Medical Article

รักษาหลอดเลือดหัวใจตีบด้วยบอลลูนและขดลวด

<h2 style="color: #00826a">Coronary Balloon Angioplasty and Stenting: An Effective Treatment for Coronary Artery Disease</h2>
<p>Coronary artery disease is a common health problem that can be life-threatening. When the arteries supplying blood to the heart become narrowed or blocked, the heart muscle receives insufficient blood and oxygen, causing chest pain and potentially leading to a heart attack.</p>
<p>&nbsp;</p>
<p>Balloon angioplasty and stenting are highly effective medical procedures for treating coronary artery disease, helping patients recover faster.</p>
<p>&nbsp;</p>
<h2 style="color: #00826a">Patients Who Should Receive This Treatment</h2>
<p>&nbsp;</p>
<p><strong>1. Presence of Abnormal Symptoms</strong></p>
<ul>
<li>Chest pain, especially during exertion or stress</li>
<li>Shortness of breath or breathlessness during activities</li>
<li>Decreased exercise capacity</li>
<li>Unusual fatigue, dizziness, or fainting</li>
</ul>
<p>&nbsp;</p>
<p><strong>2. Abnormal Diagnostic Test Results</strong></p>
<ul>
<li>Coronary angiography showing more than 70% artery narrowing</li>
<li>Abnormal findings in CT Coronary, Cardiac MRI, or Exercise Stress Test (EST)</li>
</ul>
<p>&nbsp;</p>
<p><strong>3. Conditions Requiring Urgent Treatment</strong></p>
<ul>
<li>Acute myocardial infarction (heart attack)</li>
<li>Severe narrowing of coronary arteries at critical locations</li>
</ul>
<p>&nbsp;</p>
<h2 style="color: #00826a">Benefits of Balloon Angioplasty</h2>
<ul>
<li>Quickly relieves chest pain</li>
<li>Reduces the risk of acute myocardial infarction</li>
<li>No need for open-chest surgery, leading to faster recovery</li>
<li>Short procedure time, approximately 30-90 minutes</li>
</ul>
<p>&nbsp;</p>
<h2 style="color: #00826a">Coronary Stenting</h2>
<p>A stent is a medical device made of metal or special plastic, shaped like a small mesh tube, designed to support the artery and keep it open after balloon angioplasty.</p>
<p>&nbsp;</p>
<h2 style="color: #00826a">When Is Stenting Needed?</h2>
<p>Doctors consider stenting when:</p>
<ul>
<li>The narrowed artery does not widen sufficiently after balloon angioplasty alone</li>
<li>There is a risk of artery re-narrowing</li>
<li>To improve long-term treatment effectiveness</li>
</ul>
<p>&nbsp;</p>
<h2 style="color: #00826a">Types of Stents</h2>
<p>Drug-Eluting Stents (DES) are coated with a special polymer drug that gradually releases medication to the treated area, reducing tissue growth around the stent and lowering the risk of re-narrowing. They are more effective than bare-metal stents.</p>
<p>&nbsp;</p>
<h2 style="color: #00826a">Stenting Procedure</h2>
<ul>
<li><strong>Stent Preparation:</strong> The stent is mounted on the tip of the balloon while still unexpanded</li>
<li><strong>Positioning:</strong> The stent is guided to the target location through a catheter</li>
<li><strong>Stent Expansion:</strong> The balloon is inflated, expanding the stent and pressing it against the artery wall</li>
<li><strong>Balloon Removal:</strong> The balloon is removed, leaving the stent permanently fixed to the artery wall</li>
</ul>
<p>&nbsp;</p>
<h2 style="color: #00826a">Balloon Angioplasty Treatment Process</h2>
<ol>
<li>The doctor prepares the patient by administering local anesthesia, cleaning the procedure site, and setting up monitoring equipment to track vital signs during treatment</li>
<li>A small, flexible catheter with a tiny balloon at the tip is inserted through the radial artery at the wrist or the femoral artery at the groin</li>
<li>Contrast dye is used to visualize the arteries via X-ray imaging</li>
<li>When the catheter reaches the narrowed artery, the balloon is inflated to compress the fatty deposits and calcium against the artery walls, widening the artery and improving blood flow</li>
</ol>
<p>&nbsp;</p>
<h2 style="color: #00826a">Preparation Before Treatment</h2>
<ul>
<li>Fast from food and drink for at least 6-8 hours before the procedure</li>
<li>Inform the doctor about all medications being taken, especially blood thinners</li>
<li>Stop smoking at least 24 hours before the procedure</li>
</ul>
<p>&nbsp;</p>
<h2 style="color: #00826a">Post-Treatment Self-Care</h2>
<ul>
<li>Take blood-thinning medications as prescribed, and consistently take medications for cholesterol and blood pressure control. Do not stop medications without consulting your doctor</li>
<li>Adopt healthy lifestyle changes such as quitting smoking and avoiding secondhand smoke, controlling intake of high-fat, salty, and sugary foods</li>
<li>Follow up with continuous medical care</li>
</ul>
<p>&nbsp;</p>
<p>If you experience any abnormal heart-related symptoms, promptly consult a specialist for evaluation and appropriate advice. Phyathai Sriracha Hospital is ready to provide comprehensive cardiac care with a specialized medical team and advanced technology, available 24 hours a day.</p>


Coronary artery stenosis treated with balloon angioplasty and stent placement (PCI) improves blood flow and reduces the risk of sudden heart attack. Care is provided by specialized experts.

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Treating coronary artery stenosis with balloon angioplasty and stenting.

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