Expansion of coronary vessels

Bridge or expansion of the coronary vessels is the kind of treatment options designed to open narrowed coronary arteries that nourish the heart. Can cause CHD incidence of angina, it can also lead to heart attacks. During the process of expanding the coronary vessels, being open arteries that have become too narrow to allow the passage of enough blood because of the accumulation of remnant cholesterol (plaque). The doctor inserts a Qttarvi arteries, usually in the groin area and then pays this Alqttarany up to the coronary arteries.

 Upon arrival to the place of the blockage, the tool can be used for balloon-like be present at the end of the catheter, so as to compress fatty accumulations on the walls of the artery. After the expansion of the coronary vessels, the doctor can decide to put plexiglass tube of stainless steel (pillar) in the position of the blockage in order to keep it open. It is likely that the doctor describes Mrqqa the patient or Mmie blood for the prevention of blood form the mainstay of stroke.

 The process of expanding the coronary vessels do not prevent fatty substances continue to accumulate on the walls of the arteries. But the measures relating to change the pattern of the patient's life be helpful. These measures include the commitment to a healthy diet, exercise and exercise, and not smoking, reducing psychological distress, and adjusts the high blood pressure and cholesterol.

 an introduction

Sometimes, some people from the serious problems related to the heart and the arteries that supply the heart suffers. These problems known as the "disease of the coronary arteries." It can result in coronary artery disease to infection angina. It can also lead to heart attack, and death in some cases. It may be the doctor has conducted depiction of the vessels in order to look at the blood vessels that supply the heart, and in order to make a proposal for the expansion of these vessels.

 During the process of expanding these vessels, being open arteries that have become fairly narrow it does not allow the blood Bjerian enough. If the doctor advised to conduct the process of expanding the coronary vessels, the patient is the one who decides to conduct this process or not to hold them. This educational program helps to develop a better understanding of the benefits of the expansion of the coronary vessels and risks.

 Anatomy

The heart is the most important muscle in the body. The main function of the heart is to pump blood to the lungs and to the rest of the body. Since the heart is composed of living tissue, it is in need of blood, like the rest of the body. The heart also pumps blood to itself through many blood vessels that go directly to the heart muscle. These vessels known as "the coronary arteries."

Symptoms and causes

Accumulate remnants of cholesterol in the coronary arteries constitute "plaque" lead to a narrowing of the arteries. It may not pass the narrowed arteries sufficient amount of blood. This is what leads to decreased blood flow, which in turn can lead to a heart attack. If blood flow decreased to a certain extent due to the accumulation of remnants of cholesterol, the heart is no longer able to keep up the effort done by humans. If worse case, or if the arteries are blocked, the heart can be infected damage. Cause coronary artery disease incidence of angina in the first place.

Some patients with angina and feel pressure or pain or tension in the neck or chest or arm or jaw. In the absence of treatment, the coronary artery disease may lead to heart attack can be fatal. The expansion of the coronary vessels is the address used to open closed arteries. Following the success of this process, blood flow in the vessel improves. The heart receives the necessary amount of blood, and retracts the symptoms, and decreases the risk of heart attack.

 Treatment options

Surgery is the expansion of the coronary arteries and is one of the many possible treatments in order to deal with the problem of the accumulation of fatty substances in the blood vessels in the heart. But is not none of these treatments to cure this case; it is possible to accumulate fat of new blood vessels if the patient does not comply with preventive measures. Doctors drugs for people infected may prescribe a disease of the coronary arteries.

  Some drugs may help to make the blood vessels larger or more spacious. Medicines may also help to relieve symptoms and reduce the need for oxygen to the heart. An alternative treatments also perform coronary bypass surgery. In open-heart surgery this, being the use of a blood vessel is taken from the patient's body in order to bypass or "shunt" place-making beyond the blockage in the artery. At that point, the blood flow to the heart bypassing the blocked artery. The doctor can discuss treatment options with the patient and suggest what suits him.

Surgery

Can the doctor asks the patient not to eat any food or drink for several hours before the operation. If the process is scheduled for an appointment in the morning, this usually means not eating any food or drink after midnight the night before. During the process of expansion of the coronary arteries, the doctor determines the starting position in the narrowed artery, and then open it by inserting the catheter to the exact location.

 There are many measures in order to open the blocked artery. This is discussed later. Not valid for all patients all of these procedures. The physician determines the appropriate action according to the patient's condition. You can make the process of expanding the coronary arteries is the patient's stay in hospital. This means that the patient be able to go home after the procedure. But sometimes the patient to remain in the hospital an extra day or more.

The doctor will explain to the patient that term is expected to be spent by the patient in the hospital, depending on his health and on other factors as well. The patient is awake during the procedure this process. Due to the lack of any real pain. The doctor asks the patient to lie on the X-ray table. During the operation, monitor the conduct continuous heart rate, blood pressure, and vital signs.

 Before the operation began, Barber felt the groin area and cleanse the skin in place. And then they are drugged by using a local anesthetic. Then it is introduced into the artery catheter through the skin in the patient's leg. And then pushes the catheter until it reaches the coronary arteries

 Sometimes, depending on the doctor's preferences and the state of the arteries of the patient, the catheter can be entered in the large artery located under the armpit or in the upper arm instead of the inguinal or crural region. At that, pigmentary being injected into the arteries and X-ray pictures are taken. And on the patient to remain perfectly quiet during filming in order to allow access to a good, clear images.

When you reach the blockage, the doctor decide whether to open it possible using a balloon or other means. Called the manner in which a balloon is used as the "expansion of the artery balloon." Be connected by the end of the balloon catheter is being inserted until the blockage area by the user in the artery angiography process. Then being inflatable air balloon and then eject it and then inflated several times until the pressure being fatty accumulations on the wall of the artery. This allows the passage of more blood through the artery. When it is removed from the air balloon and dragging it out of the body.

  In the process of expanding the artery, the doctor can decide to put a network of stainless steel at the site of the blockage in order to maintain the artery open. This is called the body-shaped tubular as the "pillar". If you use a stent, they prove at the end of the catheter is then placed in a place of blockage. Sometimes, you can use a stent is a balloon, in order to open the blocked artery.

  Another way to open blocked arteries is the process of expanding the artery, they use a small mechanical tool instead of a balloon. This tool and the plaque to break up into small pieces. This process is called as the "eradication atherosclerosis." It is possible that the doctor decides that this procedure is the appropriate procedure for the patient. In addition to breaking up the plaque, it could also be placed prop. After angiography and expand the blood, if the enlargement process is necessary, the catheter being pulled to the outside.

And be patient to lie in a horizontal position it is to bend the leg, in order to prevent bleeding from the place of entry of the catheter. If you use a cardiologist device to close the inlet catheter, the patient to lie about an hour of time. If the doctor did not use this device, the patient to lie for up to eight hours. And it is to refrain from bending his leg, which was the introduction of the catheter from the groin area hand (groin area). In the absence of the patient's stay in hospital, it does not have (most likely) be able to drive a car. This requires the establishment of a last boosted by getting to his house.

 Risks and complications

This process is safe. But there are many risks and potential complications. The occurrence of such risks and complications are very unlikely. But it remains possible. And on the patient to know in case it happens. Through this knowledge, the patient is able to help the doctor to detect complications early. The expansion of the coronary artery to remove the blockage may fail. Even if it succeeds in removing it, the blockage can happen again, and can move the mainstay of the place.

This is what can lead to a heart attack. If you were a brace to maintain the artery open, it is possible that a blood clot arise when the stent. The doctor gives the patient Mrqqa blood, such as aspirin or Plavaks®, or Tachled®, for the prevention of strokes. X-rays are used during this process. The amount of radiation used is safe. But this same amount can be dangerous for the fetus.

 Thus, it is important to make sure a lot of sick absence has carried before being subject to any radiological examination is optional. Can in rare cases lead to the expansion of the container to a heart attack. In this case, it must be an open-heart surgery. Can, in rare cases, the catheter inside an artery that leads to injury or artery to the injury of other arteries in the body.

This may lead to a decrease in the amount of blood reaching the leg or the arm (depending on where to insert the catheter). This may require surgery in order to restore normal blood flow. It is also possible to lead the introduction of the catheter to the injury of the nerve in the leg or arm, according to the place of entry of the catheter. There are some people who are allergic to iodine dye used in this examination. And the patient should be keen to tell your doctor about any allergy you have, including the sensitivity of marine snails, as well as for any possible reactions to any kind of dyes, which suffered in the past.

The doctor describes the drugs to relieve the symptoms of allergic. It is possible to cause material pigmented kidney failure in some people. You should tell your doctor if the patient has any problem kidney. In this case, the patient can be at somewhat greater risk. The occurrence of renal failure is more likely in patients taking drugs have toxic properties of the college, and that such medication Gluckovij® (metformin), a drug for diabetes. You should tell your doctors and consulted with respect to any drugs covered by the patient. It is important that the patient tells the doctor about all the medicines he takes.

    If you use a cardiologist device in order to close the wound, the patient to lie in bed in a horizontal position for about one hour. If the doctor did not use this method, the patient to lie in bed for up to eight hours. It may not be the patient's leg, bending from the side that has been the introduction of a catheter in the groin area.

 The nurse provides the patient with instructions to get out of the hospital. It also gives a telephone number to call in case of emergency. And the patient should be keen to call this number if they appeared to have any new symptoms, irritation or fever or numbness or weakness, or inflammation or bleeding in the position to enter the catheter.

But if the patient felt chest pain, he should go to the emergency room immediately. The patient can go to the nearest medical emergency point if he felt chest pain or difficulty breathing or pain in the arm or irregular breathing. If the doctor has used stent to keep the artery open, it may ask the patient taking blood thinners to prevent blood clots, and it grows until the artery lining covers the stent.

 But the prevention of coronary artery narrowing again is possible through proper diet and exercise and quitting smoking and reducing psychological distress, as well as adjust the cholesterol and high blood pressure. The operations of the expansion of the coronary arteries is very safe. The risks and complications are very rare. But knowing the patient to these risks and complications to help him discovered early if it occurs.