Angioplasty & Stenting

Drug-eluting stents (DES) are coated with medication that slowly releases to prevent tissue regrowth, significantly reducing re-narrowing rates compared to bare-metal stents which have a 15-20% restenosis rate. Modern second-generation DES are now the standard of care, delivering lower rates of repeat procedures and heart attacks.

Stents are permanent implants designed to last a lifetime — the metal scaffold itself does not wear out. However, about 1 in 4 patients may develop in-stent restenosis typically within 6-12 months, with drug-eluting stents having significantly lower rates than bare-metal stents. Lifelong follow-up with periodic stress testing and statin therapy remain essential.

Most hospitals recommend staying within 30 minutes of the facility for 3-5 days after the procedure so the team can monitor for early complications. Airlines typically allow flying 5-7 days after uncomplicated angioplasty, though your treating physician will clear you based on your individual case.

Bring your most recent angiogram or cardiac catheterization report on CD or DICOM format, a recent echocardiogram, your current medication list with dosages, relevant blood work (lipid panel, HbA1c, kidney function), and any stress test results. Most international cardiac centers can also accept records via a secure patient portal.

Before traveling, inform your home cardiologist about the planned procedure and ask if they will manage your post-procedure care. Request a detailed discharge summary from the overseas hospital including the stent type, size, placement, and any procedural notes. Most international cardiac centers provide English-language records specifically for this purpose.