Stent Or Bypass Surgery Which Is The Better Option

The problem of arteries in the heart has plagued human beings for time immemorial. But thanks to modern-day advancements in medical science, Coronary Artery Diseases (CAD) are now manageable with medicines or sophisticated surgical procedures. Stents and Bypass surgery remain two of the most efficient and common treatments for this problem. Doctors choose between the two based on the probable outcome of the patient and the risks versus benefit evaluation. Dr. Ayush Srivastava is highly regarded as a well-known cardiac surgeon in Moradabad. You may want to read more of this article if you are planning to get any of the above procedures done.

What happens?

The greatest risk with CAD is that it may not cause any symptoms in its early stages and is sometimes found in routine evaluations. It may cause typical pain of the chest called angina. CAD may cause blood clots to develop, which in turn may travel either to the muscles of the heart and cause a heart attack or travel to the brain and cause a stroke by blocking the natural flow of the blood to these organs.

 

How is it treated?

The first stage of treatment is typically medical management. It utilizes various drugs like anti-hypertensives, blood thinners, cholesterol management drugs, etc. These drugs target stopping or slowing down the damage. These may not be enough in the long run, and a procedure becomes essential at some point in time.


1.Stents – Stenting is also called Angioplasty, where a wire is threaded into the coronary artery to be stented. The process is done through a small puncture in an artery of the groin or arm. It is a minimally invasive procedure. In the location of the blockage, a stent is inserted that is like a part of the original artery. This stent opens up the artery and ensures proper blood flow. The stent is permanently placed in the artery so that blood flow remains uninterrupted. There are stents available now that have a drug coating on them. These stents help in reducing the chances of any blood clots. Angioplasty is a very frequently performed procedure today, and Dr. Ayush Srivastava is the Top Vascular Surgeon in Moradabad are well-suited for undertaking this procedure.

 

2.Bypass surgery - In CABG or Coronary Artery Bypass Grafting surgery, the doctor makes an incision in the chest. Following the incision, he/she repairs the concerned artery by removing the portion which is not well and then stitching the ends together. At times, an artery from some other part of the body is used to replace a part of the diseased artery. This procedure is also referred to as open-heart surgery and is a crucial procedure.

 

Which is better?

The choice between the two procedures is tricky at times, and careful evaluation of your situation will be done by a cardiologist, from the severity of your CAD to the number of vessels that need to be repaired, your medical history, and what other options of treatment you have considered will all be evaluated and then a decision would be taken. Stenting may not be useful for all CAD problems yet, during emergency problems, Stenting is preferred. Especially if you have an acute ST-segment Myocardial Infarction, then stenting can be a lifesaver. If you have severe CAD with multiple arteries being involved then CABG is opted for.

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