|Coronary Artery: Stent Procedure|
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Reasons for Procedure
- Bleeding at the point of the catheter (tube) 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 (ECG, 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 medicines. Certain medicines may need to be stopped before the procedure, such as warfarin (Coumadin). Metformin (Glucophage) or glyburide and metformin (Glucovance) should also be stopped the morning of the procedure.
- Aspirin should be taken before and continued through the procedure. Your doctor may also prescribe clopidogrel (Plavix) 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:
- Prasugrel (Effient)
- Ice may help decrease discomfort at the insertion site. You may apply ice for 15-20 minutes each hour, for the first few days.
- 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.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Your arm or leg becomes painful, blue, cold, numb, tingly, swollen, or increasingly bruised
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Cough, shortness of breath, or chest pain
- Joint pain, fatigue, stiffness, rash, or other new symptoms
- Extreme sweating
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://ww2.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.
Braunwald E. Heart Disease: A Textbook of Cardiovascular Medicine. 5th ed. Philadelphia, PA: WB Saunders; 1997.
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.
Kasper DL, Braunwald E, Hauser S, Longo D, Jameson JL, Fauci AS. Harrison's Principles of Internal Medicine. 16th ed. McGraw-Hill Professional; 2004.
Shuchman M. Trading restenosis for thrombosis? New questions about drug-eluting stents. N Engl J of Med. 2006;355:1949-1952.
What is a stent? National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/stents/. Accessed February 6, 2013.
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 Nov 20. [Epub ahead of print].
- Reviewer: Michael J. Fucci, DO
- Review Date: 09/2012 -
- Update Date: 02/06/2013 -