Doctor insights on:
Lad Heart Stent
HDL is 122...LDL is 93...VLDL is 13. I have a heart stent in my LAD from 4 yrs ago. Exercise everyday and eat good...is the LDL too high?
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
Never: Once a stent is placed in the coronary artery, it can never be removed. If the stent re narrows, which sometimes happens, a second stent can be placed inside the first which we call a "stent sandwich". Some cases of renarrowing cannot be stented and require bypass surgery.See 1 more doctor answer
Bad stuff: If a stent closes slowly (stenosis) or quickly (thrombosis) the net effect is the same. Reduced or complete absence of blood flow to the area that the stent is keeping open. That means that area will not get blood and infarct and die.
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.
To open blockages: Most commonly "heart stents" are placed in the coronary arteries, the main blood vessels that feed the heart, because there are blockages which impair the efficient flow of blood to the heart muscle. These are delivered through tiny plastic tubes, called catheters, placed through a small needle puncture in the groin or in the arm. This is done under x-ray guidance.See 1 more doctor answer
Balloon: The stent is delivered through a catheter (small tube) to the coronary artery. The stent is delivered on a balloon which is put in position, balloon inflated, stent deployed, balloon deflated and the stent remains.
Probably: Anyone needing CPR is in a life and death situation which requires whatever means necessary to save that person. Damaging an indwelling stent is not likely, but anything is possible, and can be repaired if the individual survives.See 1 more doctor answer
Any symptoms?: If you're having no symptoms, it's doubtful that a stent would be helpful (and there's trouble and expense, as you know). There's no good evidence that coronary intervention in people without symptoms has any beneficial effects.See 1 more doctor answer
No: It is a fairly commonly done procedure. Your cardiologist can advise you regarding the need and risks of procedure.
Can ask the doctor: Sartel is telmisartan, a drug used alone or in combination with other medications to treat high blood pressure. Telmisartan is also used by doctors to decrease the chance of heart attack, stroke, or death in people who are at high risk for cardiovascular disease. There may be other, more individualized, reasons a doctor is giving a patient sartel.
Short: If the stent is placed in electively (and not for myocardial infarction), recovery is quite short. We tell our patients not to walk a long distance, lift anything heavy, or drive a car for 2 days. They are also instructed not to submerge the puncture site in the leg for one week. Showers are okay.See 1 more doctor answer
Stent: A coronary artery stent is a device inserted into a coronary artery to help hold the blood vessel open so that it doesn't re close after it is opened by a balloon.
CAD post-MI diet: Yes. Take the attitude that regardless of my dietary habits in the past, a heart attack occurred and your diet shd be improved to reduce saturated fat intake and optimize improved fat and sugar content. Choosing lean protein ounces rich in omega-3 fish oils (particularly fish), ith more fruits and vegetables. Olive oil will be helpful to cook with.See 1 more doctor answer