{"id":2543,"date":"2020-03-31T09:40:59","date_gmt":"2020-03-31T09:40:59","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/blog\/?p=2543"},"modified":"2023-07-27T11:35:33","modified_gmt":"2023-07-27T11:35:33","slug":"what-is-angioplasty-and-how-is-it-done","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/blog\/heart-health\/what-is-angioplasty-and-how-is-it-done\/","title":{"rendered":"What is Angioplasty, and how is it done?"},"content":{"rendered":"<h2><strong>What is Angioplasty?\u00a0\u00a0<\/strong><\/h2>\n<p class=\"caps\"><span style=\"font-weight: 400;\">Percutaneous Coronary Intervention (PCI) known by its more common name \u2018Angioplasty\u2019 is an interventional procedure done to remove a blockage in coronary arteries of the heart and restore healthy blood flow to the heart. A catheter with a balloon and a stent sometimes is inserted into the arm or leg in one of the arteries leading to the heart, and guided in place slowly, to undertake this procedure.\u00a0<\/span><\/p>\n<h2><b>Why is Angioplasty done?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Like any other organ or part of the body, the heart too requires a healthy supply of oxygen-rich blood to function correctly. The coronary arteries supply this. Over time, due to underlying disease cholesterol deposition happens on the walls of the artery, thereby narrowing the arteries and restricting the blood flow in them. This condition is called <\/span><b>Coronary Artery Disease.\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">In some patients with CAD, the fat deposits along with cellular waste and other substances accumulate and harden over time to form a plaque. This condition is called <\/span><b>Atherosclerosis<\/b><span style=\"font-weight: 400;\">. Angioplasty treats both these conditions. However, if there are multiple blockages or other medical reasons, the doctor may undertake a <\/span><a href=\"https:\/\/www.kauveryhospital.com\/blog\/k-way-health\/coronary-artery-bypass-grafting-cabg\/\"><b>Coronary Arterial Bypass Grafting<\/b><\/a> <span style=\"font-weight: 400;\">(CABG) or \u2018bypass surgery.\u2019\u00a0<\/span><\/p>\n<h3><strong>Other medical conditions that will require an Angioplasty are:<\/strong><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">You have repeated and severe bouts of angina or chest pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">You have just had a heart attack. In such a case, Angioplasty is done as an emergency procedure to quickly open the blocked artery and reduce damage to your heart<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.kauveryhospital.com\/blog\/k-way-health\/how-do-you-identify-peripheral-artery-disease\/\">Peripheral artery disease<\/a><span style=\"font-weight: 400;\"> (PAD) in which arteries in the legs or arms get narrowed<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Carotid artery stenosis where neck arteries supplying blood to the brain get narrowed<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Narrowing or blockage in the veins in the chest, abdomen, pelvis, arms or legs<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Renal vascular hypertension or high BP caused by narrowing of the kidney arteries<\/span><\/span><b style=\"font-size: 1.125rem;\"><b style=\"font-size: 1.125rem;\"><br \/>\n<\/b><\/b><\/p>\n<h3><strong>Screening<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Not all patients are suited for Angioplasty, so the doctor will first check your eligibility. Angioplasty will be ruled out in any of the below conditions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Some health problems like terminally ill patients or severe renal failure, which will negate the benefit of angioplasty<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Only small areas of the heart are at risk, and the risk of a heart attack is low<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">There is not enough evidence of reduced blood flow to the heart<\/span><\/li>\n<\/ul>\n<p><strong>The doctor has ruled out <a href=\"https:\/\/www.kauveryhospital.com\/blog\/k-way-health\/blood-thinners-and-their-use-today\/\">blood thinners<\/a>, aspirin or any anti-platelet medication due to some other medical conditions<\/strong><\/p>\n<h2><strong>Preparing for the procedure<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">To begin with, the doctor will take stock of all the medicines you are taking presently\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Six to eight hours before the procedure, you must not eat or drink anything<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">On the morning of your procedure, take the approved medication with small sips of water<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Prepare for hospital stay as Angioplasty usually requires two to three days of hospitalization to monitor for any complications after the procedure.<\/span><\/span><b style=\"font-size: 1rem;\"><br \/>\n<\/b><b style=\"font-size: 1rem;\"><\/b><\/li>\n<\/ul>\n<h3><strong>During the procedure<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Angioplasty is undertaken with the use of local anesthesia; The procedure may take 30 to 60 minutes, depending on how many blockages are there and if there is any difficulty while doing the procedure.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A catheter, which is a fine, thin tube is inserted into your arm or leg in an artery leading to the heart and guided all the way to the heart using a Teflon or terumo wire. The blocked area in the artery is crossed using a thin guide wire under fluoro guidance. The balloon catheter has a deflated balloon attached to the tip, which was passed over the guide wise. Once the catheter tube reaches the spot of the blockage, a dye is injected into the catheter. This helps the doctor view the artery on a large X-ray screen, and this image is called an Angiogram.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The balloon is positioned precisely at the spot of the blockage and then inflated. This pushes the deposits against the walls of the artery and clears the blockage. Then the balloon is deflated and pulled back, after which the catheter is pulled out of the body.\u00a0<\/span><\/p>\n<div class=\"also-read\"><strong>Also Read:<\/strong> <a href=\"https:\/\/www.kauveryhospital.com\/blog\/k-way-health\/doctor-what-is-an-angiogram-and-why-have-i-been-asked-to-have-one-done\/\">what is an angiogram and why have I been asked to have one done?<\/a><\/div>\n<h2><b>Vascular Stenting<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Depending on the extent of the blockage and the risk of new blockage, the doctor may choose to implant a stent there. The stent is a metallic wire-mesh which may or may not be covered by a drug coating. The stent is wrapped around the balloon, and when the balloon is inflated, the stent is pushed against the walls of the artery and stays locked in place, even after the balloon is deflated. The stent is coated with medication that releases slowly and prevents any blockage from forming again at that spot.<\/span><\/p>\n<h3><b><br \/>\nAfter the procedure<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Depending on your case, the <\/span><a href=\"https:\/\/www.kauveryhospital.com\/Centers-of-Excellence-and-Specialties\/Cardiology-Doctors\/Hosur\"><span style=\"font-weight: 400;\">doctors<\/span><\/a><span style=\"font-weight: 400;\"> may advise you to stay at the hospital for one or more days. In this duration, your heart rate is monitored, and your medications adjusted. Up to a week, lifting heavy objects or strenuous work is restricted. After a week or so, you can resume your regular routine and life.<\/span><br \/>\n<br \/>\n<iframe loading=\"lazy\" width=\"853\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/XYyrjrIyjdA\" title=\"Dos and Donts after angioplasty\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><br \/>\n<br \/>\n<strong>This article is available in audio format, click \u201cPlay\u201d button to listen.<\/strong><br \/>\n<br \/>\n<iframe title=\"Dos and Don\u2019ts after angioplasty\" allowtransparency=\"true\" height=\"150\" width=\"100%\" style=\"border: none; min-width: min(100%, 430px);height:150px;\" scrolling=\"no\" data-name=\"pb-iframe-player\" src=\"https:\/\/www.podbean.com\/player-v2\/?from=embed&#038;i=rhi2m-1459b2f-pb&#038;share=1&#038;download=1&#038;fonts=Arial&#038;skin=1&#038;font-color=auto&#038;rtl=0&#038;logo_link=episode_page&#038;btn-skin=7&#038;size=150\" loading=\"lazy\"><\/iframe><br \/>\n<\/p>\n<p>Kauvery Hospital is globally known for its multidisciplinary services at all its Centers of Excellence, and for its comprehensive, Avant-Grade technology, especially in diagnostics and remedial care in heart diseases, transplantation, vascular and neurosciences medicine. Located in the heart of Trichy (Tennur, Royal Road and Alexandria Road (Cantonment), Chennai, Hosur, Salem, Tirunelveli and Bengaluru, the hospital also renders adult and pediatric trauma care.<\/p>\n<p>Chennai \u2013 044 4000 6000 \u2022 Trichy \u2013 Cantonment \u2013 0431 4077777 \u2022 Trichy \u2013 Heartcity \u2013 0431 4077777 \u2022 Trichy \u2013 Tennur \u2013 0431 4022555 \u2022 Maa Kauvery Trichy \u2013 0431 4077777 \u2022 Kauvery Cancer Institute, Trichy \u2013 0431 4077777 \u2022 Hosur \u2013 04344 272727 \u2022 Salem \u2013 0427 2677777 \u2022 Tirunelveli &#8211; 0462 4006000 \u2022 Bengaluru &#8211; 080 6801 6801<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is Angioplasty?\u00a0\u00a0 Percutaneous Coronary Intervention (PCI) known by its more common name \u2018Angioplasty\u2019 is an interventional procedure done to remove a blockage in coronary arteries of the heart and<\/p>\n","protected":false},"author":3,"featured_media":2544,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[73],"tags":[],"class_list":["post-2543","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-health"],"_links":{"self":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts\/2543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/comments?post=2543"}],"version-history":[{"count":8,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts\/2543\/revisions"}],"predecessor-version":[{"id":9538,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/posts\/2543\/revisions\/9538"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/media\/2544"}],"wp:attachment":[{"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/media?parent=2543"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/categories?post=2543"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kauveryhospital.com\/blog\/wp-json\/wp\/v2\/tags?post=2543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}