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Angioplasty is a medical procedure used to open narrowed or blocked blood vessels that supply blood to the heart, known as the coronary arteries. A coronary artery stent is a tiny metal mesh tube that expands within the coronary artery. It restores blood flow to the heart muscle without any requirement for Open Heart Surgery. Angioplasty can be performed in an emergency, such as a heart attack. It can also be done as a planned procedure if your doctor determines you have heart issues.
Angioplasty is also known as Percutaneous Coronary Intervention. Your doctor will create a small slit in a blood vessel in your groin and insert a thin, flexible tube known as a catheter into the area of your body that requires a stent. Plaque, a fatty material found in the heart, can accumulate within the coronary arteries. Plaque constricts the arteries, limiting the flow of oxygenated blood to the heart. A balloon catheter is first used to open the artery, and then an intraluminal coronary artery stent, a tiny, self-expanding metal mesh tube, is inserted to keep the artery open and prevent it from reclosing.
Angioplasty is a medical procedure used to open up blocked or narrowed blood vessels, especially those supplying blood to the heart, like the coronary arteries. This helps improve blood flow and can relieve symptoms such as chest pain.
A stent is a small, expandable metal tube placed in an artery during Angioplasty to help keep it open. This ensures proper blood flow through the artery. There are two main types of stents: drug-eluting stents, which are coated with medication to help prevent the artery from narrowing again, and bare-metal stents, which do not have this coating. Your doctor will select the best course of action depending on your unique requirements.
Angioplasty treats atherosclerosis, or plaque accumulation, in the body's many arteries. Expanding or removing blockages helps cure illnesses like carotid artery disease, peripheral artery disease, and coronary artery disease. By restoring normal blood flow, this technique can lessen symptoms like leg and chest pain and lower the risk of stroke. Renal artery angioplasty may also improve the kidneys' delivery of oxygen in chronic kidney disease, reducing problems brought on by reduced blood flow.
Angioplasty, with or without stenting, is a popular treatment for disorders that constrict or clog blood vessels, preventing blood flow. These conditions include the following:
Coronary artery disease: Constriction of the coronary arteries, which provide oxygen and blood to the heart muscle.
Atherosclerosis: Large artery constriction caused by arterial hardening is often known as atherosclerosis. This is the accumulation of cholesterol and other fatty deposits, known as plaques, on the arterial walls.
Peripheral artery disease (PAD): Narrowing of the arteries in the legs and arms.
Carotid artery stenosis: Constriction of the neck arteries that feed blood to the brain.
Venous Blockages: Veins in the chest, belly, pelvis, arms, and legs constrict or become blocked.
Renal vascular hypertension: High blood pressure induced by a constriction of the kidney's arteries. Angioplasty and Stenting can be done to improve kidney function.
Narrowing of the dialysis fistula or graft: In patients undergoing kidney dialysis, artificial blood vessel connections (fistulas and grafts) can become narrowed or obstructed. Angioplasty is often used to open these connections, and stenting may be necessary in some cases.
Possible dangers associated with Angioplasty and Stenting procedures include:
Bleeding at the point where the catheter is placed in the body (typically the groin, wrist, or arm)
Formation of blood clots in the treated blood vessel or related to the catheter
Damage from the catheter to the blood vessels
Infection at the catheter insertion site
Abnormal cardiac beats
Heart attack
Stroke, chest pain, or discomfort
In rare cases, the artery may rupture or reclose, potentially requiring emergency Open-heart Surgery
Allergic response to the contrast dye employed
Kidney injury due to contrast dye
Coronary Angioplasty is one of the most common heart treatments. It is a minimally invasive treatment, as it does not require large incisions, which reduces recovery time and associated risks. The risk of major consequences following a Coronary Angioplasty is generally low; however, it depends on factors such as your age and overall health.
Patients will have to lie still with their arms and legs outstretched for several hours after the operation. Some patients may need to stay in the hospital overnight for additional observation. Following the treatment, patients will most likely be offered medications to help avoid blood clots. It is normally recommended to avoid strenuous physical activities for at least one week. There may be some bruising, bleeding, and discomfort near where the catheter was put. This normally resolves on its own within a few days. Patients who develop numbness, chest pain, or shortness of breath following an Angioplasty should seek prompt medical assistance.
You have a good probability of continuing to live a healthy lifestyle as you did prior to Angioplasty. Most people can return to their previous lifestyles within a few weeks or months, depending on the extent of heart damage caused by coronary artery disease. All you have to do is make a few changes to your lifestyle, such as diet and exercise, to help you return to normal much faster and avoid re-blockage.
Yes, most patients will need to take antiplatelet medications, such as aspirin and clopidogrel, to prevent blood clots from forming around the stent. The duration of medication use will depend on the type of stent and your overall health.
While stents are designed to keep arteries open, they can sometimes become blocked again, a condition known as restenosis. The use of drug-eluting stents has reduced the risk of restenosis compared to bare-metal stents.
Angioplasty is not a cure for coronary artery disease; therefore, a new blockage may form at another spot. Nobody can predict whether or not someone may get coronary artery disease again. The chance of a recurrence can be considerably decreased, though, by treating and controlling modifiable risk factors such as high blood pressure, diabetes, smoking, high cholesterol, and obesity. Long-term health depends on maintaining a heart-healthy lifestyle, which includes following the recommendations of the doctor for a balanced diet, frequent exercise, and medicines.
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