Angioplasty and Stenting

ANGIOPLASTY AND STENTING Depending on the findings of the angiography, your doctor may advise you to undergo angioplasty/stenting or bypass surgery. Both procedures restore the blood flow to the blood – deprived areas of the heart thereby, eliminating or reducing the number of episodes of angina pain. The choice between angioplasty/stenting or bypass surgery for treatment of such blockages is made on the basis of the extent and location of blockages in your coronary arteries.

WHAT IS BALLOON ANGIOPLASTY AND STENTING?

During the procedure, you would be given a mild sedative and some pain killers to ensure that you remain relaxed. Your doctor will insert a long, thin tube called a catheter, which has a small balloon on its tip, directed to your blocked artery via either an artery in your leg or arm. The balloon is then inflated in your artery, at the blockage site. This flattens or compresses the plaque against your artery wall, thus opening up the path of blood flow through your artery. Depending on the location and nature of your blockage, your doctor might decide to place a stent, which is a hollow metal tube that acts as a scaffold to keep the artery open. In a small number of cases, a special catheter with a small, diamond tip is used to drill through hard narrowing with calcium that is causing the blockage. This is called rotational artherectomy.

WHAT HAPPENS AFTER THE PROCEDURE?

You would be required to remain in the hospital, on an average, for 2 nights. Post discharge, you will be able to resume your routine activities. Your doctor will also prescribe blood-thinning medicine, which you will have to take daily to avoid blood clotting in your heart’s arteries. These medicines are essential and you should not stop them unless advised by your cardiologist. Lifestyle changes like diet and exercise would be beneficial to keep the condition in check.

CARDIAC REHABILITATION

Cardiac rehabilitation is a medically supervised program to help heart patients restore their normal life after treatment of their cardiac disease. Cardiac rehabilitation, when combined with medicine and surgical treatments, can help you recover faster, feel better, and develop a healthier lifestyle. Cardiac rehabilitation often begins in the hospital after a heart attack, heart surgery, or other heart treatment. Rehabilitation continues in an outpatient setting after you leave the hospital.
 
FOLLOW UP CARE

At Artemis, follow up care is an essential element of the overall treatment plan. Regular checkups will be advised to detect any changes in health as early as possible.

Special Care Units / Diagnostic Equipment / Facilities

• Treadmill Test (TMT)
• Echocardiography (Colour Doppler)
• Stress Echocardiography
• 24 Hour Holter Monitoring
• Ambulatory BP Monitoring
• Stress Thallium Test
• 64 slice CT angiography
• Coronary and peripheral angiograph
• Electrophysiology Study
• Endovascular Suite (For the first time in India)
• Flat Panel Cath Labs with stent boost technology  

Team of Specialists: Cardiology

• Dr. B KalraConsultant- Cardiology at Artemis Health Institute, GurgaonView Profile

• Dr. Niraj KumarConsultant- Interventional Cardiology View Profile

• Dr. Manjinder Singh SandhuConsultant- CardiologyView Profile

• Dr. SanjadConsultant- CardiologyView Profile

• Dr. Samanjoy MukherjeeConsultant- CardiologyView Profile