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Diagram of stent placement. In A, the catheter is inserted across the lesion. In B, the balloon is inflated, expanding the stent and compressing the plaque. In C, the catheter and deflated balloon have been removed. Before-and-after cross sections of the artery show the results of the stent placement. Arterial Stenting 3D Medical Animation
After the balloon inflation/deflation or the deposition of the stent, the placement device/deflated balloon are removed leaving the stent in place. [21] [22] The interventional cardiologist decides how to treat the blockage in the best way during the PCI/stent placement, based on real-time data.
Stent migration: Stent may move causing symptoms to recur or lead to other complications. Stent obstruction: Blockage can occur, repeating symptoms or other complications. Stent related pain: Chest or throat pain may occur after the procedure; requiring additional treatment or adjustment of the stent. Stent removal: Check with your doctor on ...
Emergency bypass surgery for the treatment of an acute myocardial infarction (MI) is less common than PCI or thrombolysis. From 1995 to 2004, the percentage of people with cardiogenic shock treated with primary PCI rose from 27.4% to 54.4%, while the increase in coronary artery bypass graft surgery (CABG) was only from 2.1% to 3.2%. [ 34 ]
Information card published by the National Heart, Lung, and Blood Institute urging people with symptoms of angina to call the emergency medical services.. Because of the relationship between the duration of myocardial ischemia and the extent of damage to heart muscle, public health services encourage people experiencing possible acute coronary syndrome symptoms or those around them to ...
A drug-eluting stent (DES) is a small mesh tube that is placed in the arteries to keep them open in the treatment of vascular disease.The stent slowly releases a drug to block cell proliferation (a biological process of cell growth and division), thus preventing the arterial narrowing that can occur after stent implantation.
Treatment involves the same measures as prevention. [10] [22] Additional medications such as antiplatelets (including aspirin), beta blockers, or nitroglycerin may be recommended. [10] Procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) may be used in severe disease.
[15] [16] The balloon avoids the need for a double layer of metal which is used when an in-stent restenosis is treated with another stent within the original stent. Additionally, DCB treatment does not leave an implant in the body and is designed for faster drug delivery. Alternative treatments include brachytherapy, or intracoronary radiation ...