Intracoronary Stenting

Intracoronary Stenting

Intracoronary stenting is a minimally invasive procedure used to treat narrowed or blocked coronary arteries. Intracoronary stenting has revolutionized the treatment of coronary artery disease, becoming one of the most frequently performed therapeutic interventions in medicine.

An intracoronary stent is a small, expandable metal mesh tube inserted into a coronary artery during angioplasty to help keep the artery open and prevent it from narrowing or closing again.

Purpose:

  • To open narrowed coronary arteries and improve blood flow to the heart
  • To reduce the risk of restenosis (re-narrowing) after balloon angioplasty
  • To treat acute vessel closure during angioplasty

Procedure:

  • The stent is expanded at the site of the blockage, compressing plaque against the artery wall
  • A small mesh tube (stent) is inserted into the coronary artery using a catheter
  • The stent remains in place permanently to keep the artery open

Types of stents:

  • Bare metal stents (BMS)
  • Drug-eluting stents (DES) – coated with medication to reduce the risk of restenosis
  • Newer technologies like bioresorbable stents are being developed

Indications:

  • After successful balloon angioplasty of a significant coronary lesion
  • During treatment of acute myocardial infarction
  • For complex lesions (e.g., long lesions, chronic total occlusions)

Advantages:

  • Lower rates of restenosis compared to balloon angioplasty alone
  • Reduced need for repeat revascularization procedures
  • Improved clinical outcomes, especially with drug-eluting stents

Considerations:

  • Requires dual antiplatelet therapy after the procedure
  • Risk of complications like stent thrombosis or in-stent restenosis
  • Ongoing research focuses on improving stent design and reducing long-term complications

What PATIENTS SAYS !!

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