If the thrombus is not placed with a stent, can the stenosis be repaired by thrombolysis with drugs?

First of all, we must first know how the blood clots in the heart and blood vessels are formed, in general, it is the atherosclerosis of the heart, which gradually worsens and forms plaques. Once the plaque ruptures, a blood clot forms and the blood clot inside the blood vessel is a blood clot.

Acute myocardial infarction occurs when a blood clot occurs in the cardiovascular system, and the blood clot blocks the blood vessels in the heart. Then there will be a series of angina symptoms such as pain, and there is a risk of heart failure and death. The first aid method is to open the blood vessels as soon as possible, and we stupidly think that it is OK to remove the blood clot!

At present, the method of removing thrombosis includes thrombolysis and stents, thrombolysis is simply understood as infusion, the thrombus is melted through drugs, the thrombus is melted, then the blood flow will be restored, and the large thrombus will become a small thrombus, a tiny thrombus, until it disappears, within 3 hours of acute myocardial infarction, the best thrombolytic drug, the thrombolytic effect is very good, but the effect is significantly reduced after more than 3 hours, and it is difficult to dissolve again. However, thrombolysis is only through thrombolytic drugs to dissolve the blood clot that blocks the blood vessel and return the blood flow to normal, which is called success. It is not possible to achieve the effect of removing all blood clots at once<>

Coronary heart disease intervention** is not a surgical operation but a cardiac catheterization technique, specifically through the femoral artery at the root of the thigh or the radial artery on the wrist, through vascular puncture to put a stent or other instruments into the coronary artery to achieve the purpose of relieving coronary artery stenosis. Intervention** is less invasive, more effective, and less risky (<1%). The restenosis rate of ordinary bare metal stents is 15% to 30%.

The application of drug-coated stents has further improved the long-term efficacy of stenting, with a restenosis rate of 3% in the general population and about 10% for diabetic complex lesions, which is comparable to coronary artery bypass surgery. At present, there are drugs that can dissolve thrombolysis**, in general, drugs** are the basis of **coronary heart disease, if the symptoms are not obvious and the stenosis of the blood vessels is not severe, it can be carried out with drugs first**. However, if the stenosis of the blood vessels is more severe, i.e., stenosis of 75%, drugs alone are not enough.

Because the drug can only delay the process of slowly narrowing the blood vessels, and the narrowing of the arteries cannot disappear automatically through the drug, consider intervention** (coronary stenting) and bypass**, so as to restore the blood of the ischemic myocardium**, and then achieve the <> of relieving angina pectoris, improving heart function, and improving the quality of life of patients

Stenosis that has been present for a long time cannot be thrombolytic with medication! The amount of residual stenosis is the most important determinant of whether to place a stent after thrombolysis. What can be dissolved by the drug is the blood clot that has just occurred, just formed.

It should be possible, but the process is very slow, and some dangers may occur at any time, so it is safer and more reliable to put a stent.

If the blood clot is not severe, it can be treated with oral antithrombolytic drugs**. Thrombolytic drugs can also achieve the effect, but to achieve better results, it must be carried out, so as to better promote the health of the body.

If the thrombus is not stentified, can the stenosis be repaired by thrombolysis with drugs? No! In actual clinical work, thrombus aspiration is often only a step in coronary heart disease intervention, and most patients will still have severe coronary artery stenosis after thrombus treatment is completed, and still need to implant stents.

Guan Yuqing, a cardiologist at Jinan Central Hospital, said the deposits mentioned were nothing more than plaques and blood clots. Among them, plaque is mostly the result of atherosclerosis, and the direct result is mostly vascular stenosis. Thrombosis is caused by plaque instability, and acute intravascular obstruction of blood flow predisposes to myocardial infarction.

Guan Yuqing analyzed that if the lumen stenosis is not severe and the plaque is relatively stable, no intervention or surgical intervention is required, and oral drugs can also be used. However, if the plaque is sucked out, it will artificially cause plaque instability and damage the vascular endothelium, thus inducing more serious consequences. ** It should be a blood clot that is sucked away, which is medically called thrombus aspiration.

It is understood that this is not the first time that the bracket has taken responsibility. In the past, "stents are an outdated technology abroad" caused heated discussions, so many cardiovascular doctors said that lying down again this time is in line with the public's reluctance to intervene easily.

Guan Yuqing said that this is also related to the alleged abuse of stents. In fact, excessive ** is just the unethical behavior of individual doctors, and it is not a common phenomenon. If the patient is equally beneficial, intervention is not recommended. He says like most patients with stable angina, there is no need to place a stent.

However, for patients with acute myocardial infarction, it is best to open the blood vessels within 90 minutes, and intervention** can enable patients to obtain the best results. However, the reality is that many patients miss the rescue for **4 hours, resulting in large-scale myocardial infarction, which is difficult to repair even after intervention.

The adjuvant use of thrombus aspiration catheters during direct percutaneous coronary intervention can help open infarction-related arteries and restore normal coronary blood flow. If normal coronary blood flow is not obtained immediately, short- and long-term effects cannot be obtained.

Guan Yuqing once received a patient who spent more than ten days doing a stent after myocardial infarction, which has led to heart failure, and it is difficult to recover even if it is interventional. "In fact, if it is timely, the heart will recover like a normal person. He reminded that when there is a myocardial infarction, do not delay and seek medical attention in time.

Be wary of doctors fooling patients into making stents, a friend said that his local doctor asked him to make a stent. Say it's dangerous not to do it. It can be said that half of the foot passed away, at this time you need to dial 120, and send it to the hospital for stent implantation surgery as soon as possible, artificially dredge the blood vessels that have been completely occluded, and help the patient restore blood circulation.

Not all myocardial infarctions require stent intervention**, and some patients may consider pharmacological thrombolysis or surgical bypass** if conditions do not permit. However, the specific ** should be carried out under the guidance of a professional doctor, and an individualized plan should be formulated after fully evaluating the condition.

In general, it is a large blood vessel greater than or equal to more than 75% called criminal blood vessels, and its presence will cause symptoms of myocardial infarction, and when there is a lesion of the blood vessels, it is recommended that the patient do a stent**. Eat less fat and greasy, don't eat fried barbecue, pay attention to emotions, insist on moxibustion and traditional Chinese medicine to promote blood circulation and eliminate blood stasis to regulate the function of viscera, exercise properly, you can do without surgery, you have to take medicine all year round after putting a stent, and you can't solve the root problem by putting a stent.

Patients and their families had better listen to the doctor's advice and not miss the ** treatment time. Second, if the chronic infarction reaches 80-90% on the main rod, a stent should be placed. If the trunk is proximal and there is an indication for stenting, the patient agrees, and the stent may be considered.

"Myocardial infarction" is an extremely dangerous heart disease, which should be rescued in the hospital in time, and this discussion is undoubtedly a lack of medical knowledge and a missed opportunity. It is necessary to rely on the active ** of hospital doctors with emergency qualifications to be the only solution.

My personal opinion is that at least some of the patients on the planet have a heart stent at all! That's all, you can do the rest of the things yourself, and it's none of my business anyway.

If possible, it is better to do a stent. Stents are actually replacing blocked blood vessels. When the blood vessels are blocked to a certain extent, a heart attack occurs.

Whether you can make a stent, whether you need to make a stent or not, the doctor will advise. The stent surgery has passed.

Blood vessels can be unblocked by drug thrombolysis, but drug thrombolysis has strict conditions, it must be within two hours of thrombosis formation, and the thrombolysis effect is not good after more than two hours, then it is necessary to install a stent.

If the thrombus is formed, if there is no stent** or intervention**, it is impossible to achieve a good effect by relying on drugs to dissolve the thrombolysis, because the most important thing for thromboembolism is to put a stent.

When it is first detected in the early stage, the condition is not serious and can be treated with medication, but when the stenosis reaches a certain level, a stent must be installed.

If the thrombus is not stented, it is difficult to repair the stenosis with drug thrombolysis because the effect of the drug is limited and there is no physical method to do it quickly.

The harm of thrombosis is to narrow and block the diameter of blood vessels; Resulting in insufficient blood supply and no blood supply. It causes dysfunction of the organs in this area, and in severe cases, loss of function.

First, the thrombus attached to the blood vessel wall will narrow the diameter of the blood vessel, and it will become narrower and narrower, so that the blood supply will be reduced, and it will cause organ dysfunction. When the diameter of the blood vessel is completely blocked, the function of the blocked organ (such as cerebral thrombosis, myocardial infarction) will be lost.

Second: thrombus with blood flow, once there is a trigger (weather, emotion, infusion, etc.), the blood vessel constriction or expansion is intensified, and it is easy to make the unstable thrombotic plaque attached to the blood vessel wall fall off, and these flowing thrombus will be blocked at the narrow diameter of the blood vessel or at the small blood vessel, resulting in the blockage of the blood vessel, which will cause organ dysfunction in the part and loss of function in severe cases.

Absolutely, because thrombolytic drugs can melt these acids that are more seriously blocked after using this drug when he is blocked.

Yes, but it may not be effective, if it is particularly large, it is easy to be dangerous, and the stent is still the best solution.

At present, the latest medical technology is to repair vascular endothelial cells, so that blood vessels can be restored to health and elasticity, and then metabolize blood clots, and the stenosis is naturally dredged. **Cardiovascular and cerebrovascular blockage and other diseases! You can refer to the "Medali" series approved by the US FDA.

The anti-fraud pioneer specially reminds that online doctors and experts are all fake, quacks are irresponsible, illegal medical practice is a crime, and patients need to see a doctor and buy medicine, please go to regular hospitals and pharmacies.

Where is the anterior diagonal branch.

I don't think so, because it's a very serious disease, and it also lowers people's resistance, so I don't think it's going to solve this problem at all if you don't put a stent.

It is impossible for the human body to automatically repair blood vessel stenosis, because once a blood vessel stenosis is formed, it will cause blood vessel blockage, which will lead to embolism, so it can only be carried out by stenting**.

Yes, if the situation is not particularly severe, it is possible to fix the problem with some medication to prevent the problem from becoming more serious.

Analysis: Generally, oral aspirin + Plavix anti-split platelets are required after coronary stent surgery** year, and the conventional dose: aspirin, Plavix 75mg, the general effect is better.

However, there are also a small number of people who take conventional doses of antiplatelet drugs to achieve better antiplatelet efficacy, resulting in poststent thrombosis.

Suggestions: It is recommended to check the thromboelastography to determine whether the dose of the bispecific antibody drug is relatively insufficient, and the dose of the drug can be increased according to the results of the elastometry. Inject low-molecular-weight heparin transitions if necessary.