Typically, you're awake during your stent placement because it's a minimally invasive procedure. Medicine helps you relax, and a local anesthetic numbs the area of insertion, but you're able to hear your doctor and you're aware of what's going on around you.
You will be asleep for most stent procedures, so plan to have someone else take you home. You may go home the same day or after a few days, depending on the type of stent and your other medical conditions.
Stent Removal
Most patients stay awake when a stent is removed, but you may have a numbing gel applied to your urethra (your urinary tract opening) before the procedure. If your stent has a string attached, your doctor gently pulls on it to remove the stent.
Stent placement usually takes 30 minutes to two hours, but the preparation and recovery time may add several hours. This procedure is usually performed in the cardiac catheterization laboratory. Check with your doctor about the details of your procedure.
Usually, patients stay overnight and return home the day after the procedure. Some may even go home the same day. The amount of time that you stay in the hospital will depend on if there were any difficulties during the procedure and how well the catheter insertion site is healing.
Stenting is a minimally invasive procedure, meaning it is not considered major surgery. Stents can be made of metal mesh, fabric, silicone, or combinations of materials. Stents used for coronary arteries are made of metal mesh. Fabric stents, also called stent grafts, are used in larger arteries such as the aorta.
The procedure may take place right after the arteriogram, which is used to find the blockage, or it may occur the next day. You may need to stay in the hospital two or three days.
Stents can cause discomfort or pain, commonly in the bladder and kidney (loin) area, but sometimes in other areas such as the groin, urethra and genitals. The discomfort or pain may be more noticeable after physical activities and after passing urine.
You might feel pressure in the area where the catheter is inserted. You may also feel some mild discomfort when the balloon is inflated and your artery is stretched, but typically you shouldn't feel any sharp pain during the procedure.
For a non-emergency coronary stent procedure, the recovery time is typically around a week. However, an emergency procedure may require a recovery time of several weeks to more than a month. Ultimately, the cardiologist should tell the patient what to expect beforehand.
Just after the procedure
Once your blood pressure, pulse, and breathing are stable and you are alert, you may be taken to the intensive care unit (ICU) or a regular hospital room. If the sheath was left in the insertion site, it will be taken out of the groin or arm at the right time.
What to expect during a stent placement procedure. In most cases, general anesthesia is not needed for stent placement. You will be given medication to relax and a local anesthetic for the incision site. You may feel pressure during insertion but should not feel pain or feel the catheter being threaded to the heart.
Your doctor will recommend sleeping on your back, which allows your head, neck, and spine to be aligned properly, thereby reducing the pressure of the chest and heart. However, if it becomes a little difficult to get in or out of the bed, make sure that you have enough support (pillows) for an easier transition.
Coronary arteries with severe blockages, up to 99%, can often be treated with traditional stenting procedure. Once an artery becomes 100% blocked, it is considered a coronary chronic total occlusion, or CTO. Specialized equipment, techniques and physician training are required to open the artery with a stent.
And this question has an answer—bypass surgery—as long as the individual's surgery risk isn't too high. "For three-vessel coronary disease, bypass now has been shown to be superior to stenting, with the possible exception of some cases in which the narrowing in the artery is very short," Cutlip says.
It is also possible that you are experiencing discomfort because the stent is taking time to settle. This is quite normal, but make an appointment to see your GP and check if they want to review your medications. Find out about better stents for the future.
They can be more physically active, travel, feel more energetic, and notice improvement in overall health. As long as one follows their doctor's advice and consults the doctor regularly, there is every chance that one has a longer and healthier life span post an angioplasty.
In most cases, you'll be advised to avoid heavy lifting and strenuous activities for about a week, or until the wound has healed.
Bedrest may vary from two to six hours depending on your specific condition. If your physician placed a closure device, your bedrest may be of shorter duration. In some cases, the sheath or introducer may be left in the insertion site.
As a result, even after implanting stents in three major coronary arteries, if correctly controlled, you can live a long life.
Another option to avoid is anything high in saturated fats, including butter, whole milk, bacon, cured meats, and red meat. Sugary foods, including pastries and candies, should also be removed from your diet after heart attack and stents.
“Most of the time after a heart attack, people actually do quite well and live fuller lives afterward.” In fact, if the blockage that caused your heart attack is cleared with stents or surgery, you might feel better and have more energy than you did before your heart attack.
Avoid Driving: Driving is not advised for at least a week after the surgery. To avoid the risk of having another cardiac issue, take the back seat till you get the green light from your doctor. Quit Smoking: One of the best things to do for your heart after an angioplasty is to give up smoking.
The doctor may have placed a small tube, called a stent, in the artery. Your groin or wrist may have a bruise and feel sore for a few days after the procedure. You can do light activities around the house. But don't do anything strenuous until your doctor says it is okay.
Dairy - preferably low fat. Healthy fats - a small amount of healthy fats and oils from nuts, seeds, avocado and oily fish. Water - avoid sugary soft drinks and drink alcohol only in moderation.