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Coronary Angioplasty Treatment in Dhakuria

Coronary angioplasty through Radial approach and Femoral approach

Coronary Angioplasty Treatment in Dhakuria

Coronary Angioplasty is a standard diagnostic and therapeutic strategy for coronary artery disease. It is used to treat coronary arteries that deliver blood to specifically heart muscles. The common femoral artery is a preferred site of access because it is large and catheters can be passed easily. This process can also be performed through brachial and radial artery approaches. In this approach, via the femoral route, there is a risk of bleeding; other risks are arterial pseudoaneurysms. When approached via the radial artery, there is little to no risk of bleeding, as this artery is smaller and easier to access than the femoral artery.

FAQ's

Coronary Angioplasty is a process that is used to widen the blocked or narrowed coronary arteries that supply blood to the heart. The term Angioplasty means the use of a balloon to stretch a narrowed or blocked artery to bring back blood flow. This process is also known as Percutaneous Transluminal Coronary Angioplasty. In this method, sometimes a mesh tube called a stent is used, which is inserted into the artery during the procedure. The stent is left in place permanently to allow blood to flow more freely and easily.

Our heart is an organ; just like other organs, it needs blood for its function. The artery that supplies blood to the heart is known as the coronary artery. In some patients, this artery becomes narrow or blocked due to several reasons; one of the major reasons is atherosclerosis. This narrowing of the artery is known as coronary heart disease. When the blood flow is restricted, it leads to chest pain, which is known as angina. In severe cases of angina pectoris and other heart attack conditions, Coronary Angioplasty treatment is needed to bring back the blood flow.

Coronary Angioplasty is one of the safest and most common types of treatment for heart disease. This procedure does not involve any major cuts in the body. It's usually carried out safely for most people without any complaints. This procedure is safe to use. The risks are generally small, depending on the following factors:

  • Your age
  • Your general health
  • History of heart attacks
  • Bleeding disorders

A Coronary Angioplasty is performed using local anaesthesia. This means you will be awake throughout the entire process. A thin catheter is inserted in one of your arteries by making an incision mainly in your groyne area, wrist, or arm. This catheter will be guided to the affected coronary artery using an X-ray video. The catheter wire is guided down the length of the affected coronary artery, where it delivers a small balloon. This balloon is then inflated to widen the artery; this breaks the fatty acid against the artery wall and allows blood to flow more freely when the balloon is removed.

When a stent is used, this stent will expand when the balloon is inflated and remain in place when the balloon is removed. This entire process takes around 30 minutes to 2 hours. If you are getting treatment for angina pectoris, you can get discharged the next day of Angioplasty. When you are admitted to the hospital for a heart attack case, you will need to stay in the hospital for several days after the Angioplasty process.

It is easier to approach via the radial artery present in the wrist to stop the bleeding. The femoral artery is a bit more discomforting than the radial approach as the radial artery is smaller in size than the femoral artery. Hence the radial approach is an ideal choice for Angioplasty.

The advantages of Radial Artery Catheterization over Femoral Artery Catheterisation are:

  • Reduced recovery time post-procedure
  • Enhances patient comfort
  • Lower the incidence of access site infection
  • Reduces the overall cost of the procedure
  • Less painful
  • Lower bleeding rate than femoral approach bleeding

 

The recovery takes about two to three days. You will not be able to take a bath for the first week. Make sure not to wet the catheterised area for the first 24 to 48 hours.

The possible risk factors for Cardiac Catheterisation include:

  • Bleeding and bruising where the catheter is placed in the body
  • Pain at the site of catheterisation
  • Catheter-related thrombosis may damage the blood vessel
  • There are chances of infection if the area is not clean
  • Heart rhythm problems
  • Sudden blockage of the coronary artery
  • Coronary artery damage or tearing
  • Kidney damage 
  • Stroke
  • The rupture or tear of the coronary artery during stenting may necessitate emergency Open-Heart Surgery

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