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A coronary stent is an artificial support device placed in the coronary artery to keep the vessel open after treatment for coronary artery disease. Also called atherosclerosis, coronary artery disease is a build-up of fatty matter and debris on the walls of the arteries. Over time, this buildup narrows the arteries and reduces blood supply to the heart.
The stent is usually a stainless steel mesh tube that is available in various sizes to match the size of the artery and hold it open after the blockage in the artery has been treated.
Purpose
The coronary stent is used to keep coronary arteries expanded, usually following a balloon angioplasty or other interventional procedure. Balloon angioplasty (also called percutaneous transluminal coronary angioplasty, or PTCA) and other interventional procedures are performed to open narrowed coronary arteries and improve blood flow to the heart. By forming a rigid support, the stent can prevent the vessel from reclosing (a process called restenosis) and reduce the need for coronary bypass surgery.
Diagnosis
The diagnosis of coronary artery disease is made after the patient's medical history is carefully reviewed, a physical exam is performed and the patient's symptoms are evaluated. Tests used to diagnose coronary artery disease include:
Electrocardiogram
Stress tests
Cardiac catheterization
Imaging tests such as a chest x ray , echocardiography , or computed tomography (CT)
Blood tests to measure blood cholesterol, triglycerides, and other substances
Preparation
The patient should quit smoking or using tobacco products before the procedure, and needs to make the commitment to be a nonsmoker after the surgery. There are several smoking cessation programs available in the community. The patient can ask a health care provider for more information about quitting smoking.
Risks
Although coronary stents greatly reduce the risk of restenosis following balloon angioplasty, there is still some risk that the stented artery may close.
Serious complications are uncommon, but may include infection, damage to the heart or blood vessels, and blood clots. Anticlotting medication is given after stent placement to prevent the risk of blood clots. Less serious complications include bleeding, swelling, or bruising where the catheter was placed.
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A coronary stent is an artificial support device placed in the coronary artery to keep the vessel open after treatment for coronary artery disease. Also called atherosclerosis, coronary artery disease is a build-up of fatty matter and debris on the walls of the arteries. Over time, this buildup narrows the arteries and reduces blood supply to the heart. 
