Treatment FAQ

what other treatment options are available to a patient with narrowed or blocked artheries

by Miss Courtney Kuhlman Published 2 years ago Updated 2 years ago
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Other treatment options for this disease may include angioplasty and carotid artery stenting. Weight-loss surgery may help reduce inflammation leading to plaque buildup in people who have severe obesity. Angioplasty opens narrowed or blocked arteries.

Here are some of the main procedures used to treat blocked arteries.
  • Coronary angioplasty. Coronary angioplasty is also known as percutaneous coronary intervention (PCI), percutaneous transluminal coronary angioplasty (PTCA) or balloon angioplasty. ...
  • Coronary artery bypass graft. ...
  • Heart transplant.

Full Answer

What are the treatment options for blocked arteries?

Blocked Arteries: Symptoms and Treatment. Invasive and surgical treatment is advised in case of severe blockage and ischemia. Techniques like angioplasty, atherectomy and endarterectomy employ mechanical methods to widen the arteries or remove plaque. Bypass surgeries for arteries involve the rerouting of blood flow by using grafts.

Do you need a Proce­Dure for leg arterial blockage?

If your leg arteries are badly blocked, you may develop foot pain while resting or a sore that won’t heal. In this case, you may need a proce­dure to remove the blockages.

Can angioplasty be used for multiple blockages in arteries?

Multiple blockages in arteries: Angioplasty can be used for multiple blockages, but the risk of having problems or re-blockage with the angioplasty increases when more blockages are treated. At this stage, the best procedure for these types of blockages is coronary bypass surgery.

What should I do if my carotid artery is blocked?

Treatment options should be carefully considered for blocked carotid arteries. “A blockage doesn’t necessarily mean that a patient is going to have a stroke,” says Dr. Lanzino. A partial blockage (greater than 60 percent) in patients without symptoms carries a risk of stroke of about 2 percent each year.

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What are alternative options for treatment for blocked coronary arteries?

The most widely used surgical alternative to a coronary angioplasty is a coronary artery bypass graft (CABG).

Which technique is used to treat narrowed or blocked artery?

A coronary angioplasty is a procedure used to widen blocked or narrowed coronary arteries (the main blood vessels supplying the heart). The term "angioplasty" means using a balloon to stretch open a narrowed or blocked artery.

What are three surgical methods to fix clogged arteries?

To remove plaque from arteries, the following procedures are performed:Angioplasty. ... Coronary Artery Bypass Graft. ... Coronary Stent. ... Rotational Atherectomy.

Can blocked arteries be treated with medication?

In serious cases, medical procedures or surgery can help to remove blockages from within the arteries. A doctor may also prescribe medication, such as aspirin, or cholesterol-reducing drugs, such as statins.

How is heart blockage treated?

Here are some of the main procedures used to treat blocked arteries.Coronary angioplasty. Coronary angioplasty is also known as percutaneous coronary intervention (PCI), percutaneous transluminal coronary angioplasty (PTCA) or balloon angioplasty. ... Coronary artery bypass graft. ... Heart transplant.

What treatments are available for CAD?

There are many drugs available to treat coronary artery disease, including:Cholesterol drugs. ... Aspirin. ... Beta blockers. ... Calcium channel blockers. ... Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs). ... Nitroglycerin. ... Ranolazine.

What is the narrowing of arteries called?

Atherosclerosis, sometimes called "hardening of the arteries," occurs when fat, cholesterol, and other substances build up in the walls of arteries. These deposits are called plaques. Over time, these plaques can narrow or completely block the arteries and cause problems throughout the body.

How is carotid stenting performed?

Angioplasty uses a balloon inflated in the narrowed part of the artery to open it. Using a catheter, the surgeon guides a compressed stent to the affected area in your carotid artery. Once the stent is in place, the surgeon releases it. The stent then expands to fit the artery.

Can an ECG detect a blocked artery?

No, an electrocardiogram cannot detect blocked arteries. Blocked arteries are usually diagnosed with a nuclear stress test, cardiac pet scan, coronary CT angiogram or traditional coronary angiogram.

When is carotid endarterectomy done?

A carotid endarterectomy may be needed if one or both of your carotid arteries become narrowed because of a build-up of fatty deposits (plaque). This is known as carotid artery disease or carotid artery stenosis, and it significantly increases your risk of having a stroke or transient ischaemic attack (TIA).

Symptoms of Clogged Arteries

Clogged arteries are caused by atherosclerosis, which develops over time as plaques formed from fats, minerals, cholesterol, and more build up inside the walls of your arteries. These buildups cause the inner tunnels, called lumens, of the arteries to become smaller and narrower.

What Causes Clogged Arteries?

Clogged arteries are caused by a buildup of plaque in your arteries. Plaque is usually made up of a few substances, including minerals like calcium, or fats and cholesterol. High cholesterol levels can lead to this buildup of plaques.

Risk Factors for Clogged Arteries

A diet that is high in fats and cholesterol is just one of the things that can contribute to a buildup of plaques and clogged arteries.

Diagnosis

Diagnosing arterial problems may begin with your primary care doctor, but if a blockage is suspected, you will most likely be referred to a cardiologist or vascular specialist.

Treating Clogged Arteries

Treating clogged arteries should be done with a holistic approach. Your doctor will first address the problems that led to the clogged artery. Lifestyle changes are key, and may include:

Complications

The most concerning complications of clogged arteries are heart attack and stroke. A heart attack can occur when there is blockage in the coronary arteries, which supply blood to the heart. When a blockage affects the brain, this is called an ischemic stroke. This type of stroke can be treated effectively with strong blood thinners.

Prevention and Management

The key to keeping your arteries clear of blockages is to eat a low-fat diet and exercise regularly. Plant-based diets have even been shown to help reverse coronary artery disease in some people. 8

What is the procedure to open the artery?

The procedure to open the artery (angioplasty) involves threading a balloon-tipped tube from the wrist or the top of the thigh up to the heart. Minor risks include discomfort and bleeding at the insertion site. Rare but more serious risks (such as a heart attack) occur in about 3% of people undergoing the procedure.

How long do you have to take anti clotting medication after a stent?

And to prevent blood clots at the stent site, people need to take anti-clotting medications for up to a year afterward. To continue reading this article, you must log in.

Can a stent open a blocked artery?

Many people find it hard to understand why that degree of blockage wouldn't be treated with a stent—a tiny, flexible mesh tube that props open a newly cleared artery. But while stents can be helpful, they're not risk-free.

What is the treatment for a blocked renal artery?

Along with renal angioplasty, surgery and medications are used for the treatment of blocked renal artery or renal stenosis. Here is detailed information on the different treatment methods. Anything ‘renal’ refers to the kidneys. The renal artery is the artery that carries blood from the heart to the kidneys. A blockage in the artery leads ...

How to treat renal artery disease?

As blocked renal artery and high blood pressure are very closely related, one of the first and foremost step in treating this condition is to bring high blood pressure under control. Medications and changes in lifestyle help in lowering high blood pressure.

What does it mean when your renal arteries are narrowed?

When we say that the arteries are narrowed or blocked, it means that the diameter of the arteries is reduced, which obstructs the blood flow. One of the most common causes of a blocked renal artery is atherosclerosis.

What is the procedure to open the carotid artery?

Carotid endarterectomy, a surgery where the carotid artery is opened and the fatty deposits are removed. Carotid angioplasty and stenting, where a long, hollow plastic tube (catheter) is inserted in the groin artery and threaded to the narrowed carotid artery.

How much is a partial blockage risk?

A partial blockage (greater than 60 percent) in patients without symptoms carries a risk of stroke of about 2 percent each year. That increased risk needs to be weighed against the risk and benefits of treatment.

What is the response to a stenosis?

Stenosis occurs when the arteries become clogged with fatty deposits. Stroke can be a concern. “There can be a knee jerk response when patients are found to have a blockage,” says Giuseppe Lanzino, M.D ., a Mayo Clinic neurosurgeon and lead author of the research review. “The response often is, ‘You need surgery.’”.

Can a partially blocked carotid artery cause blindness?

Treatment options for patients diagnosed with partially blocked carotid arteries but without symptoms such as a mini-stroke, or transient blindness in one eye ( amaurosis fugax ), should be carefully considered and recommendation made on an individualized basis, according to a review of medical literature published in Mayo Clinic Proceedings.

Is it safe to have stenosis surgery?

Doctors agree that for most patients with moderate to severe blockage, surgery is the safest and most effective treatment, if it is done by a surgical team that has a very low complication rate.

Is carotid artery stenosis a symptom of age?

These are not considered symptoms of carotid artery stenosis even when imaging shows a block age is present. Age matters when determining treatment: For patients 75 and older, especially those with other health conditions, the risk of treating carotid artery stenosis may exceed the benefit.

How to treat arterial blockage?

Dietary modifications and increase in physical activity through regular exercise are a vital part of the treatment prescribed for arterial blockages. These help in maintaining a healthy weight and reducing the cholesterol levels, thereby decreasing the chances of more blockages. Some of the recommendations are as follows.

What is blocked artery?

'Blocked arteries' refers to the clogging of arteries due to plaque deposition in the arterial walls, which hampers blood flow . Blockages in the major arteries and their consequences, as well as the diagnostic and therapeutic procedures have been discussed in the following article.

What is the cause of strokes in the right and left carotid arteries?

The left and right carotid arteries are involved in blood supply to the brain and facial tissues. Their blockage is termed as carotid arter y disease (CAD), and is the leading reason for strokes. Other symptoms include:

What is the subclavian artery?

Subclavian Artery. This artery and its branches are the major blood vessels that supply blood to the cerebellum, medulla oblongata, vertebral column and arms. Subclavian artery stenosis or blockage affects hand muscles as well as certain neurological functions leading to: Dizziness. Recurrent vertigo.

What is the term for the hardening of the walls of the arteries?

Such hardening of arterial walls is called atherosclerosis or arteriosclerosis or artery disease.

What is the aorta branching out into?

In the region located just below the navel, the aorta branches out into two iliac arteries, which further branch out to ensure blood supply to the legs. Hampered blood flow through the iliac arteries leads to weakening, and even damage, of leg muscles which is manifested as: Fatigue. Numbness in legs.

What are the circulating substances in the arteries?

These include fats, cholesterol, calcium, fibrin (protein involved in blood clotting), inflammatory cells, proteins and cellular wastes.

How to stop a PAD from getting worse?

Taking medicine and walking more can actually reduce your symptoms and help keep PAD from getting worse. Some doctors mistakenly recommend having surgery or angioplasty even if you do not have symptoms. However, this does not make people with PAD feel better or prevent future leg problems.

What does it mean when your legs are blocked?

When this happens, less blood flows to your legs. This is called peripheral artery disease (PAD). If your leg arteries are badly blocked, you may develop foot pain while resting or a sore that won’t heal.

How long does it take for a leg bypass to heal?

Bypass surgery on your legs has all the dangers of major surgery. It takes two to three weeks for the wound to heal. Risks include infection, bleeding from the wound, and complications from anesthe­sia, such as trouble breathing or pneumonia. And about three out of 100 people who have bypass surgery have a heart attack or die.

What to do if your leg hurts when walking?

If PAD causes severe leg pain when walking, you may stop doing that and other activities . Surgery to bypass the blockage can relieve these symptoms. So can another procedure known as angioplasty.

Can a stent come apart?

Rarely, when a stent is being inserted, dangerous bleeding may happen and the stent may come apart. Both procedures can, in rare cases, cause a partly blocked artery to close up completely. Then you may need an emergency procedure. If the procedure cannot be done right away, your leg may have to be amputated.

Can you walk every day after angioplasty?

Studies show that walking every day can relieve symptoms just as well as angioplasty, in some cases.

Do people with PAD need surgery?

Most people with PAD never develop problems that need surgery or angioplasty. This is because they do not have symptoms or because medicine and exercise work well enough to treat the pain and allow a normal lifestyle.

What to do if you have a blockage in your arteries?

If blockage is severe, or if you've already had a TIA or stroke, your doctor may recommend removing the blockage from the artery.

How to treat a blockage in the carotid artery?

Recommendations may include quitting smoking, losing weight, eating healthy foods, reducing salt and exercising regularly.

What is a carotid stent?

Carotid stenting. In carotid stenting, a long, hollow tube (catheter) is threaded through the arteries to the narrowed carotid artery in the neck. A metal mesh tube (stent) is inserted into the vessel to serve as a scaffold that helps prevent the artery from narrowing again. The catheter and the filter — which catches any debris ...

How is carotid endarterectomy done?

Treatment. In carotid endarterectomy, your surgeon opens the carotid artery to remove atherosclerotic plaques. In carotid angioplasty, a long, hollow tube (catheter) is threaded through the arteries to the narrowed carotid artery in the neck. A filter is inserted to catch any debris that may break off during the procedure.

How to treat carotid artery disease?

The options include: Carotid endarterectomy, the most common treatment for severe carotid artery disease. After making an incision along the front of your neck, the surgeon opens the affected carotid artery and removes the plaques. The artery is repaired with either stitches or a graft.

What is the procedure called when a catheter is inserted into the neck?

Carotid angioplasty. In carotid angioplasty, a long, hollow tube (catheter) is threaded through the arteries to the narrowed carotid artery in the neck. A filter is inserted to catch any debris that may break off during the procedure. Then, a tiny balloon at the end of the catheter is inflated to open the narrowed area.

What is the sound of a narrowed artery?

The exam generally includes listening for a swooshing sound (bruit) over the carotid artery in your neck, a sound that's characteristic of a narrowed artery.

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