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How Your Doctor Decides Between Cardiac Stent and Bypass Surgery?

Tuesday, 08 April 2014 11:33 PM

The heart is a vital organ in our body providing blood and nutrition to every organ. Many diseases of the heart like coronary heart disorders, stroke, heart failure, heart attack, valvular disease, etc. can send us scurrying to the doctor. Coronary artery diseases are a major cause of heart diseases. There are many treatment options available to treat heart diseases and in deciding on which option to go by, doctors weigh the pros and cons on a case-by-case basis.

In coronary artery disease, angiography plays a vital role in deciding the treatment of heart problem. Doctors mainly advise medications, bypass surgery, or cardiac stents in coronary artery blockage. Often doctors consider a lot of factors while deciding the cure between bypass surgery and cardiac stent.
Both bypass surgery and cardiac stents have their own merits and demerits. A person whose coronary artery is blocked should discuss with his doctor about the right kind of intervention. If angiography findings suggest only one or two coronary artery blockages and the major left coronary artery is spared, then doctors advise cardiac stents, which is preferable over bypass surgery.
Doctors are of the opinion that people with frequent chest pains due to advanced coronary artery disease experience better relief with bypass surgery rather than repeated stents. For these patients, living conditions become favorable only after bypass surgery.
In case the major left coronary artery is blocked or if all three arteries show blockage, then again bypass surgery is advised by doctors. In this heart condition, doctors say that cardiac stents cannot improve the quality of life for long.
Doctors also consider other factors like the age of the heart patient, status of diabetes, etc. before deciding on bypass surgery or cardiac stent. Advanced age of the patient, where life expectancy is not good, deserves cardiac stent rather than bypass surgery even if major vessel or multiple vessel involvement is seen. Drug-coated stents give fantastic results in multiple-artery disease. These stents are coated with drugs that prevent restenosis.
If cardiac stents are done in patients who have multiple vessel blockage, they have to undergo cardiac stent again as restenosis is a big problem in these people. People having uncontrolled diabetes, heart failure, and chain-smoking problems are also advised bypass surgery as they develop the artery blockage very soon after the cardiac stent.

As bypass surgery requires more time for healing. This fact is also considered while doctors make a decision between bypass surgery and cardiac stent.

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For coronary heart problems, doctors have to choose between bypass surgery and cardiac stent. There are a lot of factors that help in deciding between the two.
Tuesday, 08 April 2014 11:33 PM
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