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In an Angioplasty, a coronary (heart) artery blockage caused by atherosclerosis is opened with a balloon, and a stent is placed. This helps to improve blood flow to the heart. Atherosclerosis is a condition in which plaque (a collection of fat and cholesterol) accumulates on the inside of the artery walls, and Angioplasty is used to treat this.
A stent is a small, metallic mesh tube that is often placed during or immediately after Angioplasty. Stent gets expanded in the coronary artery and helps to prevent the artery from narrowing again. This procedure may also be employed as an emergency treatment for a heart attack.
Other names for Coronary Angioplasty are:
Percutaneous Coronary Intervention (PCI)
Percutaneous Intervention
Percutaneous Transluminal Angioplasty
Percutaneous Transluminal Coronary Angioplasty (PTCA)
Balloon Angioplasty
Coronary Artery Angioplasty
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The formation of plaque can happen in any artery, including the coronary arteries, which carry oxygen-rich blood to your heart. Coronary artery disease (CAD) is the medical term for atherosclerosis that specifically affects the coronary arteries. Angioplasty and Stent Placement are the most common medical procedures to treat this condition. They can also be used to:
Reduce angina and breathlessness, two common symptoms of coronary artery disease.
Remove blockage or narrowing of one or more coronary arteries that may lead to poor heart function (heart failure).
Sometimes, there may not be time to prepare. Stent Implantation and coronary Angioplasty are occasionally used as emergency heart attack therapies.
If a non-emergency procedure is planned, several preparations must be made.
A cardiologist is a medical professional with expertise in cardiac disorders who will evaluate you and thoroughly check your medical history. Additionally, your physician may request a few standard tests, such as:
Blood tests
An EKG (electrocardiogram)
A chest X-ray
These tests are done to check your heart health and other conditions that may increase the risk of complications.
In addition, the following actions could be required of you:
All medications, dietary supplements, and herbal remedies that you take should be listed, including their dosages.
Before having an Angioplasty, you must cease taking certain medications, including aspirin, blood thinners, and nonsteroidal anti-inflammatory drugs (NSAIDs).
Also, avoid eating or drinking anything a few hours before the surgery.
Electrodes, which are sticky patches, are applied to your chest to monitor your heartbeat.
Before, during, and after the procedure, your heart rate, pulse, blood pressure, and oxygen level are continuously monitored.
Any hair in the region of your body where a catheter or flexible tube will be placed may be shaved by a member of your healthcare team.
A catheter with an inflated balloon on the tip is guided to the blocked artery. The balloon inflates, widening the artery. The balloon is deflated and removed. In the narrowed area, a stent is inserted to help maintain the artery's opening.
The procedure may need to be repeated if there are multiple blockages.
The region where the catheter is implanted may feel pressured. When the balloon is inflated, you can also experience some minor discomfort.
The procedure typically takes several hours.
The duration of the hospital stay following Angioplasty and Stenting is contingent upon the purpose of the procedure. You may return home, rest, and drink plenty of fluids to help remove the imaging dye from your body. Following Coronary Angioplasty and Stenting, you may have to incorporate the following regimen:
Blood-thinning medicines: You might need medication after receiving a stent to avoid blood clots. Your doctor may recommend taking aspirin with another medicine, such as clopidogrel (Plavix), ticagrelor (Brilinta), or prasugrel (Effient). Aspirin recommendations vary, so check with your healthcare team before starting aspirin.
Activity limitations: Do not do vigorous exercise or lift heavy objects for at least 24 hours after Coronary Angioplasty and Stenting.
Cardiac rehabilitation: A customised exercise and education programme known as cardiac rehabilitation may be recommended by your heart doctor. It usually entails heart-healthy lifestyle instruction, emotional support, and fitness training. The goal of the guided programme is to help people with heart disease live better lives. Following a heart attack or cardiac surgery, it's frequently advised.
A hospital stay often lasts two days or fewer. Some might not even need to spend the night in the hospital.
After Angioplasty, patients can usually resume their normal activities in a few hours, depending on the specifics of the treatment and the location of the catheter.
A complete recovery takes a week or less. You will be given information on how to care for yourself after Angioplasty.
After being discharged home, most patients recover from Angioplasty and go back to work in approximately a week. Following your discharge from the hospital, your doctor will want to see how you're doing, so they will schedule a follow-up appointment. Your doctor will examine you, perform any required tests, adjust your medication, and assess your general recovery during the follow-up visit. Use this time to discuss any concerns you may have or ask any questions you may have concerning activities, medications, lifestyle adjustments, or other matters.
The following are possible risks of Coronary Angioplasty with Stent Placement:
Bleeding can occur from where the catheter is inserted into the body, which is typically the wrist or arm.
Stents may develop blood clots within them. Heart attacks may result from these clots blocking the artery. Drugs can lessen the likelihood that blood clots will form.
At the location of catheter insertion, it may bleed, bruise, or become infected.
Abnormal heart rhythms: The heart may beat abnormally quickly or slowly during the process. It could be necessary to use a temporary pacemaker or medication to correct these heart rhythm issues.
Heart attack: It's uncommon for heart attacks to result in significant tissue damage or death.
Stroke: A fatty plaque fragment may come loose during Angioplasty, migrate to the brain, and block blood flow.
Allergic response to the X-ray dye, the material of the stent (very uncommon), or the medication used in a drug-eluting stent.
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