Tags: disease | heart | stents | bypass | surgery | condition | angiography

Coronary Artery Disease: The Dilemma Between Heart Stents and Bypass Surgery

Tuesday, 07 January 2014 10:11 PM EST

Cases of heart disease are growing like an epidemic and angiography is becoming a routine procedure for those with heart disease. Often, the underlying cause of an adverse heart condition is a blockage of the arteries. Coronary heart disease is diagnosed by angiography, more precisely known as coronary angiography. Angiography is done under anesthesia. In angiography, a dye is injected into the coronary artery through a tube to which a camera is attached.
Coronary artery disease condition has three treatment options: medication, stent technique, or bypass surgery. Sometimes, we find ourselves in a difficult situation in selecting from the options available based on our personal choice. You have to select between heart artery bypass, stents, angiography findings as well as your own condition.

Editor's Note: Top Cardiologist Discovers 'Simple Heart Cure'
Heart artery bypass requires surgery while stents are done through angiography. In some conditions like advanced age, where life expectancy is not long, surgery is not suitable; stents are better options for people in such conditions. Many clinical studies have been conducted on the choices, stents and bypass.
Sometimes, neither bypass surgery nor heart artery stent can provide total cure. So it is important for the patient to know the pros and cons of both. If a person has multiple artery or left main artery occlusion diagnosed through angiography, then bypass surgery is the best option, while single or two arteries occlusion requires heart stents. Many heart specialists believe that bypass surgery has a better prognosis than heart stents for multiple artery disease. Some studies show that patients with multiple artery disease, who had received heart stents, had to undergo bypass surgery within three years.
Still, bypass surgery is considered the gold standard for people diagnosed with multiple occlusion disease in angiography. Experts advise that people with frequent chest pains due to advanced coronary artery disease experience better relief with bypass surgery. For these patients, living conditions become better only after bypass surgery. The drawback of bypass surgery is that the breast scar and leg scar need time for recovery.

Drug-coated stents give fantastic results in multiple artery disease. Stent technique requires the same type of catheter as used in angiography. Sometimes, there is a scar at the site of stent known as restenosis. If we compare the quality of life, patients with heart stents feel better faster than those who have had bypass surgery as bypass surgery requires more time for healing.
Another study reports that in conditions when people suffer from smoking habits, diabetes, and heart failure, better outcomes are seen with bypass surgery than with heart stents. If one has only one artery occlusion, stents are better; if one has severe coronary artery disease with multiple occlusions, bypass surgery is better. For the conditions between these two extreme diseases, the person has to choose between stents and bypass surgery. Your doctor considers some conditions like age, diabetes, smoking, kidney disease, etc. to decide between the two.
Editor's Note: Top Cardiologist Discovers 'Simple Heart Cure'

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To treat coronary artery disease, one often has to decide between heart stents and bypass surgery. This is required after being diagnosed with conditions like one or multiple artery occlusion in angiography.
Tuesday, 07 January 2014 10:11 PM
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All Rights Reserved