Groin Stent Care: Following Your Doctor's Instructions A groin stent is a medical device that is inserted into the body to prop open a blocked or narrowed artery. This drawback has however been solved with the advent of drug-eluting stents. The stent holds the artery open, restoring blood flow. After surgery, blood flow may improve throughout your leg. Side effects of medications such as stomach upsets, cramping, etc., can also be experienced depending on the medications prescribed. The risks associated with the procedure include: an allergic reaction to medication or dye breathing problems bleeding a blockage of the stented artery a blood clot a heart attack an infection. Have a bruise or discolored area near where the catheter was inserted. World J Gastrointest Endosc. Do not do yard work, drive, or play sports for at least 2 days, or for the number of days your health care provider tells you to wait. One such complication is the possibility of the stent affecting the sciatic nerve. This response is sometimes exaggerated, causing a sudden blood clot and tissue accumulation that partially or completely blocks the stent. The artery can be reopened with a procedure similar to the original stent placement, although doctors sometimes need to use a tiny drill or laser to cut through the obstruction. The procedure usually involves the use of a device with a small balloon to widen the blocked blood vessel; however, nowadays the procedure is performed by inserting a tiny tube-like structure, called a stent, into the blocked coronary artery. MRI scans detect any abnormalities that could cause prolonged femoral nerve compression, such as tumors, masses, or cancerous growths. While the risk of the stent affecting the sciatic nerve is considered low, it is important to discuss all potential risks and complications with your doctor before undergoing any medical procedure. In this interview, AZoM speaks to Rohan Thakur, the President of Life Science Mass Spectrometry at Bruker, about what the opportunities of the market are and how Bruker is planning on rising to the challenge. Bleeding from the stent insertion site, from a tear in the artery where the stent was placed or from a puncture of the heart may occur after the procedure. Cerebral artery stenosis results from atherosclerosis, a build-up of fatty deposits on artery walls. There is a very small risk of nerve damage from an angiogram. 61(10):A4937. Blood clots can lead to severe complications such as heart attack, stroke, and thromboembolism to another part of the body. National Health Service (NHS). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The condition, known as atherosclerosis, can lead to blockage of blood flow and cause devastating consequences such as coronary heart disease. Schou-Jensen KS, Dahl C, Azawi NH. Pain and discomfort Stents can cause discomfort and pain in the bladder, kidneys, groin, urethra and the genitals. And, if you do decide that the transradial approach is right for you, make sure your doctor has plenty of experience doing it before giving your consent. Lifestyle changes which may help include. Eye Vis (Lond). When I had a heart attack late last year, I got a stent in one of my coronary arteries. The discomfort or pain may be more noticeable after physical activities and after passing . A "nocebo" effect means people who have negative expectations about a medication report experiencing the potential side effect at higher rates than the drug should cause. Before undergoing a kidney stent placement it is vital for a patient to be aware of the various side effects and complications that are generally associated with it. In: Libby, P, Bonow RO, Mann DL, Tomaselli, GF, Bhatt DL, Solomon SD. Few complications have been reported with stents, but there's a slight chance the body will reject the stent. Feel more tired than usual for several days. In rare cases, the contrast dye may cause kidney damage. What are the side effects of a kidney stent? One less common side effect may be a damage to the blood vessels. Originally, stents were made of bare metal. Most procedures and medical interventions dont come without risks or complications, which includes vein stenting. This is caused when injury to a vessel triggers the formation of blood clots a year or more after the procedure. (accessed March 04, 2023). The metal is coated in medicine and helps reopen your artery and keep it open. is among the first to achieve this important distinction for online health information and services. With it, you straighten your legs by controlling your hip muscles. It is critical to see a doctor if you are experiencing pain or movement issues. This site complies with the HONcode standard for trustworthy health information: verify here. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease. If your doctor goes in through your wrist, your risk of bleeding post . do:10.1136/bmj.f6530, Anh JM, Park DW, Lee CW, et al. A hematoma is a common complication of cardiac catheterization. In addition, it is possible to feel temporary swelling of the urethra after the procedure. Stents are also used to treat aneurysm (outward bulging) of the aorta. the groin, urethra and genitals. Even so, stents are should not be considered an easy substitute for all medical treatments. When a doctor discovers a blockage in one of the arteries in the leg, leg stents are inserted through the groin. The femoral nerve is the most powerful nerve in the lumbar plexus. Some people experience mild groin discomfort for a short time after the procedure around where the catheter was inserted. Angioplasty and stent placement are two ways to open blocked peripheral arteries. Stents can also result in a sensation of incomplete emptying of the bladder. Recovery and side-effects in case of an emergency stent placement procedure. an infection of the vessel. . Complications with this procedure pose a potentially fatal risk and should be addressed as soon as possible. If the stent was placed in the heart arteries it would be unusual that it would cause groin pain this far out. Learn more about A.D.A.M. The stent acts like a scaffold and helps to open the narrowed coronary arteries. If your doctor advises against a stent, it is usually because the procedure has limitations or is indicated for short-term use only (such as with biliary stenting). An aborted operation in La Jolla shows the true strength of an increasingly popular way to open blocked blood vessels. blood clots. Lastly, for those that have kidney failure and have an arterio-venous fistula for hemodialysis can sometimes experience narrowing in the vein, by which a stent may resolve the narrowing. Such obstructions can arise due to various conditions like kidney stones, tumors, blood clots, postsurgical swelling or a narrowing of the ureter which are a pair of muscular tubes connecting the kidneys to the urinary bladder. X-rays were used to guide the catheter up to the area of the blockage. These side effects are usually due to the stent being inside the bladder and causing irritation. J Am Coll Cardiol 2002; 40:1021. This is one of the most common side effects of tadalafil, affecting about eight percent of users at 10mg dosage and 10 percent of users at a higher 20mg dose. You have dizziness, fainting, or you are very tired. Dr. Ali is also an award-winning writer. Another possible complication is late thrombosis. The most common side effects associated with a kidney stent are urinary-related. The nearby blood vessels may also get damaged due to the. -- Shortness of breath. The nearby blood vessels may also get damaged due to the catheter. The vast majority of stents are metal. "Risks and Side Effects of Heart Stents". 's editorial policy editorial process and privacy policy. These symptoms can be indicative of a urinary tract infection which can develop due to the displacement of the stent or other secondary causes. There are several ways to insert a stent. Place pillows or blankets under your legs to raise them. N Engl J Med 2014; DOI:10.1056NEJMoa1409312. is also a founding member of Hi-Ethics. Since then, stents have been used in other organs, including the kidneys, colon, and esophagus. 2019. Updated by: Deepak Sudheendra, MD, MHCI, RPVI, FSIR, Founder and CEO, 360 Vascular Institute, with an expertise in Vascular Interventional Radiology & Surgical Critical Care, Columbus, OH. MedlinePlus. Re-stenosis is caused by abnormal tissue growth within the target artery. 2018;16(2):26073. The discomfort or pain may be more noticeable after physical activity and passing urine. Side effects are the unwanted but usually mild and temporary effects of a successful procedure, so you should not be so much worried about it. doi:10.1016/j.iccl.2016.02.006, Mosayyebi A, Mases C, Carugo D, Somani BK. Redness or swelling in . This website should be considered for general informational purposes only. Ketamine for treatment-resistant depression: When and where is it safe? Indigestion is a common side effect of all ED medications, not just . A . The balloon on the end of the catheter was blown up. Side Effects of Heart Cath. Even though stents are generally safe to use, sometimes complications may occur during and after the stenting procedure. These include pain at the insertion site, bleeding, and infection. In: Libby, P, Bonow RO, Mann DL, Tomaselli, GF, Bhatt DL, Solomon SD. Circ Cardiovasc Interv. Copyright 1997-2023, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Angioplasty and stent placement - peripheral arteries - discharge, URL of this page: //medlineplus.gov/ency/patientinstructions/000234.htm. Diagram to show how a stent and coils are placed . While a groin stent is generally considered safe, there are some potential risks and complications associated with the procedure. Review provided by VeriMed Healthcare Network. Spontaneous Coronary Artery Dissection (SCAD), Stories From Patients with Cardiovascular Disease and Their Families, Stories From Patients With Congenital Heart Disease & Their Families, Tests You Take at Your Doctors Office or the Hospital, SecondsCount Guide to the Affordable Care Act, SecondsCount Guide to New Treatments & Technologies, More Information & Support: Resource List, It Takes a Team: Learn About Care Teams for Heart Failure, "You & Your Stent" - An Educational Video for Patients & Families, Questions & Answers About Angioplasty & Stenting, After Your Angioplasty & Stenting Procedure. This procedure is known as angioplasty. But early drug-eluting stents sometimes prevented any cells from covering the stent. You are sick to your stomach or cannot drink fluids. Palpitations -- the sensation of ones heart racing or skipping a beat -- are common after cardiac stent placement. As the equipment used for angioplasty and stenting has become smaller, and doctors have gained the training and experience to handle the more challenging technical aspects of working with the smaller artery in the wrist, the transradial approach is becoming the first choice approach for many doctors and patients. The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical. The stents are made of tiny metal coils that may be coated with medication which can help to keep the artery open. The discomfort or pain may be more noticeable after physical activity and passing urine. Possible risks associated with treatment include: Bleeding during or after treatment or damage to the blood vessels Blood clots that can cause heart attack , stroke, or lung problems Infection at the incision site Infection in the new valve (endocarditis), which is more common with valve replacement Pneumonia Breathing problems If you are taking medicines for blood pressure or diabetes, take them the way your provider has asked you to take them. It is important to follow all instructions from the stent healthcare team to help ensure a successful outcome. The use of micro-bypass stents has proven to be very safe and effective in people with open-angle glaucoma. The electromyography (EMG) technique records the electrical activity of your muscles in order to ensure the activity of the nerves that control them. Blood clots can form in the legs or lungs as a result of a stroke or a heart attack. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Todays stents feature different drugs that minimize the risk of both complications, although anti-clotting pills are still necessary. This procedure is carried out with a catheter that is a small, flexible plastic tube, and a special dye is injected into the artery to show blood flow. To prevent that problem, researchers developed stents that release a drug that slows cell overgrowth. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. At other times, the procedure may be contraindicated due to a preexisting health condition. Circulation: 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention. Can Spider Veins Turn into Varicose Veins? An optimal approach to treat femoropopliteal lesions. One is a gradual renarrowing of the area inside the stent, known as restenosis. It can occur as a result of a surgical procedure, direct injury, or any health condition that requires it, such as diabetes mellitus. N Engl J Med 1994; 331:496. 2017;10(14):1415-24. doi:10.1016/j.jcin.2017.04.037. The frequent need could also feel urgent. Leg stent surgery can cause blockage in the narrow arteries and cause the artery to rupture. The practice of stenting has become fairly common and has allowed for the minimally invasive treatment of conditions that once required surgery. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. Kim ET, Gwon DI, Kim JW, Ko GY. Compilation of the top interviews, articles, and news in the last year. There is bleeding at the catheter insertion site that does not stop when pressure is applied. When it comes to nerve injuries, standard safety protocols can usually be used to keep them from occurring at all. . Chest pain is common after cardiac stent placement, reported by as many as 41 percent of people within the first 72 hours after the procedure, according to an April 1999 "Herz" research article. Stenting is a rather safe procedure in experienced hands - but still comes with possible complications. -- Excessive sweating, pale skin color or dizziness. a clog of the artery. To use the sharing features on this page, please enable JavaScript. Emergency coronary artery bypass surgery might be needed to restore adequate blood flow to the heart. You have chest pain or shortness of breath that does not go away with rest. Drink plenty of water and this will clear up in a couple of days. At the tip of the catheter is a small balloon with a stent. Although uncommon, major bleeding is an extremely serious problem that can be life-threatening if left untreated. It is possible to do light things around the house, but not strenuous activities, for several days. Risks include the blockage of the stent due to tissue overgrowth or debris as well as perforation of the vessel. Sagar J. The Kidney Stent: A lifesaving medical device. 2016;5(3):391403. Complications can occur during or after an angioplasty. Blood in your urine. The leading authority in venous disease prevention, diagnosis, treatment and education. Since a tube was just rubbing against your bladder, some bleeding should be expected. National Heart, Lung and Blood Institute: What Is a Stent? My doctor said that complications from stents are uncommon, but what can go wrong? The stent may become dislodged or migrate in the vein, moving from the area of narrowing, leading to continued symptoms of vein narrowing. Your risk of bleeding is lower. To place the stent, a small sheath, plastic tube, is placed in the groin or wrist artery. This may occur due to improved blood flow reinvigorating injured areas of the heart. The other is the formation of clots inside the stent, called stent thrombosis. The stent is inserted along with a balloon catheter and expands when the balloon is inflated. Monitor your wound every day for signs of infection, such as redness, swelling, or pus. These include: There are different stents designed for different parts of the body. Open Cardiovascular Medicine: Retroperitoneal Hemorrhage as a Complication of Percutaneous Intervention: Report of 2 Cases and Review of the Literature. Some people may experience a reaction to the actual stent, although this is low with the use of metal stents. With the original bare-metal stents, about one-third of the time endothelial cells continued growing into the open area inside the stent. Q. /* Health, Fitness and Beauty300x250 */ In rare cases, the stent can also cause paralysis. Rare side effects include strokes and seizures. These include: Call your doctor if these symptoms persist or worsen, especially if there is fever, chills, or other signs of infection. There are a few side effects that have been associated with stents placed in the groin. Curr Urol Rep.2018;19(5):35. doi:10.1007/s11934-018-0779-y. Some typical side effects of kidney stent include the following: An increased frequency of passing urine; The need to rush to pass urine (urgency); A small amount of blood in the urine. Other Reasons For Leg Pain Some doctors indicate they will only screen for the surgery if a person has. A bare metal (nickel-titanium alloy or stainless steel) stent keeps your artery open after angioplasty has pushed a buildup of plaque to the artery walls. These side effects are usually due to the stent being inside the bladder and causing irritation. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. DVTs can damage the veins, which may lead to scarring or narrowing of the vein in a condition called post-thrombotic syndrome. Stents are tube-shaped devices that stay inside your artery permanently. Femoral nerve damage usually goes away on its own, but symptoms may persist. One of the complications a doctor will watch out for after placing a coronary and endovascular stent is restenosis. Hematoma is typically formed following poorly controlled hemostasis following hemostasis post-sis, and it is particularly dangerous when it forms close to a major blood vessel. When angioplasty is combined with drug-eluting stent placement, there's a small risk the treated artery will become clogged again. Heparin can also help reduce the risk of infection. Dr. Stephens earned a Doctor of Nursing Practice degree from Texas Tech University Health Science Center. It will pass. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. This complication, known as a stent occlusion, obstructs blood flow to the heart muscle, which often results in a heart attack. 2020;75(1):57-63. doi:10.1016/j.crad.2019.07.014. He says there are three main benefits of approaching the heart through your wrist. Kinlay S, Bhatt DL. Slowly easing into activity, avoiding strenuos work immediately after, and incorporating exercise into daily routine by starting slow and slowly increasing over time is the right way to go about physical activity. Thank you, {{form.email}}, for signing up. A drug-eluting stent, or DES, is a small, metal mesh coil placed in a blocked coronary artery. Be aware of these common side effects from a ureteral stent: Discomfort and pain, usually experienced as a dull feeling in your sides and groin, and can get worse while you are urinating. Esophageal stents can also cause chest pains and gastroesophageal reflux disease (GERD), usually occurring within two to four weeks of the procedure. You are coughing up blood or yellow or green mucus. Although uncommon, major bleeding is an extremely serious problem that can be life-threatening if left untreated. Depending on the body part, stenting may require surgery or be applied via a catheter in a vein or during an endoscopic procedure. These side effects are usually due to the stent being inside the bladder and causing irritation. You have chills or a fever over 101F (38.3C). 1. It also describes the general procedure and the possible risks and side effects of stenting. Known as restenosis, the process can re-block blood flow through the artery, causing chest pain (angina) and, in some cases, a heart attack. Rare side effects consist of strokes and seizures. If the stent presses on the sciatic nerve, it can cause pain, numbness, or tingling in the legs. 2016;8(4):198204. However, researchers have found a "nocebo" effect when it comes to perceived muscle pain and statins. A catheter is passed through the sheath and guided along the artery into the opening of your left or right coronary artery. You may be given general anesthesia to keep you asleep and free from pain during your procedure. Blood clots. This study clearly demonstrates the link between cardiac catheterisation via the right brachial artery and the presence of appreciable nerve damage. Once the catheter reaches the area in the artery narrowed by fatty plaque, the balloon inflates and deploys the stent. Major bleeding at the site of stent insertion occurs in 0.15 to 6 percent of placements, according to February 2013 review published in "The Open Cardiovascular Medicine Journal." However, as with any medical procedure, the best approach is largely dependent on your unique medical and personal circumstances. NM, Ratan. If you or your family member already have or are undergoing a kidney stent placement it is important to be aware of the various side effects and complications that can arise due to this procedure. bleeding. Angioplasty and stent placement - peripheral arteries, Peripheral artery bypass - leg - discharge, Linking to and Using Content from MedlinePlus, U.S. Department of Health and Human Services. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. The procedures used to implant a stent differ depending on the type of stent. Coronary arteries are the blood vessels which are involved in the supply of oxygen-rich blood to the heart. Verywell Health's content is for informational and educational purposes only. This phenomenon was observed because the bodys immune system considers the stent as a foreign object. Urinary tract infections Patients who have a stent in their kidneys should be especially vigilant about sudden fevers and an increased sensation of pain or a burning feeling while urination. Selection of coronary stents. Physicians usually use imaging techniques such as computed tomography angiography (CT) or ultrasound to monitor the stent graft and diagnose such complications. Do not stop taking them without talking with your provider first. While the side effects usually decrease during course of time and completely disappear after the stent is removed, make sure that you get in touch with your doctor as soon as any of the above mentioned complications surface. It is important to report any chest pain that occurs after cardiac stent placement to the healthcare provider who performed the procedure. I had a heart cath done last week where they entered through my groin. Stents are used to . During this minimally-invasive procedure, a small mesh tube (stent) is placed inside a blood vessel to make it stronger and keep it open. In such conditions, the person affected may experience symptoms similar to those experienced before getting a stent; however in some cases it may be asymptomatic. A stent is a metal or plastic tube inserted into a blocked passageway to keep it open. As mentioned above, such patients will take a longer period of time to resume their normal activities. Risks and Side Effects of Heart Stents. Many cases resolve on their own without treatment. Known medically as hypertension, many people don't even know they have it, because high blood pressure has no symptoms or warning signs. It is extremely rare, but it is most likely a misdiagnosed complication. Currently, two main types of stent are available - bare metal stent and drug-eluting stent. White CJ. google_ad_height = 250; This usually occurs if the needle used to inject the contrast dye into the artery hits a nerve. Pain in the flank, which is just below the rib cage and above the waist on either side of the back. Close to Home: Angioplasty at Community Hospital Can Be as Safe as at Large Hospitals, Considerations for Caregivers of Angioplasty Patients, Coronary Angioplasty: Treatment for Heart Disease, Diabetes & Peripheral Arterial Disease: Combating a Dangerous Duo, Betty Brummet - Achieving a High Quality of Life at Any Age, Curtis Broome - Back to Life: Restarting a Damaged Heart, Duane Nystedt - Unique Heart Procedure Restores Patients Quality of Life, Ed Gartner - The Right Treatment Option for an Active Lifestyle, Gary Lawrence - Angioplasty One Day, Anniversary Trip to Europe the Next, Long history of success - first used in 1960s, Must lie flat for 4 to 6 hours after procedure, More doctors trained and experienced in this approach, Lengthy compression process that requires a nurse, It can be difficult to reach the artery to perform the procedure and, if necessary, stop any bleeding, especially if the patient is obese, The femoral artery is the only source of blood to the leg, History of success - first used in the 1980s, The procedure is technically more difficult than the femoral approach because the radial artery is smaller, Reduces risk of bleeding - important consideration for women, elderly and people taking blood-thinning medications, Not as many doctors are trained and experienced with this approach, Can move around as soon as effects of anesthesia allow it, Can eat and drink soon after the procedure, The radial artery is not the only source of blood to the hand. But when elevated blood pressure is accompanied by abnormal cholesterol and blood sugar levels, the damage to your arteries, kidneys, and heart accelerates exponentially.