I Have Stenosis In My Heart Veins. Should I have surgery or a stent?

Since the narrowing of the vessels feeding the heart will disrupt the blood flow to the heart, it not only causes complaints such as chest pain, chest pressure and congestion, but also leads to more serious dangers such as heart attack and sudden cardiac death. A number of methods have been developed and continue to be developed to ensure adequate blood flow to the heart. One of these methods is bypass surgery. In this surgery, the veins taken from the leg or an artery in the chest wall are used to provide more blood to the area fed by the heart vessel that causes the stenosis. If this surgery is performed successfully, the patient’s complaints (primarily chest pain and congestion) are largely eliminated. Opening the heart vessels with a balloon and placing small metal structures called stents in the opened area is also a procedure applied for the same purpose. Bypass surgery is a major surgical procedure that takes 3-4 hours and requires a few days of intensive care and hospitalization. Balloon and stent procedure, on the other hand, is a simpler procedure that does not require anesthesia, takes 20-30 minutes and does not require hospitalization for more than one day. However, for the most part, both processes are not alternatives to each other. While balloon-stent procedure is preferred in technically suitable patients, bypass surgery may be required in patients who are technically unsuitable for balloon-stent procedure or have some accompanying problems. In some group patients, both procedures are among the options that can be applied to the patient. While some physicians recommend bypass surgery to patients in this situation, some physicians recommend balloon-stent operation. This situation does not arise from the physicians’ inability to decide which procedure to perform. The reason for this situation is due to the fact that both procedures have their own advantages and disadvantages, and physicians prefer a method according to their own perspectives. In such cases, patients should choose the most appropriate treatment for their own conditions by consulting a few physicians.

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