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What is Angioplasty?

What is an Angioplasty?

Angioplasty is a coronary procedure used to treat blocked or narrowed arteries that supply the heart with blood. It is commonly performed to address coronary artery disease (CAD), which occurs when the coronary arteries become narrowed or blocked due to plaque buildup.

B & J Hospital in Mumbai offers angioplasty procedures to meet individual needs. Here's a summary of each technique:

  • Non-Surgical Valve Replacement: It is a minimally invasive procedure known as TAVR (Transcatheter Aortic Valve Replacement) for the aortic valve and TMVR (Transcatheter Mitral Valve Replacement) for the mitral valve. It involves inserting a new valve through a catheter, guided to the heart, to treat valve diseases without open-heart surgery, reducing risks and recovery time.
  • Balloon Angioplasty: A thin catheter tube is inserted into an artery (wrist, arm, or groin) and guided to the narrowed area. A small balloon at the tip of the catheter is inflated, compressing the plaque and widening the artery to restore blood flow.
  • Stent Placement: After balloon angioplasty, a coronary artery stent, a small metal mesh coil, is inserted into the artery to help keep it open. The stent stays in place permanently, allowing unobstructed blood flow. Some stents are coated with anti-clotting drugs to reduce the risk of future blockages.
  • Intravascular Imaging and Physiology: This technique involves using a special catheter equipped with an ultrasonic transducer. It is inserted into the affected artery to emit sound waves that create images of the blood vessels. This allows the assessment of coronary conditions and helps guide treatment decisions.
  • Rotablation: Rotablation involves using a specially designed diamond-tipped instrument that rotates at high speeds to clear plaque from the artery. This technique can prepare the artery for balloon angioplasty and stent placement.
  • Atherectomy: Atherectomy is a procedure where plaque is removed from the artery using a rotating shaver or laser. It is an alternative to balloon angioplasty and may be used in specific cases where plaque removal is necessary.
  • Cutting Balloon: This technique uses a specialized balloon with small blades on its surface. It is inflated to compress the plaque and help break it up within the blood vessel. The cutting balloon can reduce vessel stretching and injury during the procedure.

If you are looking for angioplasty in Navi Mumbai, simply reach out to us by giving a call or booking an appointment, and we will be readily available to assist you!

How is Angioplasty Performed?

How is Angioplasty Performed?

A cardiologist performs angioplasty in Mumbai at B&J Hospital. Here is a summary of the key points:

  • Local Anesthesia and Sedation: Angioplasty is performed under local anesthesia, which numbs the area where the catheter will be inserted. Sedation may also be administered to help you relax during the procedure.
  • Catheter Insertion: A small incision is made in the groin or wrist artery. A catheter, a thin tube, is then inserted through the incision and guided to the blocked or narrowed artery using X-ray video monitoring.
  • Stent Placement: Once the catheter reaches the targeted artery, a stent, a small metal mesh coil, is inserted into the artery. The stent expands and remains in place, acting as a scaffold to keep the artery open and restore blood flow.
  • Procedure Duration: The duration of the angioplasty procedure can vary depending on the complexity of the blockage. It typically takes anywhere from 30 minutes to 2 hours.
  • Recovery and Hospital Stay: In cases where angioplasty is performed to address angina or non-emergency situations, most patients can go home the same or the following day. However, a longer hospital stay may be required if angioplasty is done after a heart attack.
  • Post-Procedure Care: After angioplasty, you will be advised to avoid heavy lifting, strenuous activities, and driving for a certain period, typically a week or as instructed by your healthcare provider. It is important to follow prescribed medications and lifestyle changes, such as maintaining a healthy diet and exercising regularly, to promote heart health.
  • Improvement in Health: Angioplasty is intended to improve blood flow to the heart and relieve symptoms associated with coronary artery disease. Most patients experience a significant improvement in their health, such as reduced chest pain (angina) and improved exercise tolerance.
Preparing for Angioplasty

Preparing for Angioplasty

Preparing for angioplasty surgery involves following certain guidelines to ensure a safe and successful procedure. Here are some key points to consider:

NPO (Nothing by Mouth): Follow your healthcare provider's instructions regarding fasting before the procedure. You will be advised to stop eating or drinking anything for about six to eight hours before the scheduled surgery time. This helps prevent complications during the procedure, such as aspiration.

  • Medications: Take your usual medications as instructed by your healthcare provider, but only with a small amount of water on the morning of your scheduled angioplasty. It is essential to inform your healthcare provider about all your medications, including prescription medications, over-the-counter drugs, and supplements.
  • Bring Medications: It is advisable to bring all your medications with you to the hospital on the day of the procedure. This includes prescription and over-the-counter medications and allows the medical staff to review and administer your medicines as needed during your stay in the hospital.
  • Allergies: If you have a known allergy to contrast dye or iodine, it is crucial to inform the medical staff several days before the procedure. This information helps them take appropriate precautions, such as using alternative contrast agents or medications to minimize potential adverse reactions.
  • Smoking: Refraining from smoking for at least 24 hours before your angioplasty procedure is highly recommended. Smoking can interfere with the healing process and increase the risk of complications during and after the surgery. Talk to your healthcare provider for guidance on smoking cessation strategies.

What to Expect after Angioplasty?

Following certain guidelines and taking necessary precautions is important for a smooth recovery. Here is what you can generally expect after angioplasty:

  • Post-Procedure Monitoring: If you undergo angioplasty as an outpatient, you will typically be required to remain in the hospital for about four to six hours after the procedure.
  • Transportation: It is important to arrange for someone to drive you home after the procedure. Due to the sedative or anesthesia administered during the angioplasty, you will not be permitted to drive yourself.
  • Rest and Recovery: After angioplasty, allowing your body time to heal is important. Avoid strenuous activities, heavy lifting, or any activities that strain the treated area excessively for at least 48 hours.
  • Hydration: Drinking plenty of fluids, particularly water, helps flush the contrast dye used during the procedure out of your system.
  • Driving and Operating Machinery: It is recommended to refrain from driving or operating machinery for at least 24 hours after the procedure. The sedatives or anesthesia used during angioplasty can affect coordination and reaction times, making driving or operating heavy machinery unsafe.
  • Bathing and Smoking: Follow your healthcare provider's instructions regarding bathing after angioplasty. Typically, you should avoid taking a hot bath or shower for at least 12 hours after the procedure to prevent the catheter insertion site from getting wet.
  • Sleeping Position: Sleeping on your back is generally recommended after angioplasty to minimize discomfort and ensure proper healing.
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