Angioplasty Or Bypass Surgery: When To Choose Which One, Explained By Expert

Angioplasty or bypass surgery, what should you get done for your heart condition? Read this article to find out.

Chanchal Sengar
Written by: Chanchal SengarPublished at: Jul 30, 2022Updated at: Jul 30, 2022
Angioplasty Or Bypass Surgery: When To Choose Which One, Explained By Expert

Even though they’re both heart surgeries, angioplasty and bypass surgery actually address different concerns. Angioplasty is done on an emergency basis when somebody suffers a heart attack. However, bypass surgery is the only solution to many a heart problems today; particularly in case of a multi-vessel heart disorder. When blood circulation is hampered in more than one coronary artery as they are narrowed by accumulated plaque, patients require a critical intervention here. In such cases, a bypass surgery is the best treatment, not angioplasty, suggests heart surgeon Dr. Vinayak Chanda, Consultant Cardiologist at BelleVue and AMRI Hospitals, Kolkata, West Bengal.

Today, EM Bypass has been developed to avoid and reduce traffic congestion. Likewise new arteries are connected to the heart as alternative routes when old arteries are blocked. As a result, blood circulation becomes normal inside our heart muscles and the lub dub rhythm is not disrupted. The first ever coronary artery bypass grafting (CABG) or commonly known as bypass surgery, was done on 2 May 1960, at Albert Einstein College of Medicine, Bronx Municipal Hospital Center, by Dr Robert Goetz and his assistants. Since then bypass surgery is being performed on patients of heart attack to save lives and bring them back to leading normal life. The procedure is safe and effective

How Is Heart Surgery Done?

The conventional way of conducting any heart surgery is by cutting the sternum from ribs. Many patients hesitate to undergo surgery, but bypass surgery is important to live a healthy life.

Also Read: Stent And Bypass Surgery: Is It Beneficial For Heart Patients?

Angioplasty Or Bypass Surgery

  • If you stay at the hospital for 7-10 days after surgery to reach a stable condition and rest at home for another one-and-a-half month, you will be completely cured.
  • It is better to go for bypass surgery if more than one artery is blocked.
  • However, the mode and approach for treatment varies on a case to case basis depending upon the patient’s overall health condition.
  • Lately with the advancement in laparoscopy and minimally invasive surgeries, there has been mini-bypass surgeries where the sternum is not cut. Four-five centimetres from between two ribs on the left side are cut instead. 

Minimally Invasive Bypass Surgery

In the beginning, only in patients whose left arteries were blocked and the ones undergoing bypass surgery for the first time, could opt for minimally invasive surgery. But recently there has been good results in minimally invasive bypass surgery for patients having blockage in three blood vessels.

Angioplasty Vs Bypass Surgery

Nevertheless, this type of surgery is not possible and recommended for all patients. High-risk patients who are aged, whose heart is not in good condition, where the pumping ability has decreased and the heart has grown bigger, will have to undergo conventional surgery. There is much less bleeding in minimally invasive surgery as no bone is cut and only a small part of the skin is cut. Therefore the patient recovers within 10-14 days. Only a well-trained, expert cardiac surgeon can do a minimally invasive surgery, explains Dr Vinayak Chanda.

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