More About Balloon Angioplasty
Living with a heart disease inhibits many of the activities which you still want to enjoy even as you grow older. Perhaps it is time for us to assist you with the best medical treatment and care. There is so much more to appreciate and give out in life with a little care for yourself.
Balloon Angioplasty is a minimally invasive procedure to open clogged heart arteries caused by cholesterol plagues by means of a catheter having a balloon on its tips. A stent is also placed inside to keep the artery open while the balloon is deflated and removed.
Balloon angioplasty is also called Coronary angioplasty or Percutaneous Coronary Intervention (PCI). It is performed when people with coronary heart disease have severe condition which cannot be treated by medications anymore. It is also used as an emergency treatment after a heart attack.
Indications of Balloon Angioplasty
- Moderate to severe is chaemia
- Heart attack
- High-risk stress test findings
- If the main artery bringing blood to the left side of the heart is narrow
- If your heart muscle is weak
- If you have diseased blood vessels
- If you have diabetes and multiple blockages
If you are contraindicated for Balloon angioplasty, Coronary artery bypass surgery may be a better option for you.
Diagnosis and tests
- CT Scans
- Exercise stress test
- Electrophysiology testing
- Nuclear technology
- Cardiac catheterization angiography
Types of Angioplasty often used in combination with Balloon
- Drug-eluting stents: Specially treated stents that gradually releases special medication into the wall of the artery once it is in place.
- Directional atherectomy: A miniature rotating blade used to cut out fat deposits and remove it from the body.
- Excimer laser angioplasty: Using a laser to remove the blockage.
- Rotational atherectomy: A diamond-studded drilling device to crush the blockage.
- Intracoronary radiation: After balloon angioplasty, an irradiation is done in the artery to prevent restenosis.
- Your doctor will perform a physical examination on you
- There will be a review on your medical history
- You must tell your doctor if you are allergic to iodine or shell fish as the iodine-based dye will be injected in you
- Diagnostic tests will be performed
- Preliminary blood tests will be done
- You may need to stop some medications
- You will need to stop eating or drinking 8 – 12 hours before surgery
- If you take insulin, you will need to adjust your dose
- You will be asked to stop smoking before and after surgery.
- You will be operated under local anaesthetic, while being awake
- The procedure will lasts 30 minutes or longer depending on how many arteries are blocked
- A cardiologist performs the surgery
- Small electrode pads are placed on your chest to monitor your heart
- A small incision is made in the arm or groin to insert a small tube called catheter into the artery
- The catheter has a small balloon and a stent in which an iodine-based dye is injected inside, and X-Rays taken
- The X-Rays reflect the areas of blockage and how narrow the artery is
- The balloon is inflated, the stent is opened and pushed against the wall of the artery
- Images are taken again to see how well blood flows in the newly widened artery
- After securing a normal blood flow, the incision is then closed.
- You will stay in the hospital for just a night if your surgery is non-emergency
- You will be given blood thinning medications
- You may need to take aspirin indefinitely
- Your treatment may continue for a year
- You may need to postpone your dental appointment for risk of an infection
- Drink lots of liquid to flush out the iodine-based dye
- Avoid lifting heavy objects and strenuous activities for at least 5 days or as long as being advised
- You may be able to resume normal work a week after surgery.
After surgery, you should maintain a healthy heart by:
- Quit smoking
- Regular exercise
- Lowering cholesterol level
- Maintaining a healthy diet
- Control conditions like high blood pressure, diabetes.
Risks and complications
Risks and complications depend on factors like your age, overall health and, whether you have had a heart attack. As with all surgeries, there are risks and complications involved but in Balloon Angioplasty, risks of serious problems listed below are small:
- Bleeding or bruising where the catheter was inserted
- Damage to artery
- Allergic reaction to a contrast agent
- Excessive bleeding needing transfusion
- Heart attack
- Kidney problems
Factors affecting the cost of treatment
- Choice of hospital
- Location of the hospital
- Surgeon’s fee
- Cost for blood tests and diagnostic tests
- Type of treatment and surgery
- Medicinal costs
- Duration of stay
- Cost of post-surgery care