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Coronary Angioplasty Treatment in Broadway

Coronary angioplasty through Radial approach and Femoral approach

Coronary Angioplasty Treatment in Broadway

With rising cases of heart disease, Angioplasty has become a common procedure to treat blockages in the coronary arteries. It is a minimally invasive procedure that uses an inflated small balloon to force the plaque, thereby widening the narrow arteries and restoring blood flow to the heart muscle.

The Coronary Angioplasty procedure can be done through two main approaches: the radial approach and the femoral approach. 

  • Radial Approach: In this approach, the catheter is inserted through the radial artery in the wrist and offers a reduced risk of bleeding, faster recovery times, and improved patient comfort.

  • Femoral Approach: This approach involves inserting the catheter through the femoral artery in the groin. This procedure is being used traditionally, but it generally carries a higher risk of bleeding and requires longer periods of bed rest post-procedure.

At Manipal Hospitals in Broadway, our interventional cardiologists are highly skilled and trained in performing Coronary Angioplasty techniques through both approaches with satisfaction, improving patients' lives. The type of approach is chosen based on factors such as patient anatomy, operator preference, and the complexity of the procedure, keeping patients' comfort in mind. 

Consult our cardiologists if you need Coronary Angioplasty Through Radial Approach And Femoral Approach in Kolkata.

FAQ's

Coronary Angioplasty is a versatile procedure that is mainly used to treat coronary artery disease, but it can also help in treating various other coronary artery conditions, such as:

  • Peripheral artery disease

  • Angina and unstable angina

  • Coronary artery stenosis

  • Chronic kidney disease

  • Carotid artery disease

  • Acute myocardial infarction

  • Coronary artery spasm

  • Chronic total occlusions

You can undergo Angioplasty only if you have:

  • A significant coronary artery disease 

  • Had a heart attack

  • To prevent a heart attack

  • Chest pain or shortness of breath that does not improve with medications

  • Blocked coronary arteries that may lead to heart failure

  • Coronary bypass graft that has narrowed or closed 

In the radial approach, an artery in the wrist is used for catheter insertion during Angioplasty. It offers various benefits:

  • Reduced bleeding

  • Reduced long-term mortality risk

  • Lower cost

  • Improved patient satisfaction

  • Faster recovery

  • Improved patient comfort

  • Lower risk of complications

Though it is a much safer procedure, it can cause certain complications. These are:

  • Radial artery injury

  • Radial artery spasm

  • Radial artery occlusion

There are also fewer chances of some complications, such as arterial dissection, hematoma, hand ischemia, AV fistula, and nerve damage.
 

The femoral artery is large, thus giving better access to the inserted catheter. Its other benefits are:

  • Better treatment

  • Reduced bleeding

  • Complex interventions can be performed

  • Access to complex lesions

  • Comprehensive assessment

  • Improved patient comfort

Its complications include:

  • Bleeding complications

  • Pseudoaneurysm formation

  • Infection at the insertion site

  • Myocardial infarction

  • Haemorrhage

  • Thrombosis

  • Pulmonary oedema

  • Cardiac arrhythmias

  • Leg oedema

A fractional flow reserve evaluation contrasts the blood flow in your coronary arteries on either side of a blockage. During a coronary angiography or cardiac catheterization, a doctor can perform FFR using a conventional diagnostic catheter. This provides your doctor with information on the extent of your artery narrowing (stenosis). FFR is the ratio of the maximum blood flow that could be achieved in the same channel in the hypothetical absence of the blockage to the maximum blood flow that could be achieved via a blockage (area of stenosis). If your score is less than 1, you might require angioplasty or other medical care. Your provider decides your treatment based on your number. 
 

The Radial Coronary Angioplasty approach is preferred these days by cardiologists due to its better patient outcome. It does not cause much discomfort, and patients can get out of bed and walk around right after the procedure. 

However, the radial artery approach cannot be used for all patients. You must have these conditions to be eligible for this approach:

  • Good blood supply to the hands

  • Should not have thin, small, or twisted arteries

  • Before the Angioplasty procedure, our cardiologist will advise you to refrain from eating or drinking for several hours.

  • The duration of the procedure will vary from half an hour to a few hours, depending on the individual circumstances.

  • You will be asked to change into a hospital gown and inform the provider about any medications you take and any allergies that you may have.

  • An intravenous (IV) line will be inserted into your arm to administer medications to help you relax.

  • A catheter or tube is inserted through the skin into a blood vessel in the wrist or groin, with medication used to minimise discomfort.

  • Using an X-ray our cardiologist navigates the catheter through blood vessels to reach the blocked or narrowed coronary artery.

  • Injection of dye through the catheter enhances the visibility of blood vessels, potentially causing a brief warmth sensation.

  • Upon reaching the problem area, a wire and balloon catheter are inserted, with the balloon inflated to push plaque aside and clear the artery.

  • A stent, a small metal scaffold, is often inserted to keep the artery open after balloon removal, with some stents having drug coatings to prevent re-narrowing.

  • In peripheral artery disease cases, a balloon with a medicine coating may be used to transfer the drug to the artery wall.

  • Discomfort during balloon inflation is temporary and alleviated upon deflation.

  • The Angioplasty procedure may involve multiple balloon inflations in the same or different blocked arteries.

  • An angiogram is used to assess blood flow before and after Angioplasty to evaluate its effectiveness.

  • After the procedure, the provider will remove the catheters and apply a bandage to cover the insertion site.

  • Pressure may be applied to the wound to stop bleeding, and you may feel some discomfort during this process.

  • Soreness or bruising at the insertion site may occur later on, which will go with time.

  • Post-procedure instructions will be provided, such as resting, drinking plenty of fluids, and taking prescribed medications on time.

  • Our doctor may also suggest personalised cardiac rehabilitation and guide you on activity restrictions.

  • Keep a check on further complications if any arise.


 

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