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Cardiology (Heart)

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Cardiology (Heart)

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Heritage Hospital’s doctors team is committed to providing the highest quality of care to patients with heart disorders. Our vascular surgeons and cardiologists have comprehensive experience performing angioplasty. It is also known as Percutaneous Coronary Intervention (PCI) which is a procedure aimed at treating narrowed or blocked arteries.

 

Our cardiology department is equipped with world-class facilities and next-generation equipment to ensure the safety and efficiency of the angioplasty procedure. At Heritage Hospital, we have advanced equipment for essential medical tests before the angioplasty procedure. From chest X-rays and different blood tests to electrocardiograms and coronary angiograms, our center supports advanced facilities to perform the coronary angioplasty procedure seamlessly.

 

Different Types of Angioplasty Procedures

 

Here is the list of different angioplasty procedures performed by our medical team at Heritage Hospital based on the individual's diagnosis and level of blockage in the coronary arteries:

 

  • Balloon procedure – A charger with a small balloon in the tip is inserted into the heart artery to increase the blood flow to the heart.


  • Stent placement – In an Angioplasty stent, a small wire tub mesh is placed in the block of the artery to heal the injury. Bare metal and drug-eluting stents are the two types of stents that are used. However, drug-eluting stents are preferred over bare metal.


  • Rotablation procedure – A specially shaped diamond-tipped catheter is guided to the blocked area in the artery to accelerate the disintegration of plaque into the bloodstream.

 

How is Coronary Angioplasty Performed?

 

The procedure is performed in a controlled and highly sterile environment with a highly trained medical team to ensure the best possible outcomes for the patient at Heritage Hospital. Here is a glimpse of how the medical staff perform angioplasty in our state-of-the-art cardiac Cath lab :

 

  • Before the operation, the medical team will perform pre-operative assessments, including blood tests and a general health check-up to ensure you are suitable for the surgery.


  • The cardiologist will perform an angiogram to look inside the arteries and check where the blockages are.


  • A thin, flexible catheter is inserted into arteries through an incision in your arm, wrist, or groin. Before inserting the catheter, the insertion area is anesthetized using local anesthesia. Using an X-ray video, the surgeon inserts the catheter in the affected coronary artery.


  • After placing the catheter in place, a thin wire is sent down the length of the artery, which delivers the balloon to the affected section if you are undergoing balloon angioplasty. The surgeon ensures the balloon is in the right place and inflates it. The inflated balloon squashes the fat deposits against the artery wall, ensuring smooth blood flow when the deflated balloon is removed.


  • However, if you are having a stent inserted, the stent is already fitted on the balloon and opens up when the balloon is inflated. The stent expands and remains in place even when the balloon is deflated and removed.


  • After the operation, the cardiologist will check if the artery is wide enough to allow blood to flow more easily through a small amount of contrast dye flowing through the artery.


  • The balloon, wire, and sheath are removed, and the bleeding is stopped by a dissolvable plug or through firm pressure.

 

Why Should You Choose Heritage Hospital?

 

At Heritage Hospital, we believe in delivering result-oriented care; that's why we invest in strong infrastructure boasting high-tech equipment and have an adept team of professionals to assist the patients during Angioplasty procedures. Here are some facilities available at Heritage Hospital:

 

  • Highly skilled and board-certified team of cardiologists and staff in the cardiology department


  • State-of-the-art catheterization lab


  • Best-in-class operating rooms with all the essential facilities


  • Blood bank support and critical care support


  • 24x7 consultation and admission available


  • Advanced diagnostic facilities, like 2D Echo Dopplers, 128 Slice Cardiac CT Scan, 12 Lead ECG, and Coronary Angiography.

 

How does the Heritage Hospital Medical Team Manage the Risks and Complications Associated with Angioplasty?

 

Angioplasty is a safe and effective procedure, but there are some rare instances where complications can arise. Managing risks and complications associated with angioplasty is critical to interventional cardiology. Heritage Hospital medical staff employ a multifaceted approach to mitigate potential adverse events and ensure optimal patient outcomes.

 

  • Antiplatelet and anticoagulant therapy before surgery
    Dual antiplatelet therapy (DAPT) is initiated with agents such as aspirin and a P2Y12 inhibitor before the procedure. Heparin or bivalirudin is used for anticoagulation during the procedure, with dosing tailored to individual patient risk factors.


  • Intravascular imaging for precise incision
    We use intravascular ultrasound (IVUS) and optical coherence tomography (OCT) for precise lesion assessment and optimal stent sizing, reducing the risk of under-expansion.


  • Monitoring of blood pressure, heart rate, and oxygen
    Continuous hemodynamic monitoring is essential during angioplasty. Monitoring blood pressure, heart rate and oxygen saturation helps detect hemodynamic instability early.


  • Post-procedural care
    Rigorous post-procedural care includes close monitoring for access site bleeding, hematoma, and vascular complications. Adequate hydration and hematoma compression are employed as necessary.


  • Follow-up schedules
    We always schedule follow-up visits and assessments, including repeat angiography or non-invasive imaging, which are crucial to monitor stent patency and assess for restenosis.

    Heritage Hospital medical staff employ a comprehensive, patient-centered approach to angioplasty that encompasses meticulous patient selection, advanced procedural techniques, vigilant monitoring, and prompt recognition and management of complications. This approach minimizes risks and maximizes the likelihood of successful outcomes for patients undergoing coronary angioplasty.

    Our adept team is dedicated to delivering the highest quality of care by staying updated with the latest advancements and providing tailored solutions to meet individual patient needs. At Heritage Hospital, you can rest assured that you are in safe hands and will receive the best possible treatment to cure the medical ailment.

Dr. Sudhakar Singh

(MD, DM (Cardiology))

Designation:  

Consultant Cardiology

Category:  

Cardiology (Heart)

Specialization:  

Cardiology

View more
Dr Nikhil Jha

(MD, DM (Cardiology))

Designation:  

Consultant Cardiology

Category:  

Cardiology (Heart)

Specialization:  

Cardiology

View more

FAQ’s

This procedure is advised to treat the blockage in the coronary arteries.
In the Angioplasty Procedure, a fine tubing is passed through a site over the wrist or groin through the main artery (Aorta) to reach the coronary ostium from where radiocontrast material (dye) is injected to visualise the coronary arteries and look for b
The Angioplasty cost in Varanasi is Rs. 75,000 + Rs.1250-2500 (for the Contrast used) + the Number of Angioplasty Stents Rs.24,000-35835 per stent. The cost includes three days hospital stay.
Coronary Angioplasty is a procedure to open the blocked and narrowed arteries supplying blood to the heart. Coronary Stents are tiny mesh tubes inserted in the arteries and expand inside the coronary arteries.
The Clinical guidelines say an artery should be at least 70% clogged before it’s stented. 50% Clogged artery doesn’t need to be stented. However, this may differ for different cases per the patient’s age and complications.
An Angioplasty procedure's recovery rate is faster than bypass surgery. However, it is not recommended for people who have Diabetes or triple-vessel disease. Such people should go for Bypass Surgery.
The initial payment of the total cost of the procedure is optional. One can pay 60% of the amount before the process and the rest later. Yes, one can pay the entire payment in two parts. A patient is eligible for a discount of rupees 5000 if the Angiogr
Usually, it takes 30 minutes to one and a half hours for the procedure to get done. However, it may take some more time in some instances.
Qualified and highly skilled Cardiologists perform the procedure.
In Heritage Hospitals, the procedure is performed by highly skilled Cardiologists.
Coronary Angioplasty is a lengthy and significant procedure requiring prior consent before it is carried out on the patient.
Any adult who understands the risks and benefits of the procedure can sign the consent form. The patient is the preferred candidate to sign the document. If not, any attendant can do it on the patient’s behalf.
A few precautions one must take before the procedure are to be on an empty stomach for at least 3-4 hours before the process and pre-medication should be done as the cardiologist advises.
After the surgery, the patient must watch for blood oozing. Immobilisation of the part where the procedure is performed for at least 2-6 hours is advised. One should preferably take a liquid or semi-solid soft diet.
If you had a planned Angioplasty, you could return to your regular work routine within a week or ten days. However, suppose you are rushed for the Angioplasty procedure followed by a heart attack. In that case, you may take months to recover and return to
Yes, the surgery requires Anaesthesia. Coronary Angioplasty requires Local anaesthesia to be carried out.
Coronary Angioplasty surgery’s results are evident by the end of half an hour to one hour of the surgery.
A few complications one can witness after the Coronary Angioplasty procedure include Site bleeding, Site Infection, Contrast Reaction, etc. The complete list of the difficulties is explained to the patient while signing the consent before the procedure.
Failures are uncommon in Coronary Angioplasty; thus, no money is refunded in case of surgery failure. However, the money is undoubtedly returned if the surgery still needs to be done.
According to NIM (National Institute of Medicine), the success rate of Primary Angioplasty Procedures is 99%.

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