operation stenting   Atherosclerosis - a widespread chronic disease in which the arteries begins the formation of atheromatous plaques that can lead to blockage of blood vessels. These deposits block the flow of oxygenated blood to the heart, thereby developing coronary heart disease.

The most effective way to treat this disease is to conduct operations stenting - minimally invasive surgery, is characterized by minimal risk to the patient and the patient's short-term rehabilitation. For the first time the procedure for stent placement was performed in 1986, and since then, thanks to the rapid development of scientific and technological progress, the introduction of new technologies and innovative techniques were developed and produced the best design required for implantation, as well as improved methods for their introduction into the body patient.

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Types of stenting in Israel

The Israeli clinics for the treatment of vascular walls (atherosclerosis) are performed:

  1. Coronary stenting - is carried out in diseases CHD and to prevent myocardial infarction. A stent is implanted in a sealed or narrowed coronary artery.
  2. Carotid stenting - conducted for the treatment of atherosclerosis and occurrence of atherosclerotic plaques on the inner walls of the carotid arteries. After the procedure, the patient has an improvement of cerebral circulation and cleansing of the lumen of blood vessels. Also stenting operation is performed in order to prevent blood clots that can lead to TIA - transient ischemic attack.

What is a stent?

The stent is artificially created, the support structure in the form of a tube which is implanted into the narrowed or blocked artery to restore normal blood flow. This "frame" is typically made of stainless steel, it may also be a special drug, active or passive coating, and its dimensions are chosen in accordance with the size of damaged blood vessels.

Stenting in Israel is usually held after the artificial expansion of the coronary arteries - balloon angioplasty or other invasive procedures. Balloon angioplasty or as it is also called percutaneous transluminal coronary angioplasty, it is necessary to open blocked blood vessels and improve blood flow to the heart. When implanting a stent is less likely re-narrowing of arteries - and restenosis ofcoronary bypass thereafter.

Operation stenting - preparation and diagnostics

The diagnosis of coronary artery disease is made after careful consideration of the patient's history, physical examination and determine the symptoms. For the diagnosis of coronary heart disease, the patient goes through several studies:

  • electrocardiogram (ECG);
  • stress test (stress echocardiography);
  • cardiac catheterization (angiogram);
  • chest X-ray, computed tomography (CT);
  • blood tests (determination of cholesterol, triglycerides, etc.)

In addition, before the stenting operation in Israel, the patient should:

  1. Quit smoking and using tobacco products (chewing, sniffing).
  2. Nothing to eat or drink in the course of 6-8 hours before the operation.
  3. Take only those medications that he prescribed or permitted by the doctor.

Stenting in Israel

The procedure is carried out cardiac surgeonunder the control of X-ray equipment for continuous registration of heart activity (ECG) of the patient. The patient does not require general anesthesia in the absence of the need to make cuts, so stenting surgery is performed under local anesthesia. The average duration of the procedure is ot30 to 40 minutes. The process of implantation of the stent can be divided into several stages:

  1. Entering a catheter into the femoral artery or vessel on her arm.
  2. The catheter is fed to the field of coronary artery occlusion, it is carried out through a special handler equipped balloon and stent in a compressed form.
  3. The balloon is inflated to open the artery, the stent is pressed into the inner wall.
  4. The balloon goes down, leaving a "frame" on the spot.
  5. The catheter is removed and the stent remains in the artery, keeping it open.

It should be noted that the holding of stenting in Israel is impossible in patients suffering from allergic reactions to iodine, due to the fact that the iodine-containing substance is used during catheterization.

Care patients after surgery stenting

Typically, patients are discharged on the same day or the night after the procedure. Patients undergo a complete briefing of the attending physician - it is recommended to lie down without bending the legs, for 2-6 hours. It is necessary to restore the damaged artery catheter after input. The patient can get out of bed only after the permission of the doctor, and with the help of medical staff. At the same time he is allowed to have.

The patient is under close medical supervision during the entire recovery period. Regularly assesses vital signs: heart rate, respiration, blood pressure and body temperature, as well as measuring the level of oxygen and carbon dioxide in the blood. The patient can be intravenously administered blood thinning medication.

After surgery, stenting, prior to discharge from the clinic the patient prescribed medications, to eliminate painful sensations. Manifestation little discomfort in the chest area is quite normal after the procedure, as well as minor bleeding and bruising in the area of ​​the catheter. However, a severe pain and significant flow of blood from the vessels should immediately inform your doctor.

The patient should use anticoagulant drugs to prevent unwanted blood clotting. He pass contraindicated MRIS for 6 months after stenting in Israel, since the magnetic field can move the stent.

To prevent recurrence of the disease, doctors strongly recommend that patients take prescribed medication and lifestyle change:

  1. Quit smoking. Smoking causes damage to blood vessels, increases blood pressure and the heart rate of the patient and also reduces the amount of oxygen in the blood.
  2. Watch your weight. Obesity increases the load on the heart.
  3. Perform special exercises and diet.
  4. Regularly go to the doctor and be diagnosed aimed at detection of restenosis.