Can an 82-year-old man do heart stent or bypass surgery?

Hello, are there any other test results-echocardiography, electrocardiogram, myocardial enzyme, blood sugar and blood lipid, etc. Stents support blood vessels and make them unobstructed. Bypass is to open another artificial channel to make blood flow smoothly. These two operations are aimed at different indications.

There are three main methods to treat coronary heart disease: drug therapy, surgery and stent intervention, each with its own advantages and disadvantages. Taking medicine can not change the condition of vascular stenosis, but medicine is still the basis and important means to treat coronary heart disease. In the past, in the case of severe stenosis of cardiac vessels, heart bypass surgery should be considered. At present, when the coronary artery appears severe stenosis (more than 70%) or occlusion, stent intervention can be considered.

Heart bypass surgery is a "big battle", which can solve serious coronary artery disease, but it needs general anesthesia, tracheal intubation and cardiopulmonary bypass, and the operation time is long and the hospitalization time is long. Stent interventional therapy only needs local anesthesia, as long as it is punctured in the femoral artery of the thigh.

Of course, not all patients with coronary heart disease are suitable for stent intervention, and it is more difficult for patients with curved and completely occluded blood vessels, bifurcation and left main artery stenosis to intervene. Stent intervention also has its own shortcomings, such as restenosis. Interventional therapy has three milestones. The first technique is balloon dilatation, and its restenosis rate is 30% ~ 40%. The second type is common stent, which has high early success rate, low probability of complications, simple operation and outstanding effect, but the disadvantage is that the restenosis rate is almost 30% in half a year.

Good wishes!