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July 31, 2010
 Health Library - Your Heart Health

This special sponsored
feature is provided by

Bristol Myers Squibb


Understanding Stent Procedure and Coronary Artery Bypass Graft Surgery 10,11
Why do you need this procedure?
If the blockage or atherothrombosis in your heart arteries is so severe, a Procedure is needed to restore the vital blood supply to your heart muscle. Two of the most common procedures are stent placement or bypass graft surgery.



A stent is a small wire mesh device inserted directly into the blocked artery. It exerts outward force, keeping the artery open so blood can flow more freely.

How is the procedure performed?
The doctor inserts a balloon-tipped catheter and guidewire in your arm or groin area. The guidewire and catheter are extended to the point of blockage in your heart. The balloon is inflated to open the narrowed artery. Then a stent is placed exactly where the blood flow is blocked. The guidewire is removed and the stent remains.


What is coronary artery bypass graft (CABG) surgery? 11
Coronary artery bypass graft (CABG) surgery is anotheroption. CABG may Be performed when the blockage is more extensive and an entire area is lacking blood supply. The grafted artery (usually taken from an artery near the Sternum or a vein in the leg) is used to join an artery with good flow to an area that needs blood flow. As the name suggests, the blockage is "bypassed" and a new route is created.
References:
10. Kasper DL, et al, eds. Harrison’s Principles of Internal Medicine. 16th ed. New York: McGraw-Hill; 2005.
11. Hankey GJ, et al. Five-year survival after first-ever stroke and related prognostic factors in the Perth Community Stroke Study. Stroke 2000;31(9):2080–6.
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