What is heart angioplasty and stent placement?

Angioplasty and stent placement are common procedures to open arteries in the heart that are clogged. These procedures are formally known as coronary angioplasty or percutaneous coronary intervention.
Angioplasty involves the use of a tiny balloon to widen the artery. A stent is a tiny wire-mesh tube that your doctor inserts into the artery. The stent stays in place to prevent the artery from closing. A cardiologist typically performs both procedures at the same time.

Balloon Angioplasty

Stent and deflated balloon inserted

Stent and deflated balloon inserted

Blocked Coronary Artery Series with Balloon Angioplasty Repair

Blocked Coronary Artery Series with Balloon Angioplasty Repair

Coronary Angioplasty

The buildup of plaque in an artery wall of the heart, blocking the flow of blood could cause you to undergo a coronary angioplasty procedure. The steps of the procedure, done to improve the blood flow in an artery, are depicted.

Non-cardiac Percutaneous
Transluminal Angioplasty

The non-cardiac percutaneous transluminal angioplasty, or NCPTA procedure depicted, is done to restore blood flow in an artery blocked by atherosclerotic plaque.

Are You a Good Candidate for Coronary Angioplasty?

Coronary angioplasty is a minimally invasive procedure to restore normal blood flow to a blocked or narrowed artery that supplies blood to your heart. It’s is a common treatment for coronary artery disease (CAD, and also known as heart disease) caused by atherosclerosis, commonly called hardening of the arteries.
You may be a good candidate for angioplasty if you have a significant narrowing or blockage of a coronary artery, or you have symptoms of CAD. Doctors often use angioplasty and related procedures to prevent a heart attack. Non-coronary angioplasty is for peripheral and other non-coronary arteries, such as the arteries that supply the kidneys.

How do you know if you need angioplasty?

Angioplasty can improve symptoms of blocked arteries, such as chest pain and shortness of breath. Angioplasty can also be used during a heart attack to quickly open a blocked artery and reduce the amount of damage to your heart
The procedure is commonly done when a fatty substance known as plaque attaches to the walls of an artery. This is a condition known as atherosclerosis. The build-up of plaque in the arteries causes the coronary arteries to fail to supply the heart with fresh blood and increase the risk of a heart attack.

What are the risks associated with heart angioplasty and stent placement?

The risks associated with the Angioplasty and Stent placement are like any other surgery including an allergic reaction to medication or dye breathing problems, bleeding, a blockage of the stented artery, a blood clot, a heart attack, an infection, re-narrowing of the artery which are rarely occurred. Some other side effects such as stroke and seizure may observe occasionally.

How do I prepare for heart angioplasty and stent placement?

If you need to undergo angioplasty with stent placement in your coronary arteries because of an emergency event, such as a heart attack due to coronary artery disease, there is no time to prepare the patient.
However, if there is plenty of time to plan, the doctor may check your medicines and ask you to stop taking some of them such as aspirin, Plavix, ibuprofen (Advil), naproxen, and other drugs. Also, quit smoking is recommended. Some medications may be prescribed by the doctor and the patient informed to arrive at the hospital in the morning to prepare for surgery. Then patients will receive numbing medicine through veins using an IV. The medicine will help to relax during the procedure.

What happens after heart angioplasty and stent placement?

The patient may feel soreness at the site of the incision which is decreases by taking painkillers. Some medications prescribed to prevent your blood from coagulating. This helps the body adjust to the new stent.
The cardiologist will probably want the patient to stay in the hospital overnight to ensure there are no complications, such as bleeding, blood clots, or problems with blood flow to the heart. Hospitalization might be even longer if the patient had a coronary event, such as a heart attack.
When you return home, drink plenty of fluids and restrict physical activity for some time.

Cost of Angioplasty In Iran

The cost of Angioplasty is estimated as a package includes hospital stay, lab tests, anesthesia, surgery fees, and doctors’ fees, ride to & from the hospital, ride to & from recovery center, medicines, etc.
With regard to all of these, in the United States the average cost of an angioplasty approximately $28-30,000. Even between individual states, however, this can vary from as low as$15,000 to anywhere in the region of $20,000 in Europe. In Low-Cost countries such as India, Mexico, and Costa Rica the average cost is from the US $ 8500 to $ 12000.
It may surprise you, but like any other surgery in Iran, the cost of Angiography even in most modern hospitals like Khatamolanbia or Kasra in Tehran is less than 3000 $. The reason for performing surgery with such a low cost in Iran is not due to using old technology. Of course, all medical treatment in Iran, use the most advanced technology by the most expert specialists, and the high success rate of all surgeries like Angioplasty is good evidence to confirm it.



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