What should I do if I have in stent restenosis, and what should I do if I have a second stenosis aft

After cardiac stent surgery, now our domestic hospitals use the method of stent stenting, which can no longer solve the problem of stent blockage, and some use thoracotomy surgery bypass, which is actually very damaging to the patient.

In Japan, there is now an advanced excimer laser technology, which can effectively re-block the stent and directly dredge the stent blockage without damaging the placed stent, and there is no need to be hospitalized after the stent is not required!

With Kang Evergreen, we can provide patients with professional overseas medical treatment without surgery in Japan to solve the problem of in-stent restenosis and in-stent re-blockage.

In-stent restenosis can be understood ——— carry Kang Evergreen.

Using scientific new ** to clean up the garbage in the blood vessels, so that the blood circulation can return to normal, can fundamentally solve the problem; It not only eliminates the trouble and hidden dangers of imaging, stent, bypass and other surgeries; It also relieves a huge financial burden for patients; It can also stop blocking the blood vessels that have been stent or bridged.

This new scientific ** was invented by Mr. Fan Changxi, a contemporary scientist in China, so it was named Fan Zi**. Fan Zi** can directly dredge blood vessels from outside the body, clean up the garbage in the blood vessels, and restore blood circulation to normal. It does not require medicine, injection, surgery, or any medical materials such as light, electricity, magnetism, infrared, etc., which is convenient and fast; It is the self that patients give themselves at home, which has regained the health of millions of patients, and many of them have been reported successively.

If you want to know more about Mr. Fan Changxi's invention of Fan Zi**, you must visit Fan Zi**Official**, because many of them are counterfeit and counterfeit.

If there is stenosis coronary heart disease, cardiovascular disease, timely examination in the hospital, you can choose a vascular stent to dilate blood vessels, promote blood circulation, for blockage, vascular stenosis has a good effect, but some patients will still have the phenomenon of disease after surgery, this situation is very common, because in the process of disease, any method can not be once and for all, so patients should choose the correct method according to their own situation, and the following is to learn how to **coronary artery stenosis after heart stenting.

a. Drugs: Most patients after cardiac stenting, will cause symptoms such as vascular stenosis, which can be improved by drugs, which can be improved by drugs to promote blood circulation and dredge blood vessels.

Surgery**: Vascular stent is a common method of disease, surgery**, generally will not have adverse effects on health, but also cause local blood circulation and other symptoms, should be operated on their own according to the actual situation of the patient**, if the physical condition allows, you can pass the stent again**, usually does not affect normal life.

Diet: If the disease is not reasonable, it may even cause other complications, according to the doctor's advice, through oral drugs**, mainly vasodilators and enhance human immunity, commonly used drugs are drugs to dilate blood vessels and promote blood circulation, which can play a vascular role, during the disease, we should pay more attention to rest, maintain a good mental state, and avoid injuries such as poor blood circulation or thrombosis.

<> If the heart patient has poor blood circulation or blood vessel blockage, the blood vessels in the stent**, or coronary artery stenosis and other symptoms can occur after surgery, according to the severity of the patient's vascular stenosis, reasonable**, you can choose drugs**, do the stent again, if you can't do support, you can perform surgery to improve the condition and avoid serious complications.

It can seriously affect the blood supply of the heart, and the best course of action is to consult a professional doctor in the hospital for the expansion and cutting of the inner balloon.

In this case, it is necessary to put a stent in place, take the corresponding medication with the doctor's approval, maintain a healthy lifestyle, and seek medical attention as soon as possible.

If one of the secondary stenosis endemic symptoms occurs after implantation, the best way to do this is to perform in-stent balloon dilation or cutting.

The stent is a foreign object, which may proliferate the vascular smooth muscle cells, grow new vascular endothelial tissue in the stent mesh space, and make the original stenosis narrow again.

According to the Ministry of Health and Welfare's 105 years of national cause of death statistics, heart disease ranks second, second only to malignant tumors, a total of 20,812 lives, an average of 1 person dies of heart disease every 25 minutes, for 30 consecutive years, ranked 2nd or 3rd among the 10 major causes of death, is one of the main killers of modern health, among which the risk of coronary heart disease is very high, if not in time, serious may die.

If a vascular stent is placed, will the coronary artery still be blocked?

Coronary arteries are more likely to harden and stenosis in patients with three highs, old smokers, middle-aged and elderly people, and the placement of coronary vascular stents can prevent coronary artery occlusion and reduce the occurrence of acute myocardial infarction. However, as arteriosclerosis progresses, narrowing may occur where the blood vessel is not stated, or the blood vessel where the stent is placed may narrow again due to the proliferation of blood vessel wall cells, and it is necessary to do another balloon dilation or stent.

Why do coronary arteries still block after stenting? Ke Wenqin, director of the Department of Cardiology at Cathay Pacific Hospital, said that cardiac vascular stents are foreign to the body, which may trigger a reaction in vascular tissue, proliferate vascular smooth muscle cells, and grow new vascular endothelial tissue in the mesh space of the stent, so that the original stenosis is narrowed again.

Chinese people use 50,000 cardiovascular stents every year

Ke Wenqin pointed out that according to statistics, more than 50,000 cardiovascular stents are used in China every year, and an average of 1 2 stents are placed for each patient each time, most of whom are patients with narrow heart disease, unstable angina pectoris, and acute myocardial infarction. The need for cardiac vascular stents must be evaluated and decided by a professional physician, and the diameter, structural shape, blockage, and stenosis of each person are different, and the number of places that can be placed varies from person to person.

Coronary vascular stent is the correct name of the cardiac vascular stent, when the coronary arteries on the surface of the heart are narrowed and blocked, resulting in unobstructed coronary artery blood flow, unable to normal** When the oxygen and nutrients required for heart muscle contraction are invisible, it will cause myocardial hypoxia and even myocardial necrosis, so that the heart can not beat a normal amount of blood, and even affect the conduction system that controls the heart rhythm, and eventually lead to arrhythmia, heart failure, or myocardial infarction and death.

Now that science is developed, there is also a best way not to make a stent.

Although the blood vessels are blocked, they are not very tightly blocked, but the lumen of the blood vessels has narrowed and the blood circulation is not smooth, so the physical ** of dredging blood vessels can fundamentally solve the problem.

Nowadays, Mr. Fan Changxi, a contemporary scientist in China, has invented a kind of "Fan Changxi characteristic" that can directly dredge blood vessels from outside the body, which is referred to as "Fan Zi**" for easy memory. Since serving the society in 1998, it has regained the health of millions of patients and has been highly praised by people from all walks of life. "Xinhua News Agency" on October 20, 2009, "People**" (overseas edition) on October 16, 2009, "Science and Technology**" on April 23, 2009 and many other authorities**, have reported on Mr. Fan Changxi's invention of the word Fan ** without medicine.

This major invention of Mr. Fan Changxi has filled the gap in the world and made great contributions to the cause of human health! If you want to know more about Mr. Fan Changxi's invention of Fan Zi**, you can visit the Fan Zi** network. But be sure to log in to the fanzi **official**, because there are many ** fakes now.

Hong Kong's fifth-generation degradable stent is a stent made of magnesium alloy, which not only has the supporting force of a metal stent in the process of coronary heart disease, but also can keep the blood vessels round and keep blood flow smooth after implantation. The stent dissolves naturally within one year after surgery, and there is no need to take medication all the time after surgery. However, due to the different blockage locations, diameters, calcifications and calcification degrees, whether it is suitable for the fifth generation of degradable magnesium alloy stents in Hong Kong can be used for pre-health assessment.

Generally, coronary artery stenosis to more than 75, frequent attacks of angina, poor drug effect, etc., that is, stent implantation is recommended.

If the above conditions are not present, myocardial infarction may occur if it is not timely.

Look at the degree of blockage:

50% do not have frequent attacks of angina, can not be done, "75%, do not do stents may occur angina attacks, myocardial infarction. If you continue to develop, it may not fit into the stent if it is too narrow.

However, secondary blockage may occur again after the stent is placed. Therefore, it is important to remove or reduce the cause of the blockage.

It is recommended to read the internal medicine section of coronary atherosclerosis, angina, myocardial infarction.

The manifestations of cardiovascular stenosis, how to prevent ** angina, myocardial infarction, etc. are all described in detail. If you find it too difficult, you can also take a look at the relevant part of family medicine first.

It is only a matter of principle and depends on the specific needs of the patient, you and other family members and doctors to see the patient and the hospital. It would be helpful to read the above. Thank you in advance for clicking adopt.

When a severe narrowing or occlusion of an artery is dilated by a balloon, a stent must be implanted to improve blood flow in the presence of >30% residual stenosis or dissection that restricts blood flow. When your previous underlying lesions, such as diabetes, hyperlipidemia, renal insufficiency, etc., are not well controlled, or you do not take anticoagulant drugs as prescribed by the doctor, or smoke, the arterial endothelial cells at the stent implantation site and the smooth muscle cells of the medial membrane are very prone to excessive proliferation, often combined to form thrombosis, and then cause restenosis or even occlusion in the stent. This is one of the world's medical problems.

After restenosis occurs in the stent, it is easy to occlude again as the lesion progresses, and the original symptoms of lower limb ischemia will reappear, what should I do?

Doctors can proceed according to the materials and techniques they currently have, and the specific situation of the patient according to the following methods**. 1) According to the previous method, the recanalization of the stent can be achieved by using a balloon, especially a cutting balloon, to expand again. 2) Ablation and cutting of excessive tissue in the stent with laser ablation or plaque cutting device to achieve stent recanalization.

3) First use an ordinary balloon to re-expand the lesion in the stent, and then use a drug-coated balloon (see Figure 1) to expand or drug-coated stent implantation (i.e., the drug that inhibits the excessive proliferation of endothelial cells and smooth muscle cells is coated on the surface of the balloon or embedded in the stent, and the restenosis in the stent is inhibited through the slow release of the drug) to achieve stent recanalization. 4) After the stenosis or occlusion in the stent is dilatated with an ordinary balloon, a radioactive material (liquid state, see Figure 2) is injected into the balloon, and local near internal irradiation in the stent is performed to achieve stent recanalization. 5) Perform a vascular bypass.

Under normal circumstances, the first and second methods have good effects in the short term (3 months), but the recanalization rate after 6 months and 12 months is only about 50%, that is, nearly half of the patients have blocked their blood vessels after 6 months and 12 months; However, vascular bypass surgery is traumatic, high-risk, and it will be difficult to tolerate surgery when there is damage to the function of heart, liver, kidney, lung and other organs, and there are many postoperative complications (hemorrhage, graft occlusion, fistula, cardiovascular and cerebrovascular accidents, etc.), and when there is no ideal saphenous vein with artificial blood vessels as grafts, the medium and long-term patency rate is also greatly reduced. The third and fourth methods are not only satisfactory in the short term, but also have a recanalization rate of up to % at 12 months after surgery, which is a promising method. Disadvantages, the cost is more expensive.

Figure 1 Figure 2

A stent can be placed in the vertebral artery to prevent future problems. I don't know too well whether the brainstem arteries can be stented, so you can consult a doctor who specializes in stenting. I don't understand Chinese medicine, and I don't have the ** opinion of Chinese medicine!

Deputy Chief Physician of Shandong University Qilu Hospital - Department of Neurology - Tan Dong.

I will have some ischemic chest pain. Because of this, there is no way to guarantee your life now, so you need to put a stent.

If the stenosis is frequent, chest tightness, shortness of breath, and severe angina pectoris, a stent can be placed, as this can be life-threatening.

If it exceeds 80%, the blood vessels can be opened at this time, and a heart stent can be placed, which can improve the condition.

If you cross this moment, you may open the tube, maybe you can put a heart stent, or you may improve your condition.

For acute coronary syndrome (myocardial infarction), if a myocardial infarction is found through relevant diagnosis, it is generally necessary to first explore the vascular blockage, and if it is suitable for stenting, stent surgery will be performed directly for emergency treatment.