Dr. Neeraj Bhalla is a renowned and well-known cardiologist. Highly qualified Cardiologist with more than 35 years of expertise in coronary and non-coronary intervention. He performed 10,000 coronary angioplasties successfully (PTCA).
Before joining BLK, he served as Senior Riding Cardiologist & Officer in Cardiac Cath Laboratory for Army Hospital R & R New Delhi, as Cardiology Director at Delhi Metro Hospitals and as a Senior Riding Cardiologist for Max Hospital.
He is specialised in Complex cardiology and vascular procedures. His expertise lies in Coronary angiography/stent, Coronary Angioplasty/Standardization, Biventric and Combo Device Implants, AICD Implant, RVP, Complex Interventional Cardiology, Pacemaker Implants.Dr. Neeraj Bhalla is a key member of renowned organizations such as Fellow Society of Cardiovascular, Angiography/ Intervention, Fellow Endovascular Society of India, Member Cardiological Society of India, Member SPAF Academy.
We will discuss angioplasty in this article and try to identify how this treatment benefits the patients.
What is Angioplasty?
Angioplasty is a technique used to unblock clogged coronary arteries due to coronary artery disorder is angioplasty. The blood supply to the heart muscle without an open heart operation is restored. In an emergency such as a heart attack, Angioplasty may be performed. Or, it can be performed as an optional operation, if you are suspected of heart problems by your health practitioner. Angioplasty is also known as a percutaneous coronary procedure (PCI).
A long, thin catheter tube is inserted into a blood vessel during angioplasty and directed to the blocked coronary artery. There is a little ball at the end of the catheter. The ball is inflated in the restricted region of the cardiac artery when the catheter has been installed. The plaque or blood clot is pressed against the sidewalls of the artery and blood flow becomes more open.
During the operation, the medical practitioner utilises fluoroscopy. Fluoroscopy is a unique kind of X-ray resembling a "film" X-ray. The doctor can detect the obstructions in the cardiac arteries when a contrast teint passes through the arteries. This is known as angiography coronary.
You might choose another sort of procedure from the health care professional. The plaque (atherectomy) may also be removed from the point where the artery is narrowing. The physician can utilise a spinning tip in atherectomy. The plaque is broken or cut off to open your artery when the catheter reaches the restricted point in the artery.
What is a Stent?
In almost all Angioplasty operations, coronary stents are utilised currently. A small, expanding metal mesh belt is a stent. It is inserted into the freshly opened arterial region to prevent the artery from becoming narrowed or closed. The tissue begins to cover the stent-like layer of skin after the stent has been implanted. Depending on whether a medication is in the stent, the stent is thoroughly coated by tissue between 3 to 12 months.
Medicines called antiplatelets may be administered in order to lessen platelet "stickiness." Unique blood cells cluster together to halt the bleeding. Platelets are special. The medication can help prevent the formation of blood clots within the stent. Your healthcare staff will offer detailed guidance on what and how long medications should be taken.
Most of the stents are medically covered to avoid the formation of scar tissue within the stent. These stents are known as stents for drug use (DES). The medications are released into the blood vessel, which reduces the over-crowding of the tissue. This helps to avoid a narrowing of the blood artery.
Some stents are termed bare-metal stents, which are not coated with the medication (BMS). They may have greater rates of stenosis, but anti-platelet medications do not require long-term usage. In patients at high risk of bleeding, this may be the preferable stent.
It is vital to talk to your health provider about what you have to do when you experience chest discomfort following stent implantation since stents might get clogged. It is important. You might require a repeat operation if the clot tissue forms inside the stent.
Either an Angioplastic ball or a second stent may be used. In certain situations, a catheter close to the scar can be used to prevent the development of the scar tissues and open the artery. In addition, radiation treatment can be used. Brachytherapy is known as this.
Blocked arteries such as chest discomfort and shortness of breath might improve Angioplasty symptoms. Angioplasty frequently also serves to unblock a clogged artery rapidly and prevent damage to your heart after a heart attack.
Dr. Neeraj Bhalla is best Interventional Cardiologist in India, patients approach him from across the globe. He has successfully completed hundreds of surgeries in his career. He is currently located at BLK Super Speciality Hospital, New Delhi.
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