SymptomsDo clogged arteries cause any symptoms?
Shortness of breath.
Weakness or dizziness,
CausesAngioplasty is done to restore coronary artery blood flow when the narrowed artery is in a location that can be reached in this manner. Not all coronary artery disease (CAD) can be treated with angioplasty. Your doctor will decide the best way to treat your CAD based on your circumstances.
More about Treatment
Coronary angioplasty is also called per cutaneous coronary intervention, is a procedure used to open clogged heart arteries. Angioplasty uses a tiny balloon catheter that is inserted in a blocked blood vessel to help widen it and improve blood flow to your heart.
FAQWhat is an angioplasty?
Angioplasty is a surgery which involves reconstruction of the damaged/narrowed blood vessel wall using stents/metal tubes which are specially designed to lodge inside and keep the blood vessel wide enough for sufficient blood circulation.
Who should get an angioplasty?
Patients, who have narrowed blood vessels due to formation of plaques in the wall of vessel which lead to narrowing because of fat deposition on it, should undergo angioplasty to ensure blood is flowing normally through that vessel.
What predisposes to having narrowed blood vessels?
Deranged lipid profile (high LDL and cholesterol, low HDL levels) along with other factors like level of physical activity, dietary intake (of fibre, quality of fats etc.) and history of similar problem in family predispose to this condition.
What are the advantages of angioplasty?
It provides instant relief to symptoms of narrowed blood vessels (pain, difficulty breathing and easy fatigability). It also reduces the chances of developing heart attack and stroke significantly.
What are the limitations of an angioplasty?
Angioplasty does not treat the derangement in the body; it only provides symptomatic relief in the already-damaged blood vessels. Hence, it is associated with recurrence of narrowing in other vessels in prone individuals.
What investigation is prescribed before an angioplasty?
Other than routine tests like complete blood count, a special investigation indicated before angioplasty is angiography- wherein a dye is injected into the blood vessels to visualise the exact location and number of the narrowing in the circulatory system. It is a safe and frequently performed test.
What complications can arise during or after an angioplasty?
Common complications are re-narrowing of blood vessel, clot formation at the stent site, bleeding – these are prevented by medical intervention. Other rare risks include heart attack, irregularity in heart rhythm or stroke during the surgery and tearing of the vessel. However, these are now minimised by advancement in the procedure.
What is the success rate of angioplasty?
Most studies report a symptomatic relief immediately in about 90% patients. Various studies which follow the patients after the surgery have reported emergence of re-narrowing in 30-40% patients after the surgery.
When can I return to work after an angioplasty?
In most cases, heart monitoring and drug adjustment are followed thoroughly after angioplasty. Patient is able to return to work after about a week to ten days of stenting.
What activities are prohibited after an angioplasty, are there any lifestyle or dietary modifications?
No heavy lifting or strenuous activity should be performed right after the surgery. In long term, Smoking should be discontinued. Diet should be modified to include less cholesterol and more of polyunsaturated fatty acids (like fish oil) and fibre. Weight reduction should be targeted and BP, blood sugar should be controlled.
Is there an alternative to angioplasty?
An alternative frequently suggested and performed is an Arterial Bypass Graft surgery-wherein a grafted blood vessel acts as a transit for blood to bypass the vessels which are narrowed. This is, however, usually recommended when narrowing occurs in more than 1 or 2 locations as it is a more invasive and risky surgery with a longer recovery time.
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