What is Vascular Stenting?

Veins and arteries are blood vessels that carry blood throughout the body. Plaque is made up of fat, cholesterol, and other substances that may block blood vessels. This blocking decreases the flow of blood, thereby causing many health issues. In certain instances, your physician might prescribe you for Vascular Stenting surgery. Stenting is a post-angioplasty procedure where a small metal device called a stent is placed to keep the blood vessel open, preventing the recurrence of stenosis. Our highly qualified surgery team conducts the latest types of vascular stent surgery.

How should I prepare for Vascular Stenting surgery?

• Inform your doctor about all the medications you are on and also other herbal medications you have been using. Share any allergies, especially to contrast materials, general anesthesia, and local anesthetic.
• Your doctor may advise you not to use blood thinners, aspirin, or NSAIDs before the procedure.
• Discuss any recent infections or other medical conditions with your physician.
• If a woman patient is pregnant, she should always inform her doctor and the technician. Doctors will not conduct most tests to avoid exposing the fetus to radiation. If an X-ray is necessary, the physician will make adequate provisions to reduce the infant's exposure to radiation. For more information about X-rays during pregnancy, go to the Radiation Safety page.
• Generally, you will be instructed to continue your standard prescription, especially if you are on any kind of blood pressure medication. You'll take it on the morning of the treatment and little sips of water.
• You may be advised to withhold certain prescription medicines a few hours before the treatment.
• You may be required to spend an overnight stay in the hospital.

How does the procedure work?

The physician inserted the balloon catheter through the skin, with the help of imaging guidance, into an artery. The physician inflates the balloon to allow the the vessel to open and advances it beyond the obstruction spot. Once the vessel has been opened, the physician deflates the balloon. It is during this procedure that the balloon widens the arterial wall, enhancing blood flow through the artery. The doctor might place a stent at the location of the treatment, which may hold the artery open temporarily.

How is the Vascular Stenting surgery performed?

Minimally invasive procedures like stenting should only be done by physicians who are specifically trained in these procedures. This procedure is done via a flexible tube catheter, guided through the blood vessels to the needed area, through which this procedure is conducted. The steps are as follows:

• Make a small cut: The surgeon makes a small cut in the groin or arm.
• Insert the catheter: The surgeon inserts the catheter through the cut and guides it to the blocked area using X-ray images.
• Insert a wire: The surgeon inserts a wire through the catheter till the obstruction.
• Insert a balloon catheter: A surgeon pushes a catheter equipped with a small balloon that can be inflated over the wire to the obstruction.
• Inflate the balloon: The surgeon inflates the balloon to expand the obstructed vessel.
• Insert the stent: The surgeon inserts a stent with the balloon catheter. When the balloon is inflated, it enlarges the stent.
• Withdrawal of the balloon and catheter: The surgeon withdraws the balloons and catheters.

Under the procedure, either local anesthesia or general anesthesia can be used.

Normal groins and some swelling in the leg after the procedure are to be expected. However, you may still require blood thinners up to a year after your procedure.

What will I experience during and after the procedure?

• The devices will be attached by the doctor or nurse to monitor your heart rate and blood pressure.
• The nurse then puts a needle in the vein for an IV line. She injects local anesthesia, which will numb the skin incision area, feeling like slight pinching and pressure but causes no serious discomfort.
• If the procedure requires sedation, you will feel relaxed and tired, extremely comfortable. Depending on the depth of your sedation, you could stay awake or doze off.
• You would experience some minor pressure when the physician pushes the catheter. No major ache.
• You may experience warmth as the contrast material flows through your body. This is a temporary side effect.
• Patients typically experience minor discomfort from the balloon's stretching of the arteries as it inflates. The discomfort increases with vein opening or dilation and should subside as the balloon is deflated.
• You may be bruised and tender where the catheter was placed. This is temporary and resolves in a few days.
• Monitor for bleeding or swelling at the catheter site, as well as hypertension and tachycardia. Suppose treated for vein disease, discharge early. The physician may prescribe medication to relax the arteries, prevent spasms, and prevent possible blood clots.
• If contrast is administered, your body will excrete the material out through urine, which will not color your urine. You will be instructed to drink more fluids to flush out this material from the body.
• To prevent atherosclerosis, rest, keep up with liquids, avoid heavy lifting and exercise, and stop smoking. If bleeding occurs, lie down, apply compressions, and visit your physician immediately. Keep track of any color, pain, or warmth in the legs.
• You would be discharged from the hospital and attended to by your doctor, who may prescribe aspirin or other blood thinners to prevent clots in the blood vessels. These anticoagulants must be monitored over time using periodic blood tests.

What are the benefits and risks of Vascular Stenting surgery?

Benefits

• Stent implantation is a much less invasive procedure in comparison to bypass surgery and is not very costly and minimally risky.
• This procedure employs a local anesthetic. Because most patients do not require general anesthesia, they do not have to spend nights in the hospital.
• These are sometimes dubbed nick-and-deceive procedures because there will simply be a small, suture-free nick in the skin, with no requirement for a surgical incision.
• You will be able to get back to your daily activities pretty quickly.

Risks

• Though the occurrence of major complications following angioplasty is rare, the catheterization could potentially damage the arterial wall. There is also an extremely small chance of thrombosis or tearing of the artery.
• Obstructions in the arteries may recur when angioplasty is performed as a stand-alone procedure. However, the vast majority of those arteries are opened successfully again. That also may occur when a stent is placed in the artery during the angioplasty.
• Heavy bleeding from the catheter site would require special drugs or a blood transfusion.
• Stenting of the carotid artery is associated with the risk of stroke.
• Abrupt vessel closure is a very rare complication of angioplasty. This obstruction in the treated area usually occurs within 24 hours of treatment. If it happens, drug dissolution of clots followed by angioplasty or stenting could be tried, and in a few instances, it would necessitate emergency bypass surgery.
• Other less common complications include myocardial infarction or sudden cardiac death.

What is the duration of recovery?

Most patients spend an overnight stay in the hospital. Some, however, may be released on the day of your treatment. The time taken to be discharged will mainly depend on your condition and kind of procedure.

Why Tender Palm Super-Speciality Hospital for Vascular Stenting in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Vascular Stenting in Lucknow, India. We have a highly experienced team of vascular surgeons who use advanced tools and follow international standard infection control measures. Our hospital ensures safer procedures, quicker recovery, and improved long-term outcomes.

To seek an expert consultation for Vascular Stenting in Lucknow, India

Call us at +91-9076972161
Email at care@tenderpalm.com

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