Hello, I'm Dr. Smith, a cardiologist with over 20 years of experience in the field. I'm happy to answer your question about
heart stents.
A
heart stent is a small, expandable tube made of metal mesh that is placed inside a
coronary artery to keep it open. It's used to treat
coronary artery disease (CAD), which is a condition where
plaque builds up inside the arteries, narrowing them and restricting blood flow to the heart. This can lead to
chest pain,
angina, and even a
heart attack.
Here's how a
heart stent works:
*
Diagnosis: A
cardiac catheterization procedure is used to diagnose
CAD and assess the severity of the blockage. During this procedure, a thin, flexible tube called a
catheter is inserted into a blood vessel in the arm or leg and guided to the heart. A
dye is injected into the catheter, allowing doctors to see the arteries on an X-ray.
*
Stent placement: Once the blockage is identified, a
balloon-expandable stent is inserted through the catheter and positioned at the site of the blockage.
*
Expansion: The balloon is inflated, expanding the stent and pressing the
plaque against the artery wall, opening up the artery.
*
Deployment: The balloon is then deflated and removed, leaving the
stent in place to keep the artery open.
There are two main types of
heart stents:
*
Bare-metal stents (BMS): These are made of metal mesh and do not have any drug coating. They are less expensive than drug-eluting stents but have a higher risk of
restenosis, which is the re-narrowing of the artery after the stent is placed.
*
Drug-eluting stents (DES): These stents are coated with a drug that prevents the growth of cells that can cause
restenosis. They are more expensive than BMS but have a lower risk of
restenosis.
Heart stents are a safe and effective treatment for
CAD. They can significantly improve blood flow to the heart and reduce the risk of
heart attacks. However, there are some potential risks associated with
stent placement, including:
*
Bleeding: There is a small risk of bleeding at the insertion site.
*
Blood clots: There is a risk of blood clots forming around the stent, which can lead to a
heart attack or
stroke.
Blood thinners are prescribed to help prevent this.
*
Restenosis: Although
DES reduce the risk, it is still possible for the artery to re-narrow after stent placement.
After stent placement:*
Medications: You will need to take
medications for the rest of your life to help prevent blood clots and keep the stent open.
*
Lifestyle changes: It's important to make
lifestyle changes to help prevent further blockages in the arteries. This includes eating a healthy diet, exercising regularly, and quitting smoking.
*
Follow-up appointments: You will need to have regular
follow-up appointments with your doctor to monitor the stent and make sure it is working properly.
In conclusion:Heart stents are a valuable treatment option for
CAD. They can significantly improve blood flow to the heart and reduce the risk of
heart attacks. If you have been diagnosed with
CAD, talk to your doctor to see if a
heart stent is right for you.
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