Which is Better Stent or Bypass?

Coronary Artery Disease (CAD) is a narrowing or blockage of the coronary arteries which is caused by plaque build-up. Coronary artery disease can range from no symptoms at all to chest pain to a heart attack. Medical procedures such as stents or bypass surgery can be used to treat coronary artery disease.

 

Choosing the optimal treatment choice is usually a personal decision. Each method has its own set of risks and benefits. Many things are taken into consideration including the number of the blockages and where they are located. The preferences of the patient, as well as those of the cardiologist, are addressed before deciding which the better outcome is.

 

In certain cases, the option is obvious. However, there are certain murky regions. Sometimes it does not appear clearly that one alternative is superior to the other. This article will discuss the benefits and risks of stents and bypass surgery in curing CAD in order to understand which is better.

 

 

Contents:

  1. Stenting
  2. Bypass Surgery
  3. Which is Better Stent or Bypass?

 

Stenting

A stent is a small metal or plastic tube that is used to unblock a clogged coronary artery. When a build-up of cholesterol clogs an artery, a stent can be utilised to restore blood flow and reduce the risk of a heart attack.

 

Benefits of Stenting

  • Stenting is usually favoured over CABG in case of an emergency.
  • As stents are available in a variety of sizes, shapes and materials, this gives the cardiologist different options as to how to treat the patient.

 

Risks of Stenting

  • It is regarded as a high-risk surgery. Unexpected problems do happen on occasions. Severe bleeding, for example, may necessitate converting the treatment to an open surgery right away.
  • The stent is supposed to be used for life-threatening blockages in a single channel. It is not considered the best in cases of multiple vessel blockages.

 

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Bypass Surgery

 

 

Coronary Artery Bypass Graft Surgery or heart bypass surgery enhances blood supply to the heart by grafting a blood vessel between the aorta and the coronary artery, or arteries leading to the heart muscle, to construct a bypass around a blocked artery. Two to four grafts, sometimes known as a double, triple, or quadruple bypass, are commonly required.

 

Benefits of Bypass Surgery

  • It lowers the risk of a heart attack.
  • It has the ability to lessen or eliminate heart problems permanently.
  • It adds a burst of vitality to physical activity.
  • Bypass surgery is also more effective than stenting for diabetic patients.
  • Bypass surgery is required in specific circumstances. For example, when a blood artery is severely fragile and unhealthy, bypass is the best choice.
  • If the anatomy of the arteries is especially intricate, bypass surgery may be considered a better alternative.

 

Risks of Bypass Surgery

  • Heart attack
  • Stroke
  • Heartbeat fluctuations
  • Bleeding
  • Allergic effect on the anaesthesia or other equipment used in the surgery
  • Injuries in nerves
  • Fatality, in rare cases

Also Read: https://healinghospital.co.in/angioplasty-types-risks-recovery-and-procedure/

Which is Better Stent or Bypass?

 

The choice between stenting and bypass surgery can be difficult at times. A decision can be made after a careful assessment by the cardiologist which includes examining the severity of the CAD, the number of vessels that need to be repaired, and medical history, among other things.

 

Healing Hospital is the best heart specialist hospital in Chandigarh for stenting and bypass surgery. We are well-known for our cutting-edge infrastructure and our staff of highly skilled doctors and healthcare providers. To book an appointment with the best heart specialist hospital in Chandigarh.

 

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How Long Does The Average Person Live After Heart Bypass Surgery?

Coronary Artery Bypass Surgery is a procedure in which a surgeon uses one or more grafts to create a bypass around blocked or narrowed coronary arteries, enabling increased blood flow to the open grafts beyond the blockage to supply blood to the heart muscles.

 

 

Contents:

  1. Why is heart bypass surgery important?
  2. What are the risks of heart bypass surgery?
  3. How long does the average person live after heart bypass surgery?
  4. Takeaway

 

 

Why is heart bypass surgery important?

 

There are three major coronary arteries in the heart. Fatty deposits can form on the inside of these arteries over time, leading to Coronary Heart Disease and reduced blood flow to the heart. When this happens, one may experience chest pain or shortness of breath and is also likely to have a heart attack.

 

The number of blocked coronary arteries determines whether one has single-, double-, or triple-artery disease. Heart bypass surgery is used to alleviate symptoms of Coronary Heart Disease and lower the risk of a heart attack.

 

To book an appointment with the best heart surgeon in Chandigarh, click here: https://healinghospital.co.in/cardiology-department/

 

What are the risks of heart bypass surgery?

 

Although heart bypass surgery is now safer than ever, there are still some hazards, as with any kind of surgery. Following are some of the risks of a heart bypass surgery:

 

  • Some patients may experience considerable memory loss, but the vast majority will recover completely.
  • Some may experience reduced kidney function which normally improves within days of surgery.
  • Major problems, such as stroke, have a one to two per cent chance of occurring.
  • There are some chances of chest infections and redo for bleeding as well.
  • Heart attack and death are rare but may occur in some cases.

The likelihood of complications is determined by a variety of factors such as the patient’s health prior to surgery. Speak with your heart surgeon in Chandigarh so that you can determine your own risk based on your health, age and other factors.

 

How long does the average person live after heart bypass surgery?

 

After a heart bypass, most people perform quite well and live for at least 15 years before needing another surgery, which is usually a stent insertion. If stenting isn’t an option, a second heart bypass could also be performed.

 

Also Read: https://healinghospital.co.in/how-to-detect-heart-problems/

 

Takeaway

 

Although most people tend to do well after a heart bypass surgery, it is crucial to remember here that heart bypass surgery does not treat the underlying Coronary Heart Disease. Therefore, it is important to take care of one’s heart by following the lifestyle recommendations.

 

These include timely medications, blood pressure control, cholesterol management, quitting smoking, exercise, diet, and living a healthy lifestyle. These are life-saving procedures which can increase the life span of any heart patient.

 

Heart Bypass Surgery can be a life-saving procedure in most cases. However, it is important to make the decision of having this surgery only after consulting an experienced heart surgeon. Healing Hospital is a super speciality hospital in Chandigarh which is famous for its Cardiology department which houses the best heart surgeon in Chandigarh. Book an appointment in case you have any doubts regarding the procedure.

 

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Heart Surgery: Types, Timeline, Recovery, and Alternatives

Heart problems do not generally necessitate surgery. They can sometimes be treated with nonsurgical procedures, medicines, or lifestyle modifications. Problems such as heart failure, plaque buildup that partially or completely stop blood flow in a coronary artery, malfunctioning heart valves, dilated or diseased major blood arteries (such as the aorta), and irregular heart rhythms are the ones that necessitate surgery.

Types of Heart Surgery

Healing Hospital Chandigarh Heart bypass in chandigarh

  1. Coronary Artery Bypass Grafting (CABG): CABG is also known as heart bypass surgery or coronary artery bypass surgery. In this type of surgery, the surgeon attaches a healthy artery or vein from elsewhere in your body to deliver blood past the blocked coronary artery. The grafted artery or vein creates a new path for blood to circulate to the heart muscle by bypassing the blocked part of the coronary artery. Usually, this procedure is done for more than one coronary artery.

 

  1. Insertion of a pacemaker or an implantable cardioverter defibrillator (ICD): Arrhythmia is a condition in which the heart beats excessively fast, too slow, or in an irregular rhythm. Medicine is usually the initial therapeutic option. A surgeon may implant a pacemaker under the skin of the chest or abdomen, with wires connecting it to the heart chambers, if medicine fails. When a sensor identifies an abnormal heart rhythm, the device utilises electrical pulses to control it. When an ICD detects a hazardous arrhythmia, it provides an electric shock to bring the heart rate back to normal.

 

  1. Insertion of a ventricular assist device (VAD) or total artificial heart (TAH): A mechanical pump that supports heart function and blood flow is known as a ventricular assist device. The two bottom chambers of the heart are replaced by a total artificial heart.

 

Healing Hospital Chandigarh Heart surgery in chandigarh

 

  1. Heart valve repair or replacement: A heart surgeon in Chandigarh can either repair or replace the valve with an artificial or biological valve produced from pig, cow, or human heart tissue. Inserting a catheter into a major blood vessel, guiding it to the heart, then inflating and deflating a tiny balloon at the catheter’s tip to enlarge a narrow valve is one repair option.

 

  1. Aneurysm repair: To repair a balloon-like bulge in the artery or heart muscle wall, a patch or graft is used to replace a weak segment of the artery or heart wall.

 

  1. Maze surgery: To reroute electrical signals along a regulated channel to the lower heart chambers, a heart surgeon produces a pattern of scar tissue within the upper chambers of the heart. Atrial fibrillation, which is the most frequent type of severe arrhythmia, is caused by stray electrical signals, which this surgery blocks.

 

  1. Heart transplant: In this surgery, the damaged heart of the patient is removed, and a healthy heart from a deceased donor is implanted in its place.

Timeline

 

heart surgery in Chandigarh patient will need to stay in the hospital for 7–10 days. This can involve at least one day in the intensive care unit following the surgery.

Also Read: https://healinghospital.co.in/angioplasty-types-risks-recovery-and-procedure/

Recovery

 

The length of your recovery depends on the type of surgery you had, but you’ll likely spend a day or more in the hospital’s intensive care unit for most forms of heart surgery. Then you’ll be transferred to another part of the hospital for a few days before being discharged.

The length of your recovery period at home will be determined by the type of surgery you had, your overall health before to the operation, and whether you had any complications from the procedure. A full recovery from a typical coronary artery bypass, for example, could take six to twelve weeks or longer.

To know more about open heart surgery in Chandigarh, click here: https://healinghospital.co.in/cardiology-department/

Alternatives

 

  • Angioplasty: In this procedure, a surgeon places a stent within a narrowed artery to expand it during this surgery.
  • Transcatheter aortic valve replacement: A new valve is inserted using a catheter during this procedure. Once in place, this opens up and expands the blood vessel.
  • Aortic valve balloon valvuloplasty: This technique enlarges a valve by inserting a balloon.

Heart Attack Treatment – Symptoms and Causes

A heart attack occurs when the blood flow to the heart is cut off. There aren’t always obvious symptoms of something being wrong with your heart. Chest pain is not the only sign of a heart attack. Some cardiac symptoms aren’t even felt in the chest, and it’s not always easy to figure out what’s wrong.

 

 

Contents:

1.      Treatment of Heart Attack

2.      Symptoms of Heart Attack

3.      Causes of Heart Attack

 

Treatment of Heart Attack

Healing Hospital Chandigarh - Heart Attack Treatment in Chandigarh Mohali

A heart attack is a medical emergency that necessitates quick medical attention in order to avoid irreparable cardiac damage or death. If you call the emergency helpline number, treatment may begin in the ambulance or in the emergency room if you were taken to the hospital by someone else.

 

The majority of the treatment will consist of taking medications such as aspirin, beta-blockers, statins, ACE inhibitors, etc. These medications aid in the improvement of blood flow to the heart, the prevention of clotting, and the reduction of the risk of a recurrent heart attack.

 

If you’ve had a heart attack, your doctor will also discuss lifestyle changes with you. These modifications can help you avoid more cardiac problems in future.

 

Looking for Heart Attack Treatment in Chandigarh? Click here: https://healinghospital.co.in/cardiology-department/

 

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Symptoms of Heart Attack

 

  1. A silent heart attack can make you feel like:

 

  • You’ve caught the flu.
  • You have a sore muscle in your upper back or chest.
  • You’re experiencing pain in your jaw, arms, or upper back.
  • You’re exhausted.
  • You’re suffering from indigestion.

 

  1. Chest Pain, Pressure, Fullness, or Discomfort

 

Pain caused by a heart attack can be instant and severe, making it easier to notice and to seek medical treatment. But what happens when it isn’t so obvious?

 

Most heart attacks cause just minor discomfort or pain in the center of your chest. Pressure, squeezing, or fullness may also be felt. These symptoms normally appear gradually and may disappear and reappear.

 

There is a possibility of interpreting these as symptoms of something less serious, such as heartburn. However, you are the best judge of your own body. If you suspect something is wrong, you should not take it lightly and consult a doctor immediately.

 

  1. Difficulty in breathing

 

If you feel as if you’ve raced a marathon but you have simply walked up the stairs, it could be a symptom that your heart isn’t pumping enough blood to the rest of your body. Shortness of breath can occur with or without chest discomfort, and it’s a common symptom of a silent heart attack.

 

  1. Nausea and cold sweats

 

It is possible that waking up in a cold sweat, feeling sick or vomiting are flu symptoms, but they could also be signals of a silent heart attack. You may know how the flu feels because you’ve had it before, but listen to your instincts if you feel these flu-like symptoms are a sign of something more serious.

 

Also Read: https://www.healinghospital.co.in/bypass-surgery-recovery-period-what-to-expect-after-bypass-surgery/

 

Causes of Heart Attack

 

The most common cause of blockage is an accumulation of fat, cholesterol, and other chemicals which forms plaque in the arteries. A plaque can create a clot, thus obstructing blood flow. Although a heart attack or myocardial infarction, can be deadly, therapy has vastly improved over the years. If you suspect you’re suffering from a heart attack, get emergency medical treatment right away.

 

If you are 60 or older, overweight, have diabetes, high cholesterol or high blood pressure, you should be more concerned about heart-related problems.

 

Difference Between Open Heart Surgery and Bypass Surgery

Open heart surgery and Bypass surgery are complex surgeries that are done to treat heart problems. However, there are a few distinctions between these two procedures.

 

Open heart surgery is defined as any procedure that begins with the opening of your chest. It’s important to note that the term ‘open’ refers to a chest opening rather than the heart itself. The heart may or may not be opened during open-heart surgery.

 

It could also include surgeries on the heart’s arteries, valves, or muscles. Small incisions on the chest may be made during this procedure.

 

Bypass surgery is performed when the blood flow via the arteries is obstructed. When the coronary arteries that provide blood to the heart become clogged with plaque, blood flow might get obstructed.

 

Plaque is formed by the accumulation of fat, cholesterol and other substances in the arteries. The formation of plaque makes it difficult for blood to circulate freely through the heart. A bypass procedure ‘bypasses’ the blockage of the artery, allowing blood to flow freely to the heart.

 

 

Contents:

1.      When is Open Heart Surgery Needed?

2.      Procedure of Open Heart Surgery

3.      When is Bypass Surgery Needed?

4.      Procedure of Bypass Surgery

 

Open Heart Surgery and Bypass Surgery in Chandigarh - Healing Hospital in Chandigarh

When is Open Heart Surgery Needed?

 

Open heart surgery is usually done in the following cases:

  • To perform Coronary Artery Bypass Grafting (CABG)
  • Heart transplantation
  • Implanting medical device in the heart
  • Repairing damaged areas of the heart
  • Repairing or replacing heart valves

Open Heart Surgery and Bypass Surgery in Chandigarh

Procedure of Open Heart Surgery

 

Before you even decide to get this surgery done, you should disclose about any medications that you’re taking, including over-the-counter medications, vitamins, and herbs to your cardiologist. Notify them about your alcohol consumption and about any illnesses that you’re suffering from.

 

Your doctor may ask you to stop smoking and cease using blood-thinning medicines such as aspirin or ibuprofen two weeks before surgery.

 

Before starting the procedure of open-heart surgery, the patient is given general anaesthesia. This ensures that they are asleep and pain-free throughout the entire procedure. Then the surgeon creates an 8 to 10-inch incision in the chest.  To expose the heart, the surgeon breaks through all or part of the patient’s breastbone.

 

The patient may be linked to a heart-lung bypass machine after the heart is located. The surgeon creates a new channel around the obstructed artery by using a healthy vein or artery and then uses a wire to close the breastbone and leaves the wire within the body. The original cut is sewn back together.

 

Also Read: https://www.healinghospital.co.in/how-to-live-longer-with-heart-failure/

 

When is Bypass Surgery Needed?

 

The three coronary arteries of the heart are not all created equal. The left anterior descending artery (LAD) is the most significant artery. For a blocked LAD, bypass surgery is typically the best option. Even if both of the other arteries are blocked, and LAD is not obstructed and there are no other complicating issues, stents are more likely to be used.

 

Also, LAD bypass uses the mammary artery for the graft, which is positioned in the chest near the heart. CABG utilising the mammary artery continues for decades as the risk of complications are very low. Furthermore, the mammary artery is almost immune to blockage.

 

Lastly, bypass surgery is also generally the best choice in factors such as diabetes.

 

Also Read: https://www.healinghospital.co.in/chest-pain-and-heart-attack-in-the-young/

 

Procedure of Bypass Surgery

 

Surgeons use heart bypass surgery to operate the patients if other less invasive procedures and medications do not work. In heart bypass surgery, a blood artery from the chest, arms, or legs is removed and used to form a diversion or bypass around the blockage. This permits blood to return to the heart.

 

Surgeons can operate on many arteries at the same time. A double bypass involves two repairs, a triple bypass involves three, and a quadruple bypass involves four repairs. The quintuple bypass is the most complicated cardiac bypass surgery as it involves bypassing all five of the heart’s main arteries.

 

Get the best treatment for Open Heart Surgery and Bypass Surgery in Chandigarh here: https://www.healinghospital.co.in/cardiology-department/