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.
What is Coronary Angioplasty or Balloon Angioplasty?
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.
What is Stenting in Coronary Angioplasty?
A stent is a fine wire mesh tube that keeps the artery open to allow the proper passage of blood through it. The stent should be implanted only after the full expansion of the balloon to make sure that the stent remains stable and open for the rest of the patient’s life. If you have blockage in many areas, then more than one stent is needed. The stent is usually made of surgical grade stainless steel and has medicine coating on it in order to prevent tissue re-growth which can cause recurrence of the block (re-stenosis). Drug eluting stents therefore make the procedure much more durable and successful in the long term and have almost totally replaced bare metal stents. The stent remains in the artery permanently and relieves the patient from chest pain or angina as well. Some more images are taken to ensure that the blood flow to the heart is good now.
What is Rotablator angioplasty and why is it needed?
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.
What is Absorbable stent and is it available?
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.
What is Intravascular Ultrasound and
What is Optical Coherence Tomography?
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.
What are the benefits of a coronary angioplasty?
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.
Disclaimer: The content on this website (www.drrajivagarwal.co.in) is solely for the purpose of educating and creating awareness about the domain i.e. Cardiac Catherterization. This shall not be treated as a substitute to a professional cardiologist’s advice or prescription. Every individual and their case is different, so the results of any of the treatments mentioned on the website may vary.