PCI / Coronary Stenting

Angioplasty uses a balloon to open a blocked artery, while stent placement involves inserting a small mesh tube to keep the artery open. In most cases, both are done together - the balloon opens the artery and then a stent is placed to prevent it from narrowing again. Most modern stents are drug-eluting, meaning they release medication to further prevent re-blockage.

Coronary stents are permanent implants designed to last a lifetime. Modern drug-eluting stents have excellent long-term results, with most patients maintaining open arteries for many years. However, it is important to take prescribed medications, especially blood thinners, and maintain a heart-healthy lifestyle to protect your stent and prevent new blockages.

Most patients go home the same day or the next morning after PCI. You can typically return to light activities within 2-3 days and normal activities within a week. Heavy lifting should be avoided for about a week. Most patients return to work within 2-7 days depending on their job requirements.

Yes, medications are essential after stent placement. You will need dual antiplatelet therapy (usually aspirin plus another blood thinner like clopidogrel or ticagrelor) for at least 6-12 months to prevent blood clots from forming on the stent. Stopping these medications early can be dangerous. You may also need cholesterol and blood pressure medications.

PCI and bypass surgery are both safe and effective, but they are suited for different situations. PCI is less invasive with faster recovery and is ideal for one or two blockages. Bypass surgery may be better for patients with multiple blockages or complex disease. Your cardiologist will recommend the best option based on your specific condition.