How Many Stents Can Be Put In – A stent is a small metal tube that keeps your artery open so that blood can flow more easily. After angioplasty, your healthcare provider may place a stent to push aside the plaque inside your artery. Stents are permanent and can prevent your artery from narrowing again.
A stent is a very small tube that your healthcare provider can place in your artery to keep it open after plaque (cholesterol and fat) is removed. This helps your blood to pass through the artery more easily.
How Many Stents Can Be Put In
Stents are tube-shaped devices that stay permanently in your artery. They look like small fishing nets made of metal, not organic or synthetic fiber.
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Health care providers use stents to prevent an artery from becoming too narrow or blocked, which prevents blood from passing through it easily. You may need this if you have had a heart attack or have atherosclerosis (plaque build-up in your arteries).
Stents help your blood vessels work better after your provider removes plaque inside them. This plaque buildup can occur if:
Stents also help if you have a deep vein thrombosis (a blood clot in the leg, arm, or pelvis) or an abdominal or other type of aortic aneurysm. It is not limited to the use of stents in blood vessels. They can help with obstructions in the airways, bile ducts, or ureters.
Your healthcare provider will probably tell you not to eat or drink for six to eight hours before you get the stent. They want to know what medicines you take and what allergies you have. They will give you blood thinning medication – such as aspirin and clopidogrel (Plavix®) – before the procedure.
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Your provider will give you intravenous (IV) medication to sedate you, but you will still be alert to answer questions. Your IV blood thinners will help you avoid blood clots during the stent procedure.
While you’re lying down, your provider inserts a thin tube called a catheter through your skin and into one of the arteries in your mouth or arm. They use X-rays as a guide to find an artery with too much plaque. The dye injected into the catheter makes it easier to see your arteries on X-rays.
Your provider will insert another catheter with a balloon on the end into your blocked or narrowed artery. They inflate a balloon that acts as a garbage can for the plaque and push it against the walls of your artery. This makes room for a stent that can be inserted while the balloon breaks the stud.
If the artery is open after angioplasty, your provider can place a wire mesh stent. They inflate the balloon catheter, pushing open the stent that is inserted at the same time. Your provider deflates the balloon catheter and removes it, leaving the stent in place.
Why Angioplasty Heart Stents Don’t Work Better
You will recover in hospital for a few hours or overnight before going home. You may be given medication to lower your cholesterol. You must take medications that prevent your blood from clotting too easily, such as aspirin and clopidogrel (Plavix®). Your doctors will go over this with you before you go home.
It takes about a week to recover from stent placement. Ask your service provider how active you are allowed to be in the following days. The instructions will be different depending on whether the catheter was in your arm or groin.
Your provider will prescribe anti-platelet medications to prevent blood clots from forming in the stent. You are taking aspirin and/or clopidogrel, ticagrelor or prasugrel. Depending on your bleeding risk, you may take these medications for a month, several months, or a year or longer. It is very important that you take these medicines to prevent blood clots.
You should be able to return to work or drive after a week. If your job involves heavy lifting, you will need three to four weeks to recover before returning to work.
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Although your angioplasty and stent will help your blood circulate better, you still need to do your part and live a healthy lifestyle. This means eating healthy food, exercising and avoiding tobacco products. You will also feel better if you take the medications prescribed by your provider and go to your follow-up appointments.
Cleveland Clinic is a non-profit academic medical center. Ads on our site help support our mission. We do not endorse non-Cleveland Clinic products or services. PolicyHeart care has improved significantly in recent years, but heart disease remains the number one killer of Americans. While researchers are always looking for ways to improve current treatments, a new study has found that people with chest pain who get stents — devices that open narrowed heart arteries — may not fare better than people who don’t.
In a new study published in the Lancet journal, 200 people with chest pain were randomly assigned to receive a stent, which requires a surgical procedure, or a sham procedure, in which doctors thread the catheter without inserting the stent. . Six weeks later, they assessed all the people on a treadmill test. There were no significant differences between the amount of exercise the two groups could do or how much chest pain they reported.
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Symptoms After Stent Placement
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Although the study raises many questions, heart experts say the results do not mean that stents are unsafe. Here’s what to keep in mind if you’re worried about getting a position or if you already have one.
Stents are small mesh devices made of wire that doctors insert into narrowed heart arteries to open them up. Stents can restore strong blood flow to the heart. It’s now big business for billboard manufacturers. Every year, half a million people have a stent inserted to relieve chest pain or angina.
Angina is the medical term for chest pain that can occur when blood flow to the heart is interrupted. Chest pain is usually caused by narrowing of blood vessels in the heart and blood flow to the heart is reduced.
Post Stent Chest Pain
The American Heart Association and American College of Cardiology do not recommend stents for everyone who reports chest pain. The groups advise doctors to assess the danger of chest pain, and in most cases they recommend starting with drugs that control cholesterol and blood pressure and the flexibility of blood vessels.
If symptoms persist or people do not accept the medication, stenting is discussed. However, in recent years, better drugs and stricter guidelines for stent eligibility have reduced the number of people receiving the devices.
“There was an era in medicine when stenting was used too often and without regard for its value as a medical treatment,” says Dr. Steven Nissen, MD, chief of cardiovascular medicine at the Cleveland Clinic. “But this era is gradually disappearing. Savvy doctors advise their patients on all these options and provide the best possible treatment. If you do that, very few people need a stent.
Although the Lancet study found no significant differences between people with and without stents, Nissen points out that the treadmill test the researchers used to analyze the effects of stents is subjective.
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People can stop on the treadmill for a variety of reasons, not all of which are related to whether they have chest pain, Nissen says.
Although the researchers also looked at other quality of life indicators, 200 people is a relatively small number for such a study, and it is difficult to determine whether the results are generalizable to larger populations. So if you already have a stent, the results don’t mean you should consider removing it.
Doctors make a small incision in a blood vessel in the groin and guide a thin, flexible catheter from there into the heart. There is a flat balloon at the end of the catheter. When the tip reaches the narrowed vessel, the balloon is inflated through the catheter and the wire mesh stent opens to keep the vessel open. Most people leave the hospital 12 to 24 hours after the procedure and can return to work in a few days.
In theory, the stents are designed to last as long as they do, but some get stuck again. If this happens, doctors can remove the stent and replace it, or perform bypass surgery to completely bypass the artery.
Percutaneous Coronary Intervention (pci)
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