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Angioplasty in Ghaziabad

Percutaneous Coronary Intervention (PCI) or ANGIOPLASTY

Angioplasty in Ghaziabad

Angioplasty is a minimally invasive procedure that is used to open clogged heart arteries. It is also known as percutaneous coronary intervention (PCI). PCI is used to reduce the symptoms of blocked blood vessels, such as chest pain and shortness of breath. It can also be used to minimize damage to the heart during a heart attack.

There are two main techniques used in angioplasty: ballooning and stenting. In ballooning, a small balloon is inserted into the blocked artery and inflated to open it. This helps to improve blood flow. In stenting, a small wire mesh tube (stent) is placed inside the blocked artery to keep it open. Stents are often coated with medication to help prevent the artery from narrowing again.

WHY IT'S DONE?

Atherosclerosis

The blood vessels get narrow or blocked due to the buildup of fatty plaques. In cardiology, this buildup is called atherosclerosis. 

Cardiologists recommend this procedure, if:

  • The patient has worsening angina.

  • The patient has a heart attack.

  • Changes in lifestyle and medications have not improved the heart.

Visit the best cardiology hospital in Ghaziabad to get the finest treatment. 

WHY CHOOSE MANIPAL HOSPITALS?

Manipal Hospital Ghaziabad offers one of the best cardiology treatments in Delhi NCR. Our interventional cardiologists are well-equipped to tackle all types of cardiac cases. The state-of-the-art cardiac unit at our hospital ensures seamless treatments under the guidance of the esteemed cardiology team. Our cardiologists perform coronary angioplasty techniques through the arm, thigh or wrist to reduce the associated risks. We are known for our patient service and take utmost care to ensure a smooth heart treatment.

RISKS

Angioplasty in Ghaziabad is a safe and effective procedure when performed by trained experts in a safe and sterile environment.  Some risks associated with angioplasty are:

  • Re-narrowing of the artery: The chances of re-narrowing of the treated blood vessel are high if bare metal stents are used instead of the drug-eluting ones. 

  • Blood clots: Clotting can occur within the stents and cause blockage in the artery. It can cause a heart attack. The doctors usually prescribe medicines to avoid the risk of blood clots after the surgery. 

  • Bleeding: Bleeding may occur at the site of catheter insertion in the body. 

PREPARATION

The doctors check the patient's basic health parameters, and medical background and perform routine tests like an Electrocardiogram (ECG), Chest X-ray and Blood Tests, Urine Tests before the procedure. 

The doctors will perform angiography to check for clogged and constricted arteries and if angioplasty can open them. If the angiogram shows a blocked artery, the doctors perform the angioplasty immediately.

Before the procedure:

Patients are given the following instructions

  • Stop certain medications like blood thinners, aspirin or non-steroidal anti-inflammatory drugs before the procedure. 

  • Not to eat and drink six to eight hours before an angiography (Fasting).

  • Get all the prescribed medicines along to the hospital. 

  • Approved medications need to be taken only with little water.

EXPECTATIONS

During the Procedure

  • A cardiologist and a team of cardiovascular nurses and technicians perform the angioplasty procedure in a cardiac catheterisation laboratory or CathLab. 

  • The procedure occurs through an artery in the arm, wrist or groin area. Depending upon the age and physical health status of a person, the doctor decides which site to choose.

  • The patient is given a local anesthetic to relax and may remain awake through the procedure without any sense of pain or discomfort.

  • The team of doctors monitor vitals such as the heart rate, blood pressure, pulse and oxygen levels of the patient during the surgery to ensure patient safety.

  • The patients get sedatives and blood-thinning drugs intravenously.

  • The procedure begins with the doctor preparing the area in the patient's leg, arm or wrist with an antiseptic solution. 

  • A sterile sheet covers the patient's body.

  • Next, a local anesthetic helps to numb the area. 

  • The doctors make a small incision and insert a thin guidewire into the blood vessel. A catheter gets threaded through the artery with the help of live X-rays, or endoscopic device to ensure precision.

  • Once the catheter is in place, the doctors inject a contrast dye which helps them identify the blockages in the angiogram.

  • Next, the doctor opens the blocked artery using the ballooning technique. 

  • Depending on the number of blockages, the procedure gets repeated several times. 

  • The patient may experience discomfort when the doctor inserts the catheter and balloon.

STENTING

The doctors usually perform the ballooning and stenting procedures together. A stent looks like a tiny wire mesh coil and can be bare metal or have medicine coated over it. It works by supporting the walls of the artery and preventing its re-narrowing.

During stent placement

  • The catheter's tip has a balloon over which the doctor collapses the stent. The catheter guides the stent to the blocked site. 

  • As the balloon inflates at the blockage site, the stent expands and places itself inside the artery.

  • The stent stays inside the artery permanently and prevents re-narrowing or collapse of the artery.

  • The doctor deflates and removes the balloon catheter post the stent placement.

  • Doctors use angiograms to check the blood flow through the newly widened artery.

  • Medications are given to the patients to avoid the formation of blood clots on the stent.

AFTER THE PROCEDURE

After the surgery, the patient stays under observation for a few hours, and the medications are adjusted. They are required to stay at the hospital for a night under observation. 

  • After returning home, the patient needs to:

  • Drink plenty of fluids 

  • Avoid heavy exercises

  • Avoid driving for sometime

  • Rest 

  • Take prescribed medications on time.

The patients must immediately contact the hospital if they feel discomfort, difficulty in breathing, swelling inside the body or chest pain.

RESULTS

After the coronary angioplasty, the symptoms like chest pain and shortness of breath get better. The procedure results in increasing the blood flow through the constricted artery.

Angioplasty or stenting treats symptoms of blocked arteries and releases blockages, and it does not heal your heart. Taking prescribed medicines on time and maintaining a healthy lifestyle as advised by your doctor and palliative care team is the only way to avoid further damage. 

A successful angioplasty saves you from more invasive procedures like coronary artery bypass surgery.

If the symptoms persist or reappear, rush to the hospital immediately.

SUMMARY

An angioplasty is a surgical process to open the blocked arteries supplying blood to the heart. The process is also called balloon angioplasty and or Percutaneous Transluminal Angioplasty (PTA). It involves the widening of narrowed or blocked arteries by attaching a deflated balloon placed over a guided wire to a catheter and then passing it over the narrowed vessel and inflating it to a fixed size. Expansion of the balloon causes the opening of the blood vessel for improved blood flow. Manipal Hospitals has the best cardiologists in Ghaziabad for all your heart health needs. 

If required, the doctors may insert a stent to ensure the blood vessel remains open. The insertion of a stent inside the obstructive blood vessel is called stenting. The patient stays awake during the procedure, and medication numbs the area where the catheter will get inserted with anesthesia. Few blood tests, angiography and ECG tests are performed on the patient before the angioplasty. After the procedure gets complete, the patient is kept under observation at the hospital for 1- 2 days. 

FAQ's

Planned angioplasty surgery has a recovery time of over a week. If the surgery occurs after a heart attack, the recovery may take a few weeks to months. Healing depends mainly on the extent of damage the patient has already suffered before surgery and how much the aftercare advice the patient follows.
 

Coronary angioplasty can take between 30 minutes to 2 hours. The procedure may take longer depending on the severity and number of blockages.
 

While angioplasty is a safe procedure, patients might develop further risks if they continue with their stressful lifestyle and unhealthy habits. Some of the associated risks which may arise even after the procedure include-

  1. Re-narrowing of the artery

  2. Bleeding

  3. Blood clotting

  4. Irregular heartbeat

Yes. The patient gets a local anesthetic, which means numbness is localized to the body region where the procedure is being carried out. They will be awake but blissfully unaware of any pains that may occur during the surgery.
 

  • Quit smoking.

  • Avoid driving until your doctor gives you the go-ahead.

  • Maintain a healthy weight.

  • Lower your cholesterol levels.

  • Eat a healthy diet with low saturated fats.

  • Monitor your diabetes and blood pressure.

  • Take your prescribed medications.

  • Exercise regularly.

  • Don't:

    • Lift heavy objects.

    • Engage in strenuous activities.

    • Eat a lot of processed foods.

    • Drink too much alcohol.

    • Stress out.

    • Skip your doctor's appointments.

During angioplasty, a thin tube called a catheter is inserted into a blood vessel in the arm, groin, or wrist and threaded to the blocked artery. A contrast dye is then injected through the catheter to help the doctor see the artery and the blockage.

Once the blockage is located, a balloon at the tip of the catheter is inflated to widen the artery. A stent, which is a small mesh tube, may also be placed in the artery to help keep it open.

Angioplasty is generally recommended for people with coronary artery disease who have one or more blocked or narrowed arteries. It may also be recommended for people with other types of artery disease, such as peripheral artery disease or carotid artery disease.

Most people are able to go home the same day as their angioplasty procedure. However, you will need to take it easy for a few days and follow your doctor's instructions carefully.

You will also need to take medication to prevent blood clots and to help keep your artery open. You may also need to follow a special diet and exercise plan.

The results of angioplasty can last for many years, but some people may eventually need to have the procedure repeated. It is important to follow your doctor's instructions and to make lifestyle changes to reduce your risk of further blockages.

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