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What is the difference between bypass surgery and angioplasty?

Angioplasty and heart bypass surgery are medical procedures that are used to treat closed or blocked arteries. Arteries are blood vessels that carry oxygen-rich blood from the brain to the toes in our body. Over time, the arteries may become blocked due to the formation of a substance called plaque on their internal walls. As a result, blood flow in the body decreases and in some cases stops completely. This can lead to diseases such as stroke and heart attack.

What is angioplasty?

Angioplasty is a procedure in which a catheter with a balloon at one end is inserted into the obstructed area of ​​the artery through a small incision in the groin or arm. The balloon is inflated to widen the narrow artery. Often, doctors place a stent (small metal or plastic tube) to prevent the artery from re-blocking.

What is bypass surgery?

During bypass surgery, surgeons pick a healthy blood vessel either inside the patient’s chest or from the lower leg. This healthy blood vessel is connected above and below the blocked artery to correct blood flow. As a result, this newly added blood flows into the heart instead of the blocked part of the blood vessel.

Difference between angioplasty and heart bypass surgery

The angioplasty procedure does not require doctors to perform any major surgery because it can also be done by making a small incision in the leg, arm, or wrist. This entire process takes about an hour and the wound is small so that the patient heals quickly. In most cases, general anaesthesia is not required prior to the procedure and the patient can resume normal life within a few days.

On the other hand, bypass surgery is a major surgery that lasts for three to six hours. Surgeons make an eight to ten-inch incision in the chest to reach the heart and perform surgery. General anaesthesia is given to the patient to make this entire procedure pain free. After bypass surgery, the patient may take up to 12 weeks to recover, of which one or two days are also kept in the ICU.

However, both procedures are unable to diagnose the patient’s problem for a long time. Angioplasty is less often than bypass surgery because it does not correct the underlying cause of arterial obstruction.

A study in India has estimated that 15–20% of patients who have undergone angioplasty may regain the risk of narrowed arteries within a few years and may eventually require bypass surgery. In both cases, the patient is required to follow a more physically active routine to make changes in their diet and reduce excess fat or cholesterol.

What is right for you

Doctors choose surgery based on the patient’s condition. In addition, the physician is concerned about the severity and progression of coronary artery disease, symptoms (eg chest pain and shortness of breath), heart function, patient health, patient history, other diseases (eg diabetes or pre-stroke or heart attack). I am worried. ), After taking the information, choose one of the angioplasty or bypass surgery for the patient. The patient is also asked whether he has to undergo bypass surgery or angioplasty.

Bypass surgery is generally considered a better option in cases in which the patient’s arteries are blocked at several places or where his left main coronary artery is narrowed. However, it is not appropriate for older Frail patients to undergo bypass surgery as this procedure can put tremendous pressure on their body.

On the other hand, angioplasty is recommended in cases where the patient’s arteries do not have many obstructions and do not suffer from any other disease or health problem. In addition, angioplasty is performed if the patient does not get any benefit from medication and lifestyle changes. Sometimes patients are asked to perform a less invasive (small incision) angioplasty to begin work.

It is important to consult a well-trained cardiologist to find out if angioplasty is right for you or to circumvent the surgery. If you are searching for the best cardiologist in Fortis Hospital Gurgaon. You just have to call credihealth +91-8010994994 or visit the credihealth online portal.

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