|Coronary Artery: Stent Procedure|
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Reasons for Procedure
- Bleeding at the point of the catheter insertion
- Damage to the walls of arteries, causing you to need additional procedures or surgery
- Heart attack , or abnormal heart beats known as arrhythmia
- Allergic reaction to x-ray dye
- Blood clot formation
What to Expect
Prior to Procedure
- Your doctor may need to test your bodily fluids. This can be done with blood tests.
- Your heart activity may need to be recorded. This can be done with electrocardiogram (EKG).
- Pictures may need to be taken of your bodily structures. This can be done with a chest x-ray .
- Talk to your doctor about your current medications. Certain medications may need to be stopped before the procedure, such as blood thinners or medications used to treat diabetes.
- Aspirin should be taken before and continued through the procedure. Your doctor may also prescribe antiplatelets for you to take before the procedure.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- You may be asked to shower the morning of your procedure. You may be given special antibacterial soap to use.
- Arrange for a ride to and from the hospital.
- Arrange for help at home for the first few days after your procedure.
Description of Procedure
Immediately After Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
You may be sent home on blood-thinning therapy. This may include one or more of the following:
- Do not stop taking aspirin, clopidogrel, or prasugrel without first talking to your cardiologist.
- Ice may help decrease discomfort at the insertion site. You may apply ice for 15-20 minutes each hour, for the first few days.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- You can make lifestyle changes to lower your risk for further complications of heart disease. These include eating a healthier diet, exercising regularly, and managing stress.
- You may need to undergo periodic stress tests to monitor for blockages.
- Be sure to follow your doctor’s instructions .
Call Your Doctor If Any of the Following Occurs
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the catheter insertion site
Call for Medical Help Right Away If Any of the Following Occurs
- Drooping facial muscles
- Changes in vision or speech
- Difficulty walking or using your arms
- Change in sensation to affected leg or arm, including numbness, feeling cold, or change in color
- Extreme sweating, nausea or vomiting
- Chest pain
- Rapid, irregular heartbeat
- Cough, shortness of breath, or difficulty breathing
- Weakness or fainting
American Heart Association http://www.heart.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Canadian Cardiovascular Society http://www.ccs.ca
Heart and Stroke Foundation http://www.heartandstroke.ca
American College of Cardiology Task Force. American College of Cardiology/Society for Cardiac Angiography and Interventions clinical expert consensus document on cardiac catheterization laboratory standards: a report of the American College of Cardiology Task Force on clinical expert consensus documents. J Am Coll Cardiol. 2001;37(8):2170-2214.
Bravata DM, Gienger AL, McDonald KM, et al. Systematic review: the comparative effectiveness of percutaneous coronary interventions and coronary artery bypass graft surgery. Ann Intern Med. 2007;147:703-716.
Camenzind E. Treatment of in-stent restenosis—back to the future? N Engl J of Med. 2006;355:2149-2151.
Explore stents. National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/stents. Updated November 8, 2011. Accessed August 7, 2013.
Shuchman M. Trading restenosis for thrombosis? New questions about drug-eluting stents. N Engl J of Med. 2006;355:1949-1952.
11/7/2007 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Bravata DM, Gienger AL, McDonald KM, et al. Systematic review: the comparative effectiveness of percutaneous coronary interventions and coronary artery bypass graft surgery. Ann Intern Med. 2007;147(10):703-716.
- Reviewer: Michael J. Fucci, DO; Brian Randall, MD
- Review Date: 08/2013 -
- Update Date: 05/11/2013 -