Stenting and balloon angioplasty - one of the most popular and effective methods of treatment of coronary heart disease (CHD).
It is known that in ischemic heart disease in the coronary (heart) blood vessels begin to grow atherosclerotic plaques, narrowing of the vessel lumen (stenosis) or completely blocks it (occlusion). Any of these conditions reduces the blood supply to the heart. Heart cells are very sensitive to lack of revenue ksiloroda. The heart tries to compensate for the situation, but over and over again worse than doing his job and over time develops coronary artery disease .
Balloon angioplasty and stenting - A modern method of restoring a normal lumen narrowed coronary arteries using special equipment - tanks and stents administered in the artery under X-ray control is advisable to. The method is good as the fact that it is performed under local anesthesia, without large incisions and general anesthesia. Special diagnostics:
Coronary angiography to determine the nature, location and degree of narrowing of the coronary vessels.
Specific terms
Stent - a thin metal tube that consists of wire cells, fueled by special balloon. When injected into the diseased vessel and the tube begins to expand as it is pressed into the vessel wall, thereby increasing the lumen and maintaining frame artery without allowing it to narrow. Due to this the blood supply to the heart is getting better. The properties of the stent itself and the alloy from which it is made, let him take a cylindrical shape. Experienced doctors compared with the spring stent manager that aligns the vessel lumen.
To reduce the risk of restenosis, the stent is coated stetsialnym drug substance.
Description of operations Heart surgeon makes a puncture in the femoral or radial (on the arm) artery under local anesthesia. The puncture introduce catheters (conductor), and through it, in turn, introduced a special contrast agent, which immediately spread throughout the blood arteries, and the arteries become visible on X-rays. These pictures are taken from several angles, the result is displayed on the monitor. The computing device allows them to be stored in digital format. In parallel, through a special device continuously recorded ECG patient.
The first stage of the operation - balloon angioplasty. The surgeon inserts a stent through catheters under X-ray control and leads him to the coronary vessels. At the end of catheters - compressed tank. It is set in the right place (where there is narrowing) and inflated. The balloon expands the artery and restores its conductivity.
The second stage - stenting. The conductor is replaced with another, at the end of which - the compressed stent. It also delivered to the affected vessels and straighten. After that it is rigidly fixed to the vessel wall. Stenting fulfilled.
How to carry out an operation
In a specially equipped operating room under X-ray control, constantly recording the cardiogram of a patient. Since it is held under local anesthesia, the patient can speak with your doctor about the health report, at the request of the doctor at the right time to hold their breath.
Features
In kaktetor for visual inspection of introducing iodine-containing compound, so the patient should not be allergic to iodine.
The postoperative period
1-2 days the patient is on bed rest with a pressure bandage on his thigh. Puncture on the radial artery less traumatic, and the patient may be discharged the next day.
To reduce the risk of clot formation in the stand prescribed blood-thinning drugs to the patient.
The prognosis after surgery
Favourable.
Quotas
Operation stenting It refers to high-tech medical care, which is subject to quotas. They can be obtained by contacting the city health department on a residence. Quota give part clinic, without taking into account the patient's desire. If you are not satisfied with this hospital, you can do an operation on a commercial basis.
How to choose a clinic
Such operations are carried out in many public and commercial clinics. To choose a hospital, look at the number of stenting a year (at least 300), which has turned the experience of the clinic (number of both scheduled and of rescue operations), is there any scientific publications on stenting.
Vooobsche now in major cities are doing this operation at a high level.
The operation relates to the stent
high-tech medical care,
which is subject to quotas. Get
they can be turned into urban
Health Management in place
residence.
Quota give part clinic without
Taking into account the patient's desire. If not
satisfied with this hospital, you can do
Activity commercially
How to choose a clinic
Such operations are conducted in many
government and commercial clinics.
To choose a hospital note
the number of stents per year (at least
300), which has turned the experience of the clinic (as
planning and operations of rescue)
whether there is a scientific publication on
stenting.
Vooobsche now in large cities do
this operation at a high level.
Treatment and prevention
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