, distal target sites help us guide the choices. ...Read more

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Can Triple vessel coronary artery disease treated with angioplasty and placement of stents?

Can
Triple vessel coronary artery disease treated with angioplasty and placement of stents?

Angioplasty: The treatment of multivessel disease depends on many factors. If you have triple vessel disease you should discuss your status with your cardiologist and ask the options open to you. ...Read more

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Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Is CABG (coronary artery bypass grafting) an open heart surgery or closed heart surgery?

Closed: While the chest is opened to get to the heart to do bypass surgery the heart is not opened. The arteries are on the surface of the heart and therefore approached directly. See picture. ...Read more

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What is the best stent for angioplasty? "Xience stent" or "resolute integrity stent"?

Stent: You need to discuss stents with your interventional cardiologist. The various stents available have subtle differences which make different operators prefer different stents. There is no stent which has markedly better results than the others. ...Read more

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I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

Different things: Bypass surgery (CABG) treats the blockages in the heart vessels, while the defibrillator (icd) treats dangerous heart beats such as ventricular tachycardia or fibrillation. A person may need both, depending on their medical condition. ...Read more

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How should I feel after the cardiologist puts a stent during heart cath?

How should I feel after the cardiologist puts a stent during heart cath?

Better: If you were having cardiac pain (Angina) you will have relief of the pain after stenting. Otherwise you will feel normal. Try not to be too anxious about this issue. It is common practice and safe in experienced hands. Trust your physicians to have your best interest foremost in their concern. ...Read more

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Side effects after stent implanted in heart artery?

Side effects after stent  implanted in heart artery?

2 main ones: The 2 main problems with stents after placement are: 1) stent thrombosis where the stent clots off abruptly causing heart attack and risk of death, and 2) renarrowing of the stent. Renarrowing occurs in 5% of medicated stents and approximately 20% of unmedicated stents. ...Read more

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Heavy breathing after stent insertion in heart arteries, should I be concerned?

Stent: What you describe isn't adequate to be sure what is going on. In the situation you describe it is best to consult the physicians who know the patient and the specifics of the patients status. It is possible that concern is appropriate and also possible that a lower level of concern is a appropriate, from here, no knowing. ...Read more

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How healthy are cardiac catherizatiion or angioplasty?

Healthy?: I assume you want to know about the risks, in the right hands cardiac catheterization and angioplasty are very safe procedures. We typically quote a risk of death or stroke or possibly heart attack at less than one in one hundred thousand, other minor issues like bleeding from the access site or infection in the site are more common, but still not very common at all. ...Read more

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How is a renal artery stent restenosis done?

How is a renal artery stent restenosis done?

Place new stent: In old stent. Sometimes need a covered stent. Others just balloon again. ...Read more

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How is a renal artery angioplasty with a stent done?

How is a renal artery angioplasty with a stent done?

Renal Angioplasty: Angioplasty is balloon revascularization. Usual approach is 2mm incision in the femoral artery at groin, sheath inserted, followed by the cannulation of the artery with a catheter. Dye is injected to locate area in need of angioplasty. Balloon over a wire via the catheter & when in place is inflated to an appropriate pressure. The balloon is removed and then stent deployed and inflated at stenosis. ...Read more

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Dr. Dariush Saghafi
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