Dear ,
The story goes on like this :
1- the heart coronary arteries gets narrowed by many factors including
smoking,
hypertension and increased
cholesterol level .
2- the blood flow to the heart muscle decreases so it can't do its job perfectly.
3- the patient experiences an anginal pain (
chest pain ) on exercise or at rest due to
ischemia ( low blood flow ).
4- the patient goes to the Emergency department and discovers one of two :
4a - the heart is still 100% functioning but Ischemic ( no cardiac cell injury )
4b - the heart has cell injury (
Myocardial Infarction ) and below 100% functioning .
5 - after investigations , the patient performs catheterization , and does one of three :
5a - has to put one stent or more to widen a narrow coronary so increase the blood flow to the heart .
5b - the narrowed coronary arteries can't be widen by stents so he/she has to do open heart surgery to replace them ( CABG )
5c - the patient can't stand stents or CABG so he/she will go on medical treatment life long .
N.B. : any procedure of the above depends on how the heart performs its job , and it is defined by
Echocardiography .
this sequence to show you that , if you have a stent or more , so you still have the chance to do CABG later on if one of these stents has complications .
Concerning the lifespan ,
1- lifespan of stents varies from 5-10 years according the type of the stent .
2- lifespan of patents with CABG varies from 5-17 years according to the type of CABG ( venous graft or arterial graft ) considered no other complications .
So , 7 years for a stent + 10 years for CABG = 17 years lifespan ( average ) considered a perfect heart with good systolic and diastolic function ( each per age ) .
I wish that I gave you the point ...
Thanks for asking .