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Revascularization

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Why Choose Marina del Rey Hospital for Revascularization?

Marina del Rey Hospital’s teams of doctors, physician assistants, nurse practitioners, nurses, and other specialists have many years of combined experience in performing revascularization. It is indicated to undergo these life-saving procedures in a highly specialized hospital like Marina del Rey Hospital.

A patient needs revascularization treatment when blood flow is cut off to the heart itself as a result of coronary artery disease. "Revascularization" means "restoration of blood flow", and revascularization treatment will restore blood flow to the heart muscle again. There are specific procedures for revascularization treatment.

As for any surgical procedures there are certain risks that could occur, like the following:

  • Heart rhythm problems
  • Coronary artery damage
  • Wound infection
  • Bleeding
  • Stroke and heart attack are serious complications that may occur rarely
  • Impaired kidney function, also occurring rarely, and is temporary in most cases. The patient may need temporary dialysis.
  • Also rarely occurring are brain function issues (memory issues or concentration issues). In most cases, the brain function improves in a few months.

Risks occurrence is increased by:

  • Age
  • Overall health
  • Female gender
  • Being overweight
  • Emergency condition
  • Complexity of disease

There are two main kinds of revascularization treatments:

  • coronary artery bypass surgery, also known as heart bypass or bypass surgery
  • coronary angioplasty, also known simply as angioplasty or as percutaneous coronary intervention

Description of a bypass procedure, under general anesthesia:

  • The surgeon relocates blood vessels from another part of the body—commonly the legs, arms, and chest cavity—and reattaches them to the heart.
  • The bypass vessels are connected to the blocked arteries before and after the blockage. This bypass allows blood to travel around the blockage (also called an occlusion) much like a detour for a freeway closure.
  • Full recovery is expected in six to 12 weeks.

In an angioplasty procedure, also under general anesthesia, the surgeon goes into the blocked artery and opens it back up so blood can flow freely again:

  • The surgeon inserts a catheter, or a long, thin tube, into an artery in the leg.
  • The surgeon guides the catheter up to the heart and into the coronary artery where an attachment penetrates the blockage and inflates a tiny balloon.
  • This balloon widens the coronary artery by compressing plaque buildup against the walls, opening the way for blood to flow.
  • Before withdrawing the instruments, a small wire mesh tube (a stent) may be left in place to hold the artery open.

The heart provides blood to the rest of the body, but it also needs blood to function itself. Fortunately, the body has arteries dedicated to making sure the heart muscle gets the blood it needs to keep on pumping.

However, these arteries can stiffen or become full of plaque (atherosclerosis), making it more difficult for blood to pass through. Atherosclerosis of coronary arteries is known as coronary heart disease. If the heart muscle does not get enough blood, it can lead to problems including the death of muscle tissue resulting in a weaker heart that may stop altogether.

Chances of getting coronary heart disease increase with:

  • Age
  • Smoking
  • Being overweight
  • Diet rich in saturated fats

Angioplasty may reduce symptoms like chest pain and shortness of breath. The procedure could be used under emergency conditions in order to reduce the damage caused by a blocked artery.

Coronary artery bypass surgery is indicated in cases of narrow arteries, multiple blocked arteries and a weak heart muscle. It is also performed in cases of previous angioplasty and re-narrowing of the arteries. The procedure could also be performed in an emergency situation.

Frequently Asked Questions About Revascularization

Just like any other surgery, bypass surgery involves some risks. You will discuss them with your doctor before you decide to have this intervention.

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Based on each type of intervention, we always tell our patients if a transfusion might be necessary and help them prepare accordingly.

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Revascularization is necessary in different circumstances. After examining you, your doctor will be able to tell you if this is the best treatment option for you.

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There are several steps that need to be taken so that your doctor may understand if you are eligible for revascularization.

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The long-term aftercare implies several lifestyle changes. Your doctor will tell you more about them before you are discharged.

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