Angioplasty & Stenting

What is Angioplasty?

An angioplasty, sometimes referred to as coronary angioplasty and percutaneous transluminal coronary angioplasty (PTCA), is a minimally invasive surgical procedure. This procedure helps to open the blood vessels that supply blood to your heart muscle. The first choice of treatment for a heart attack is often emergency angioplasty, either with or without stenting. Manipal Hospital is the best angioplasty hospital in Bangalore having the best cardiologists in Bangalore who are experts in treating complex and rare heart conditions.

Who Needs Angioplasty?

Angioplasty is recommended when someone is:

  • Having a heart attack.

  • Has frequent or severe angina that is not responding to medicine and lifestyle changes.

  • Has evidence of severely reduced blood flow (ischemia) to an area of heart muscle caused by one or more narrowed coronary arteries?

  • Have a blocked artery which is more likely to be treated with success with angioplasty.

  • Is in good physical condition to undergo the procedure.

When is Angioplasty Done?

Arteries supply blood, nutrients, and oxygen to the heart so it can function properly. If plaque builds up along these arteries, arteries often become narrow and restrict blood flow.

Angioplasty is known to be improving symptoms of blocked arteries, including chest pain and shortness of breath. Angioplasty is also used in the time of a heart attack to swiftly open a blocked artery and decrease the amount of damage to the heart.

How to Prepare for an Angioplasty?

Post scheduling angioplasty, a cardiologist or another member of the medical team will review all the details of your medical history and do a physical exam. Before angioplasty, patients sometimes take a diagnostic test known as coronary angiography; it is also referred to as cardiac catheterization. This procedure involves:

  • A catheter is inserted through the blood vessels to the heart

  • A dye that can be visible on x-rays put inside into the coronary arteries with injection

  • X-ray images are done to find out narrowed areas in the arteries.

The night before your procedure, you should:

  • Follow your doctor’s instructions about adjusting your current medications before angioplasty. Your doctor may advise you to avoid certain medications before angioplasty.

  • Gather all of your medications to take to the hospital with you.

  • Arrange for transportation home. Angioplasty often needs an overnight hospital stay, and the patient is not able to drive home alone the next day.

What Happens During Angioplasty?

Manipal Hospitals have the best angioplasty doctor at Whitefield, Bangalore who are experienced in performing an angioplasty procedure using a tiny balloon catheter. In the angioplasty procedure, the doctor threads a thin tube through a blood vessel in the arm or groin up to the involved site in the artery. There is a very small balloon at the tube’s end. After putting the tube in place, the physician inflates the balloon and pushes the plaque outward against the wall of the artery. This leads to the widening of the artery, thereby restoring blood flow.

In some cases, the catheter also has a stainless steel mesh which is called a stent. The stent works towards holding the blood vessel open. It can be left in the place even after the balloon is removed. Once the balloon is out, the clinician removes the catheter.

What Happens Afterwards?

The effects of sedatives do not go away immediately, so patients often fall asleep after the procedure. After the catheter is removed, the clinician will apply heavy pressure to the groin incision or to the arm for about 20 minutes to prevent any bleeding, when the patient is lying in bed, remaining still.

  • It is vital to lie down in bed for about six hours after angioplasty. Later, somebody will help the patient in going out of bed and walking around.

  • The patient often stays in the hospital for the night. If there are no problems like bleeding or chest pain occur, the patient is allowed to home the following day.

  • A member of the family or friend should accompany the patient home.

Benefits and Risks of Angioplasty

Treating blocked arteries with angioplasty:

  • Can save your life and decrease heart muscle damage during a heart attack by means of restoration of blood flow to the heart

  • May reduce symptoms, including shortness of breath and fatigue, and chest pain, making you feel much better

  • Can reduce the risk of stroke

  • Can improve the functioning of the kidneys

  • Can restore the flow of blood to the legs to avert gangrene and eradicate the need for amputation

Although angioplasty is less invasive when compared to bypass surgery, this procedure also carries some risks. The most common angioplasty risks include Re-narrowing of your artery (restenosis), Blood clots, and Bleeding. Other rare risks of angioplasty include Heart attack, coronary artery damage, kidney problems, and abnormal heart rhythms.

Post-Angioplasty Self-care

Coronary angioplasty significantly restores blood flow through the earlier narrowed or blocked coronary artery. If symptoms reappear, including chest pain or shortness of breath, or if other symptoms similar to those before your procedure reappear, consult your doctor.

Keep the heart in good health after angioplasty by doing the below:

  • Quit smoking

  • Lower your cholesterol levels

  • Maintain a healthy weight

  • Control other conditions, such as diabetes and high blood pressure

  • Go for regular exercise.

Angioplasty is not to be seen as a cure, but as a treatment to diminish the effects of Coronary Artery Disease. It is very critical to follow your medication provided without any deviation.

Angioplasty Is Not Recommended When:

  • There is no proof of the restricted flow of blood to the heart muscle.

  • Only little areas are at risk, and there are no disabling angina symptoms.

  • You run the risk of having complications or dying during the angioplasty procedure because of other health problems.

  • You are not supposed to take blood thinner medications and aspirin.

  • The impacted artery is possible to be reached during angioplasty.

Expert Angioplasty at Manipal Whitefield Hospital

At Manipal Hospital, we have the best cardiologists at Whitefield, Bangalore and the best cardiothoracic surgeons in Bengaluru, who are highly specialized in cerebral angioplasty, balloon angioplasty, PTCA, laser angioplasty, carotid artery angioplasty, and coronary artery stent.

Every year, numerous people from across the city of Bengaluru and outside visit Manipal Whitefield Hospital to undergo heart angioplasty procedure by internationally acclaimed surgeons. Manipal Whitefield Hospital is one of the best hospitals for angioplasty surgery in Karnataka to perform some of the most advanced that is considered as a benchmark in heart surgery.

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