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Our Cardiothoracic Vascular Surgery Department at Manipal Hospitals, Mukundapur, in Kolkata, specialises in cutting-edge Angioplasty and Stenting operations to correct narrowed or blocked arteries and enhance heart blood flow. The minimally invasive Angioplasty and Stenting procedures involve using a balloon catheter to open blocked arteries and placing a stent to keep them open, which is crucial for conditions like coronary artery disease. Our experienced team uses cutting-edge imaging technologies for accurate diagnosis and performs surgeries with precision to minimise recovery time. We provide thorough postoperative care, individualised treatment regimens, and patient education to ensure a speedy recovery and long-term cardiovascular health. With state-of-the-art facilities and a patient-centric approach, we provide compassionate, high-quality care tailored to each patient’s needs. Trust Manipal Hospitals, Mukundapur, to guide you through your Angioplasty and Stenting treatment and recovery with expertise and support.
Angioplasty is a minimally invasive procedure used to open narrowed or blocked coronary arteries. This helps improve blood flow to the heart muscle, relieving symptoms such as chest pain and reducing the risk of a heart attack. It is also known as Percutaneous Coronary Intervention (PCI).
A small, mesh-like tube called a stent is placed into an artery during an Angioplasty. It helps keep the artery open, ensuring proper blood flow. To stop the artery from narrowing again, stents are mostly coated with medicine or made of metal.
Angioplasty is performed to:
Alleviate the symptoms of coronary artery disease (CAD), including breathlessness and angina (chest pain).
Improve blood flow to the heart
Reduce the risk of heart attack
Improve overall heart function
Here are some things to anticipate before your Stenting and Angioplasty procedure:
You'll have a consultation with your healthcare provider to discuss the procedure, review your medical history, and address any questions or concerns you may have.
Before the surgery, your doctor may request tests to assess your heart and blood arteries, such as an electrocardiogram (ECG), blood tests, and imaging investigations like angiography.
To lower your risk of bleeding during the procedure, you'll probably need to stop taking several drugs, particularly blood thinners.
You must abstain from eating or drinking anything after midnight on the day of the surgery.
You will receive local anaesthesia to numb the area where the catheter goes in, and sedatives might be given to help you relax.
A small incision is made, usually in your groin or wrist, to access the artery.
Through this small incision, a thin, flexible tube known as a catheter is inserted into the artery.
Using X-ray imaging, the catheter is carefully guided through your blood veins to the restricted or blocked artery in your heart.
The small balloon located at the tip of the catheter is inflated when it reaches the blockage, forcing the plaque up against the arterial walls to expand the artery and improve blood flow.
Usually, to keep the artery open, a stent, which is a thin mesh tube, is inserted.
The stent is positioned on the balloon and expands when the balloon is inflated.
The balloon is released and deflated once the stent is positioned, leaving the stent to support the artery. The catheter and other instruments are then taken out, and the cut is closed and bandaged.
While generally safe, there are some risks, including:
Bruises or bleeding where the catheter was inserted
Blood vessel damage
Sensitivity to contrast dye
Artery re-narrowing (restenosis)
Blood clots
Rarely, a heart attack or stroke
Within a week, the majority of patients are able to resume their regular activities; nonetheless, it's crucial to follow your doctor's advice regarding activity limitations and rehabilitation.
Speak with your physician if you experience:
Discomfort or pain in the chest
Breathlessness
Continuous fever
Symptoms (redness, swelling, or discharge) that indicate an infection at the site of catheter insertion
Unusual bruises or bleeding
Stents are intended to be long-lasting, usually lasting a lifetime. To avoid difficulties, you must, however, take your medicine as directed and schedule follow-up visits with your cardiologist.
Due to the use of local anaesthesia, the process itself is painless. When the balloon is inflated, you can feel some pressure, although this is usually only temporary. The place of the catheter implantation may hurt a little after the surgery.
An Angioplasty can reduce your chances of having another heart attack in the future. Additionally, if you've had a heart attack, this procedure can improve your chances of survival more effectively than clot-busting medication (thrombolysis).
Yes, you will probably need to continue taking medicine after Angioplasty to control other coronary artery disease risk factors, lower cholesterol, and avoid blood clots.
After Angioplasty, if the re-narrowing of an artery occurs, it's known as restenosis. This mostly happens in the initial months following the procedure and requires further care.
Yes, Angioplasty can be performed more than once if necessary. If an artery becomes narrowed again, repeat Angioplasty or other treatments may be needed.
Following Angioplasty, cardiac rehabilitation is frequently advised to aid in your recovery and enhance your heart health. It entails psychotherapy, instruction on a heart-healthy lifestyle, and a program of supervised exercise.
However, most modern stents are MRI-safe, but you should always inform your healthcare provider about your stent before undergoing an MRI.
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