Angioplasty is a minimally invasive procedure used to unblock clogged or narrowed coronary arteries that occur as a result of coronary artery disease. The procedure can be performed in an emergency situation, such as a heart attack. If the doctor has a strong suspicion that the patient may have a heart condition, the procedure can be performed as an elective surgery to prevent a possible future episode. When coronary angioplasty is combined with a stent procedure, then it is known as percutaneous coronary intervention (PCI).
A stent is a small, expandable metal mesh coil that is placed into a newly opened area of the artery to help keep the artery from narrowing. With time, the stent gets fully aligned with tissue based on whether the stent is coated with medication or not. After the doctor places a stent in the patient, the tissue will begin to cover the stent-like a layer of skin.
Interventional cardiologists use angioplasty with stent to restore coronary artery blood flow when the coronary artery is in a location that can only be reached this way. The procedure is not always an effective treatment for coronary artery disease. However, based on the patient’s condition, the doctor will choose the best course of treatment for coronary artery disease.
Prior to the procedure, the patient has to follow certain pre-op guidelines. These include:
The procedure, which is performed under local anesthesia, can take anywhere between 30 minutes and two hours. After the anesthesia is administered, a small incision will be made on the patient’s groin, wrist, or arm through which a catheter will be inserted into one of the arteries.
A thin wire will then be guided down, the length of the affected coronary artery. This will deliver a small balloon to the affected area of the artery. The balloon will be inflated to widen the artery, squeezing fatty tissue against the artery wall to allow for easier removal of the balloon after deflation.
A stent will be placed around the balloon before it is being inserted, which will expand when the balloon is inflated and remain in place when the balloon is deflated and removed.
Immediately after the procedure, the patient will be taken to the recovery room for observation. In case of any chest pain or any other pain the patient should immediately inform the nurse/doctor. Bed rest will be recommended which may vary from 2 to 6 hours depending on the patient’s specific condition.
Benefits of having a percutaneous coronary intervention include:
Like all procedures there is a small percentage of complications, these could include:
When choosing where to have your Angioplasty with Stent, it’s important to consider a hospital such as CMC Dubai that is well equipped both in terms of technology and doctors to deal with any scenario.