Is It Okay To Leave on the Same Day You Got Stented?

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Patients who underwent stenting, even the older patients, can leave the hospital on the same day after the operation. It is possible with no risk of complications according to the findings of a new study.

However, it is only possible to patients who have a strong support system available to take good care of them and those patients with a lesser tendency of developing risk of complications such as excessive bleeding, blockage and heart attack, the researchers explained.

A stent is a small mesh tube that’s used to treat narrowed or weakened arteries in the body. When a stent is placed into the body, the procedure is called stenting. There are different kinds of stents. Most are made of a metal or plastic mesh-like material. Nevertheless, stent grafts are made of fabric. They are used in larger arteries. Arteries are blood vessels that carry blood away from your heart to other parts of your body.

Other reasons why stents are being used includes: keeping open a blocked or damage ureter, treating aneurysms, including thoracic aortic aneurysms, keeping bile flowing in blocked bile ducts, and helping a person to breathe if he has a blockage in the airways.

“There are probably going to be some patients who feel comfortable staying overnight and that’s fine, but I’m guessing most patients would prefer to go home.” Dr. Sunil Rao, from the Duke Clinical Research Institute in Durham, North Carolina, study author said.

The main reason why patients who underwent heart stenting are asked to stay overnight in the hospital is for the physicians to make sure and rule out any complications that might develop as a result of the procedure. However, as reported by the researchers in the Journal of the American Medical Association, there was just less than one per cent of risk that a complication might come into place despite of staying in the hospital overnight or not.

Dr. Rao also said that it would be beneficial for the right hospitals to send patients who underwent stenting with low risk of developing complications at home because the hospitals will be saving beds to accommodate other patients needing interventions and also saving human resources such as the nurses. In addition, the new study can also give a sense of “reassurance” that the development of complications right after a non-emergent stent procedure is rare to happen.

The National Heart, Lung and Blood Institute shared the following expectations after a stent has been placed:

-          After either type of stent procedure (for arteries narrowed by plaque or aortic aneurysms), the catheter will be removed and the tube insertion site will be bandaged.

-          A small sandbag or other type of weight may be put on top of the bandage to apply pressure and help prevent bleeding. You’ll recover in a special care area where your movement will be limited.

-          While you’re in recovery, a nurse will check your heart rate and blood pressure regularly. The nurse also will see whether there’s any bleeding from the insertion site. Eventually, a small bruise and sometimes a small, hard “knot” will appear at the insertion site. This area may feel sore or tender for about a week.

You should let your doctor know if:

-          You have a constant or large amount of bleeding at the site that can’t be stopped with a small bandage.

-          You have any unusual pain, swelling, redness, or other signs of infection at or near the insertion site.

 

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