Raju Srivastava’s Death: Rising risk of stent thrombosis in patients after angioplasty.. What experts say.. | Raju Srivastava’s death: 5% patients suffer stent thrombosis after angioplasty worldwide, says expert

Legendary comedian Raju Srivastava was cremated at the Nigambodh Ghat crematorium in New Delhi on Thursday. Standup comedian Srivastava suffered a heart attack on August 10, 2022 while exercising.

Patients suffer stent thrombosis after angioplasty: Legendary comedian Raju Srivastava was cremated at the Nigambodh Ghat crematorium in New Delhi on Thursday. Standup comedian Srivastava suffered a heart attack on August 10, 2022 while exercising. He was immediately rushed to the All India Institute of Medical Sciences (AIIMS) and underwent angioplasty. He spent several days under medical care after suffering chest pains while working out at the gym. Stayed on ventilator for 42 days. The hospital conducted Raju Srivastava’s virtual autopsy within minutes through CT scan, X-ray.

Angioplasty uses a small balloon catheter. It is inserted into a blocked blood vessel. To expand it, it helps improve blood flow to the heart. But there are also many risks associated with this procedure. Dr. Dheeraj Gandotra, Cardiologist at Fortis Hospital, spoke exclusively to News9 about this. “Stent thrombosis, a sudden vessel occlusion, is also known as acute stent thrombosis. This is one of the life-threatening complications of angioplasty.” Said that.

Despite the best equipment and treatment, there is always a percentage of risk in patients undergoing stent occlusion, he said. “Globally, 3 percent to 5 percent of surgeries result in stent thrombosis, regardless of how detailed the procedure is,” he noted.

Stent thrombosis..

Stent thrombosis (ST) can be caused by a variety of mechanisms. Patient-related factors, drug factors, trauma-procedure-related factors, postprocedural factors play this role. According to one report, many factors are associated with death from stent thrombosis. “Stent thrombosis is associated with high morbidity and mortality, often leading to cardiac death or nonfatal myocardial infarction events,” the report states.

Other risk factors associated with angioplasty include:

Although angioplasty is a less invasive way to open blocked arteries than bypass surgery, the procedure still carries some risks.

The most common angioplasty risks

Arterial retraction: When angioplasty is combined with drug-eluting stent placement there is an increased risk of reocclusion of the treated artery. The risk of re-narrowing of the artery is higher when bare-metal stents are used.

Blood clotting: Blood clots can form in stents even after the procedure. This clot blocks the artery and causes a heart attack. It is important to take aspirin with clopidogrel (Plavix), prasugrel (Effiant), or another medicine prescribed to help reduce the chance of clots forming in your stent.

Bleeding: You may have bleeding in your leg or arm where the catheter was inserted. Usually it causes injury. But sometimes severe bleeding occurs. Blood transfusions or surgical procedures may be necessary.

Heart attack: Although rare, a heart attack is possible during the procedure.

Coronary artery damage: A coronary artery may be torn or ruptured during the procedure. These complications may require emergency bypass surgery.

Kidney problems: The dye used during angioplasty and stent placement can damage the kidneys. The risk is especially high in people who already have kidney problems. Limiting the amount of contrast dye if you are at high risk and making sure you stay well hydrated during the procedure can help protect the kidneys.

Stroke: A stroke can occur if the plaques break off while threading the catheters during angioplasty. Blood clots can also form in catheters. If they are loose they can reach the brain. A very rare complication of coronary angioplasty is stroke. Blood thinners are used during the procedure to reduce the risk.

Abnormal heart rhythms: The heart may beat too fast or too slow during the procedure. These heart rhythm problems are usually short-lived. But sometimes medication or a temporary pacemaker is needed.

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