Angiplasty is the process of wideing the narrowed arteries, it can include placing the stents as well if required. This is a minimally invasive procedure.
A coronary artery disease named as Atherosclerosis makes the arteries narrow. The cholesterol and calcium gets deposited in the walls of the artery. To clear this deposit and to keep the arteries widened, stenting is required.
Chest pain, angina, fatigue, pain in arm or legs and shortness of breath are the main symptoms of atherosclerosis. Most patients come to the clinic after the chest pain symptom.
The process of unblocking the coronary arteries with the help of a small inflated balloon is known as coronary angioplasty. If the artery is too narrowed then the stent is required to prevent it from collapsing.
Yes, Dr Rajiv Agarwal is an experienced cardiologist in Delhi who has performed this procedure thousands of times. He is an expert for rotablator angioplasty, calcified lesion angioplasty and total occlusion angioplasty.
Coronary angioplasty is a minimally invasive procedure in which a small incision is made in your inner thigh or arm and a guided wire is made to reach the blocked artery. It is then opened with a balloon and stenting is performed if required. Read the detailed procedure below.
Yes, most patients lead a normal life after getting treated but an expert opinion is required to check for any early signs of diseases, patient recovery and what more can be done to get a better quality of life.
Coronary angioplasty is the procedure of unblocking the coronary arteries. A small incision is made at the wrist or the thigh of the patient after applying a local anesthetic. Through which, a very small wire-like pipe known as a catheter is inserted, this catheter has a deflated balloon on its tip. Once it reaches the blocked artery, it’s inflated. When the balloon inflates, it pushes the plaque to the walls of arteries. This makes the room for the blood to pass fully. The balloon is then deflated and taken out. Following balloon dilation, we then place a stent in almost all cases for better and more durable results. This procedure is known as balloon angioplasty or coronary angioplasty. If you have more than one blockage then this procedure is performed on the different sites of blockage. It is performed after coronary angiography in most cases. You can read about stenting below.
First of all, an injection is given to numb the area. After that a small catheter, a tiny tube is inserted from the thigh or wrist area. Once that tube reaches the heart, near the opening of the coronary arteries, a dye is injected inside that tube. The outer x-ray detects the presence of dye and clicks its images. It shows where the dye has reached and where it can not. The place where the dye can’t reach shows a blockage. The blockage can be partial or complete depending upon the circulation of dye. After which the patient is sent to the ward or recovery room from where s/he can be discharged after a few hours or so.
In Angioplasty, a fine wire is taken to the blocked artery via either your arm or thigh incision. This wire carries a balloon that is inflated in the middle of the blocked artery. This inflation of the balloon pushes the plaque or the deposits at the sides to make the blood flow easy and uninterrupted. In case the plaque doesn’t allow for the passage of the wire or is harder or heavily calcified, then another very fine wire is used that has a drill-like instrument in it, this drill then makes way by removing the hard plaque. After that, the angioplasty is performed as described above with the balloon. A stent may or may not be placed after the procedure. Rotablation is also known as rotational atherectomy.
Nowadays we have other techniques to treat heavily calcified arteries which might otherwise have failed ballooning and required surgery. We can do Intravascular lithotripsy, which delivers ultrasound energy via a balloon catheter to pulverize the calcium in the artery. In this way many patients can be successfully treated with angioplasty and avoid surgery.
Most stents are metallic, hence they stay permanently in the blood vessel. However we also have polymer stents without metal which will completely dissolve over several months and avoid late complications. Such procedure is done if the lesion is suitable for it.
These are special imaging techniques that we use for detailed imaging of the coronary arteries in complex lesions. They are available in the best labs including ours and immensely improve the safety and success rate of the procedure.
No, Coronary angioplasty is not painful, however, the noise of rotablator can be a bit annoying for you as you will be awake during the procedure. However, you can feel some chest discomfort only. Also, some medications are given to make you feel relaxed along with an injection to numb the area.
No, Coronary angiography is like consecutive x-rays in a row, no amount of radiation remains in your body and it’s absolutely safe procedure.
Drinking a lot of water will help the dye to be flushed out from your system.
Most patients are discharged the same day after angiography, some patients may need to spend the night in the hospital if the need arises.
You can start your daily tasks that don’t require any hard work from the next day post-procedure.
You will be given anti-allergic medications before introducing the dye. You can have your coronary angiography without facing any problems, however, you should inform us about your allergies before the procedure.
Dr Rajiv Agarwal believes that not every chest pain is heart attack and the patient must be checked thoroughly before reaching a diagnosis. A good diagnosis is the treatment half-done.
Dr Rajiv Agarwal is an experienced and skilled heart doctor for all the heart diseases treatment, Coronary Angiography doctor in Delhi, diagnostic procedures, cardiac catheterization, stent placement, pacemaker surgery and LVAD procedure etc.
Our happy patients are our treasure. A doctor feels equally happy if not more, when a patient recovers and gets discharged comletely healthy from the hospital.