PTCA Treatment in India
Coronary Angioplasty is typically recommended if the patient has severe and frequent chest pain (angina) that is not being cured by medicine or lifestyle changes. Also if it is found that blood flow to an area of the heart is being reduced due to a clogged artery then Angioplasty can be the likely solution. Coronary Angioplasty is a medical procedure to open up blocked or narrowed coronary arteries thereby restoring blood flow to the heart muscle. It is a minimally invasive procedure. The term Angioplasty means using a balloon to open a narrowed artery or blood vein. Angioplasty also involves the insertion of a stent (a short wire mesh tube) into the artery. The stent is left permanently in the artery to allow blood to flow more freely. Coronary angioplasty is also known as Percutaneous Transluminal Coronary Angioplasty (PTCA). When combined with stenting it is known as Percutaneous Coronary Intervention (PCI).
In the following sections you will know about:
- Diagnosis and procedure for Coronary Angioplasty
- Cost of Angioplasty
- Leading doctors and hospitals for coronary Angioplasty
- Risks of coronary angioplasty
- Factors Affecting cost of Angioplasty
How It Works
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Diagnosis for Coronary Angioplasty
- The procedure is used to widen narrowed or blocked coronary arteries or veins, usually to treat arterial atherosclerosis
- In severe and frequent cases of angina (chest pain) a coronary angioplasty may be required to restore the blood supply to the heart.
- Sometimes Coronary Angioplasty is also performed as emergency procedure to minimize damage to heart muscle from heart attack.
Procedure of Coronary Angioplasty
- The physician will conduct a review of the patients' medical history, trying to understand the past and present medical and surgical condition
- Routine blood tests and ECG will be performed
- The doctor has to be informed about medication that is being taken by the patient. The patient will then need to stop or adjust medication as directed by the doctor.
- The patient has to inform about any allergies
- It is also enquired if the patient has any history of bleeding problems
- Angioplasty is performed using local anesthetic which means that the patient will be awake during the procedure
- The procedure can take30 minutes to 3 hours.
- The patient will be made to lie flat on his or her back
- Blood pressure and heart rate will be continuously monitored throughout the procedure.
- Usually a catheter is inserted through the artery in the groin, arm or wrist; local anesthesia is given; a skin incision will be made and a hollow needle will be inserted into the artery.
- The catheter is inserted and manipulated through the blood stream in the blocked artery. The procedure can be continuously viewed through the x- ray imaging device.
- A deflated balloon is present at the tip of the catheter. When the tip of the catheter reaches the blocked vessel then the balloon is inflated. The inflation result in the plague being flattened and the blood vessel is opened up so that the blood can move more freely. Post this, the balloon is soon deflated and removed.
- Doctors also use a permanent fixture, the stent to mitigate the risk of the artery again becoming narrow or blocked at the same site. The stent will keep the blood vessel open and will be left in the blood vessel permanently.
- If a stent is being used then the stent will be present around the balloon before the catheter is inserted. When the balloon is inflated then the stent will also expand. The stent will then remain in place when the balloon is deflated and removed.
After the procedure
- The catheter is removed and pressure applied to the puncture site for 10-15 minutes to ensure that no bleeding occurs from the artery
- A bandage is tightly applied and the patient must lie with his back in bed for 6-8 hours
- Patient is monitored in the recovery room and will be checked for bleeding or chest pain.
- The dressing has to be clean and dry to prevent any infection
- The patient also has to be regularly checked for signs of infection such as swelling, redness or discharges
- The patient will need to avoid lifting or pushing or pulling anything heavy for 3-5 days.
- Typically the patient will be able to resume their normal activities after about a week.
Risks of Coronary Angioplasty
Angioplasty is generally considered to be a safe procedure to open up a clogged artery. Also the risk of serious complications from a coronary angioplasty is generally small and rare but these risks can include -
- Bruising under the skin and bleeding where the catheter entered the artery.
- Excessive bleeding requiring blood transfusion
- Heart attack
- Damage to an artery in the heart
Factors Affecting Cost Of Coronary Angioplasty
The cost to the patient depends on a variety of factors like -
- The hospital that the patient is opting for would be an important determinant of the total treatment cost.
- Category of the Room taken and number of nights There are different prices for standard single room, deluxe room or a super deluxe room. This could also include nursing fee, meals, room rate and room service
- Fee for the team of doctors
- Cost of Medicines
- Cost of Stent if used
- Standard Tests and Diagnostic Procedures
- Cost of the follow-up care
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