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PCI Procedure in Gurgaon

Percutaneous Coronary Intervention (PCI) / Angioplasty

PCI Procedure in Gurgaon

Manipal Hospitals Gurugram stands at the forefront of cardiac care, offering cutting-edge treatments such as angioplasty. Angioplasty, also referred to as percutaneous coronary intervention (PCI), is a vital surgical procedure aimed at opening obstructed heart arteries. This procedure plays a pivotal role in alleviating symptoms of Atherosclerosis, caused by blocked blood vessels, including chest pain and shortness of breath. 

Why Is It Done?

Angioplasty is done to relieve atherosclerosis. Atherosclerosis is a condition in which there is a buildup of fatty plaques, that narrows or blocks blood vessels. Cardiologists recommend angioplasty if:

  • The patient experiences worsening Angina.

  • The patient has suffered a heart attack.

  • Lifestyle changes and medications have not improved the heart condition.

Techniques Employed at Manipal Hospitals Gurugram, the procedure is performed using two main techniques: ballooning and stenting.

  • Ballooning

This technique involves the insertion of a small balloon catheter into the blocked artery to expand it and restore normal blood flow. It is a pivotal step in the angioplasty procedure.

  • Stenting

Stenting complements the angioplasty process by placing a small wire mesh tube, known as a stent, within the previously blocked artery. These stents, used at Manipal Hospitals Gurugram, are specially coated with medicine and biocompatible materials to ensure seamless integration with the body.

Why Choose Manipal Hospitals?

Manipal Hospitals Gurugram stands out as a leader in cardiac care for several reasons.

  • Expert Cardiologists

Our team of interventional cardiologists are renowned for their expertise in tackling a wide range of cardiac cases. Our prolific cardiac team has extensive experience in performing all types of cardiac procedures with a high rate of success. The procedures involve excellent skills to maneuver the balloons and stents which our adroit doctors possess in abundance. Their expert care and concern for each patient’s safety and comfort are why Manipal Hospital is a leading name in comprehensive cardiac-related services.

  • Advanced Facilities

We house state-of-the-art cardiac units, ensuring that patients receive the most advanced treatments available.

  • Patient-Centric Care

Our unwavering commitment to patient care ensures a seamless and comfortable experience throughout the treatment journey.

Risks 

  • Re-narrowing of the treated artery, especially if bare metal stents are used.

  • Blood clots within the stents lead to blockages and potential heart attacks.

  • Bleeding at the catheter insertion site.

Preparation 

Before the procedure

  • The Doctors review the patient's medical history and conduct tests such as electrocardiograms, chest X-rays, and blood tests. 

  • Patients are asked about their pre-existing health conditions including any known allergies.

  • Angiography is performed to identify clogged and constricted arteries and assess whether angioplasty can open them. If a blocked artery is identified, angioplasty is performed promptly.

Patients are provided with the following instructions before the procedure:

  • Cease certain medications like blood thinners, aspirin, or non-steroidal anti-inflammatory drugs.

  • Fast for about 6-8 hours before the angiography procedure appointment.

  • Bring all prescribed medications to the hospital.

  • Take approved medications only with a small amount of water.

During the Procedure

  • The patient is given a comfortable hospital gown to change into and advised to remove all jewellery and electronic devices like smartwatches etc.

  • A cardiologist, supported by a team of cardiovascular nurses and technicians, performs the angioplasty procedure in a cardiac catheterization laboratory.

  • The procedure is carried out through an artery in the arm, wrist, or groin area, with the patient receiving a local anaesthetic to relax. Patients may remain awake throughout the procedure without experiencing pain or discomfort.

  • Vital signs such as heart rate, blood pressure, pulse, and oxygen levels are continuously monitored during surgery to ensure patient safety.

  • Sedatives and blood-thinning drugs are administered intravenously.

  • The procedure commences with the doctor preparing the patient's leg, arm, or wrist area with an antiseptic solution. A sterile sheet covers the patient's body.

  • A local anaesthetic is used to numb the area.

  • The doctor makes a small incision, inserts a thin guidewire into the blood vessel, and threads a catheter through the artery using live X-rays or an endoscopic device for precision.

  • Once the catheter is positioned, a contrast dye is injected to visualize blockages in the angiogram.

  • Subsequently, the doctor opens the blocked artery using the ballooning technique, which may be repeated several times depending on the number of blockages. Patients may experience some discomfort during catheter and balloon insertion.

Stenting

Ballooning and stenting procedures are typically performed together. Stents are tiny wire mesh coils, either bare metal or coated with medication, that support the artery walls and prevent re-narrowing.

During Stent Placement

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

  • As the balloon inflates at the blockage site, the stent expands, positioning itself within the artery.

  • The stent remains permanently in the artery, preventing re-narrowing or collapse.

  • After stent placement, the doctor deflates and removes the balloon catheter.

  • Medications are prescribed to prevent blood clot formation on the stent.

After the Procedure

  • Following surgery, the patient is monitored for a few hours, and medication is adjusted as needed. An overnight stay at the hospital is often required. After returning home, patients should:

  • Consume plenty of fluids.

  • Avoid heavy exercise.

  • Refrain from driving for a period specified by the doctor.

  • Rest amply.

  • Take prescribed medications on time.

  • Contact the hospital immediately if they experience discomfort, difficulty breathing, swelling, or chest pain.

Results 

After coronary angioplasty,  patients experience a sense of relief from their symptoms.  Symptoms like chest pain and shortness of breath improve, and blood flow through the constricted artery increases.

Angioplasty or stenting alleviates symptoms of blocked arteries and removes obstructions, but it does not heal the heart. To prevent further damage, patients must adhere to prescribed medications, maintain a healthy lifestyle as advised by their doctor, and follow palliative care guidelines. A successful angioplasty avoids the need for more invasive procedures like coronary artery bypass surgery. If symptoms persist or reappear, immediate medical attention is crucial.

Consult our cardiologists if you require PCI Procedure in Gurgaon. 

Frequently Asked Questions (FAQs)

  • How long is the recovery after angioplasty?

Recovery time after planned angioplasty is typically over a week. If the procedure follows a heart attack, recovery may extend to several weeks or months. Healing depends on the extent of damage before surgery and compliance with post-care advice.

  • How long does the angioplasty surgery take? 

Coronary angioplasty duration ranges from 30 minutes to 2 hours, with variations based on the patient's individual case - severity and number of blockages. The overall health condition of the patient also plays a vital role. 

  • What are some risks associated with angioplasty? 

While angioplasty is generally safe, patients may face risks if they maintain a stressful lifestyle and unhealthy habits afterwards. Potential risks include re-narrowing of the artery, bleeding, blood clot formation, and irregular heartbeat.

  • Is the patient awake during angioplasty?

Yes, patients receive local anaesthesia, numbing the specific procedure area. They remain awake during the procedure, free from pain.

  • What are the dos and don'ts after angioplasty?

After angioplasty, patients who smoke should quit smoking, avoid driving (until approved by the doctor), maintain a healthy weight, lower cholesterol levels, consume a low-saturated fat diet, monitor diabetes and blood pressure, take prescribed medications, exercise regularly, and prioritize rest.

Summary

Manipal Hospitals Gurugram leads the way in cardiac care, with a specialized focus on angioplasty procedures. Angioplasty, also known as percutaneous coronary intervention (PCI), is a surgical technique essential for opening obstructed heart arteries. This procedure effectively relieves symptoms arising from blocked blood vessels, such as chest pain and shortness of breath, and plays a vital role in minimizing heart damage during a heart attack. During the procedure, surgeons use specialized instruments to clear blockages of the arteries and relieve pressure on the heart. Often stenting and ballooning methods are employed for the same. Ballooning involves using a small balloon catheter to expand the blocked artery while stenting places a wire mesh tube (stent) within the artery to maintain its openness. These stents are coated with medicine and biocompatible materials to ensure optimal patient care. Manipal Hospitals adhere to strict infection control protocols for the safety of their patients and clinicians alike, which helps maximize the safety of patients and promotes recovery. 

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.