Breaking Down the Myths of Stenting: Essential Facts Every Patient Should Know with Dr. Debopriyo Mondal
Coronary artery disease (CAD) is one of the leading causes of heart disease globally, and stenting has become a common procedure used to treat blocked or narrowed arteries. However, despite its widespread use, many people are still unsure about the stenting process and its effectiveness. Misconceptions about the procedure can lead to confusion and even fear. In this blog, Dr. Debopriyo Mondal, a renowned cardiologist in Kolkata, helps break down the myths and provides essential facts about stenting to help patients make informed decisions about their heart health.
What is Stenting?
Stenting is a procedure that involves placing a stent, a small mesh-like tube, into a narrowed or blocked artery to restore blood flow. This procedure is most commonly performed on coronary arteries, which supply blood to the heart. The purpose of the stent is to keep the artery open and improve blood flow, reducing the risk of a heart attack or other cardiovascular complications.
Stenting is often performed after a balloon angioplasty, where a balloon is inflated to open up the blocked artery before the stent is inserted.
Common Myths About Stenting
1. Myth: Stenting is a Permanent Fix for Heart Disease
Fact: While stenting can significantly improve blood flow and relieve symptoms of coronary artery disease (such as chest pain or shortness of breath), it is not a permanent cure for heart disease. The stent itself will remain in place, but it is important for patients to continue managing their heart health through lifestyle changes, medications, and regular monitoring. Dr. Debopriyo Mondal emphasizes that stenting is part of a comprehensive treatment plan that includes addressing underlying risk factors like high cholesterol, high blood pressure, and diabetes.
2. Myth: Stenting is Only for Severe Blockages
Fact: Many people believe stenting is only recommended for severe blockages, but that’s not true. Dr. Mondal explains that stenting can be performed on both severe and moderate blockages, especially if the artery is affecting blood flow significantly or causing symptoms. It’s often used to prevent a heart attack or improve quality of life by relieving symptoms like angina (chest pain) or shortness of breath.
3. Myth: Stenting is Extremely Risky
Fact: Like any medical procedure, stenting does carry some risks, such as bleeding, infection, or artery damage, but these risks are generally low. The procedure is minimally invasive and is performed under local anesthesia, meaning the patient is awake but numb in the area being treated. The recovery time is relatively short, and most patients can return to normal activities within a few days. Dr. Mondal reassures that stenting is considered a safe and effective treatment for heart disease.
4. Myth: Stenting Solves All Heart Problems
Fact: Although stenting helps restore blood flow, it does not address the underlying causes of heart disease, such as plaque buildup, high cholesterol, or poor lifestyle habits. Dr. Mondal stresses that stenting should be viewed as a part of a broader treatment plan that includes lifestyle changes like regular exercise, a heart-healthy diet, and proper medication management. Without addressing the root causes, the arteries could narrow again, and patients may require further interventions.
5. Myth: Once You Have a Stent, You Won’t Need Any More Treatment
Fact: After a stenting procedure, patients will still need to manage their heart health with ongoing treatment, including medication (such as blood thinners, statins, and antihypertensives) and lifestyle changes. Follow-up appointments with your cardiologist are important to ensure the stent is functioning properly and to monitor the condition of your heart. Regular check-ups help prevent the buildup of new plaque or any complications from occurring.
6. Myth: Stents Cause Side Effects or Health Complications
Fact: Stents are made from biocompatible materials such as stainless steel or titanium, designed to minimize adverse reactions. While there is a slight risk of complications like blood clots or stent restenosis (narrowing of the artery again), these risks are manageable with proper post-procedure care and medication. Dr. Mondal explains that the use of drug-eluting stents has further reduced the risk of restenosis, making stenting a safer and more effective treatment option.
7. Myth: Stenting Is Only for Older People
Fact: Stenting can be beneficial for people of all ages who have coronary artery disease, not just older individuals. While heart disease is more common in older adults, younger patients with risk factors such as smoking, diabetes, high blood pressure, or high cholesterol can also benefit from stenting. The decision to perform stenting depends on the individual’s overall health, the severity of the blockage, and other factors, rather than age alone.
How to Prepare for Stenting
If you’ve been advised to undergo stenting, preparation is key for a successful procedure. Here are some steps Dr. Debopriyo Mondal recommends:
- Pre-procedure tests: Your doctor may recommend tests such as a coronary angiogram to determine the extent of the blockage.
- Medication adjustments: Your cardiologist may adjust your current medications, especially if you take blood thinners.
- Fasting: You may be asked to avoid eating or drinking for several hours before the procedure.
- Notify your doctor of allergies: Inform your healthcare provider if you have any allergies, especially to medications or contrast dyes.
Recovery After Stenting
Post-procedure recovery from stenting is generally quick. Most patients can return home the same day or the day after the procedure. Dr. Mondal suggests the following recovery tips:
- Rest and avoid strenuous activity for a few days to allow the body to heal.
- Follow your doctor’s advice regarding medication, especially blood thinners.
- Attend follow-up appointments to monitor the stent’s function and the health of your heart.
- Adopt heart-healthy habits: Eating a balanced diet, exercising regularly, quitting smoking, and managing stress can significantly improve the effectiveness of stenting and reduce the risk of future heart problems.
Conclusion
Stenting is an effective and commonly performed procedure for treating coronary artery disease and improving heart health. However, it’s essential for patients to separate fact from fiction and understand that stenting is not a cure-all. By following a comprehensive treatment plan that includes lifestyle changes and regular monitoring, stenting can help patients manage their heart disease and significantly improve their quality of life.
If you have concerns or questions about stenting or heart disease, Dr. Debopriyo Mondal is available for consultation. With the right treatment plan and expert care, you can take proactive steps to maintain heart health and enjoy a longer, healthier life.