Treatment

Vascular Stenting

Overview

Vascular stenting is a minimally invasive procedure used to open narrowed or blocked blood vessels, helping restore proper blood flow. A small mesh tube called a stent is inserted into the affected artery or vein to keep it open. It is often used in patients with conditions like carotid artery disease, peripheral artery disease, or other forms of vascular blockage.

This procedure is an alternative to more invasive surgeries like bypass surgery and is known for its quicker recovery time and lower risk.

Why Vascular Stenting is Required?

• To treat narrowed or blocked arteries caused by plaque buildup (atherosclerosis)
• To prevent stroke, especially in patients undergoing carotid artery stenting procedure
• To improve blood circulation in the legs in cases of peripheral vascular stenting
• To relieve symptoms like chest pain, leg cramps, or dizziness caused by poor blood flow
• When medications or lifestyle changes are not enough to manage the condition
• In patients who are not suitable candidates for bypass surgery

Key Advantages of Vascular Stenting Treatment

• Minimally invasive with no large incisions
• Shorter hospital stay and faster recovery
• Reduced risk of complications compared to traditional surgery
• Effective in preventing stroke or heart attacks
• Immediate relief from symptoms of blocked arteries
• Often performed under local anesthesia
• Can be repeated if needed in the future
• Avoids the need for open surgery in many cases

How Should You Prepare Yourself Before Vascular Stenting Treatment

• Consult your doctor and provide your full medical histor
• You may need tests like angiography, ultrasound, or CT scans
• Avoid blood-thinning medications if advised by your doctor
• Fasting may be required for a few hours before the procedure
• Arrange for someone to accompany you and take you home
• Inform your doctor about allergies, especially to contrast dye or iodine
• Discuss any ongoing heart, kidney, or bleeding issues
• Wear loose, comfortable clothing on the day of the procedure

How Vascular Stenting Treatment is Performed?

• A small incision is made, usually in the groin or wrist
• A catheter is inserted and guided to the blocked vessel
• Contrast dye is used to visualize the blockage
• A balloon may be used to widen the vessel (angioplasty)
• A stent (mesh tube) is placed to keep the vessel open
• The catheter is removed, and the incision is closed with pressure or a small stitch
• The entire vascular stenting procedure step by step typically takes 1–2 hours

What You Can Expect Before, During and After Procedure?

• Before Procedure:
• You will undergo imaging tests
• You may receive medication to relax
• Your vital signs will be monitored
• During Procedure:
• Performed under local anesthesia
• You may feel slight pressure or warmth
• The team monitors your heart rate and blood pressure continuously
• After Procedure:
• You will be moved to a recovery room
• You may need to lie flat for a few hours
• Discharged the same day or next day depending on condition
• Mild bruising or soreness at the insertion site is common
• Resume normal activity within a few days

Risk and Potential Complications

• Bleeding or bruising at the catheter site
• Blood clots forming around the stent
• Infection at the incision site
• Allergic reaction to dye used during imaging
• Re-narrowing of the artery (restenosis)
• Kidney damage in rare cases due to contrast dye
• Stroke or heart attack (though rare)
• Not all patients respond equally – success varies with overall health

Results/Outcomes

• Most patients experience immediate improvement in symptoms
• High success rate of vascular stenting, especially for blocked arteries
• Helps prevent severe events like stroke or limb loss
• Vascular stenting recovery time is shorter than traditional surgery
• Stents can last several years or even lifetime depending on health and lifestyle
• Improved quality of life with proper post-procedure care and medication