Angioplasty in India - Dr. Ravinder Singh Rao

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What isAngioplasty?

● Angioplastyisalsoknownbyothernamessuchasballoonangioplastyorpercutaneous coronaryintervention(PCI).

● Itisaprocedureperformedtoopenthenarrowedarterytoallowasmoothpassageof blood.

● Thisblockagecouldbeduetothedepositionofplaqueinsidethearterythereby minimizingthespaceofbloodflow.

● Healthcareexpertforcestheplaqueusingaballoonagainstthewallsofthearteryina cloggedbloodvesselwhichhelpstowidenitandimprovebloodflowwithinit.

● Dr.RavinderSinghRao,TheBestAngioplastyExpertisgivingthebesttreatmentfor angioplastyinJaipur,India.

Who NeedsAngioplasty?

● Splittingthewordangioplastytranslatesitto,“angio”meaningbloodvessel,and“plasty” whichmeansopeningup.

● Theneedforthisconventionalprocedurecomesfromtherequirementoftreating narroweddownthearterytoregainabettersupplyofbloodtothebodypartsthrough bloodvessels.

● ApatientsufferingfromCoronaryArteryDiseaseorhashadaheartattackisrequiredto undergoangioplasty.

● Thismethodremovesplaquesorfattytissuesfromthecloggedvesselusingconventional yetsuccessfulproceduresandisminimallyinvasive.

What Does ItTreat?

● Angioplastyisoneoftheconventionalmethodstotreatconditionssuchasheartattacks orCADduetoaconditioncalledAtherosclerosis.

● Atherosclerosisisthedepositionofplaqueonthewallsofthebloodvessels(i.e.,an artery)thatcarriesbloodtodifferentbodyparts.

● ThiscloggedvesselcancausehindranceofbloodflowleadingtoAngina,i.e.,chestpain.

Thus,angioplastyfacilitates:

1. Anginaorchestpain.

2. Supplyofbloodtothemusclesoftheheart.

What Happens beforeAngioplasty?

● Angioplastyisaminimallyinvasiveprocedure,butitisstillasurgery,thereforeallthe regularproceduresmustbefollowed.

● Yourangioplastyexpertwillfollowroutineprocedureslikebloodtests,chestX-Ray,and electrocardiogramsandthepatientmustfollowtheinstructionsgivenbythedoctor carefullyandstepwise.

● Tochecktheactualblockageintheheartanditsvessels,acoronaryangiogramis performedwhichclarifiesthecurrentconditionofthebody.

● Anangioplastyexpertmightalsosuggestsomekidneytestsasthedyeusedinthe procedureaffectskidneyfunction.

Certaininstructionsaregiventoallthepatientsundergoingthissurgerythatincludesthe following:

1. Thepatientmightbeaskedtostopwaterorfluidintake6-8hoursbeforethesurgery.

2. Onlyallowedmedicationisapprovedwithsmallsipsofwater.

3. Yourangioplastyexpertmustknowallthemedicinesthatyouaretakingfollowing whichyoumightbeaskedtostoptheintakeofaspirinorotheranti-inflammatorydrugs.

The Procedure ofAngioplasty:

● Cardiologistsorangioplastyexperts,alongwiththehelpofothercardiovascular techniciansperformthesurgery.

● Generalanesthesiaisnotnecessary,althoughapatientissedatedenoughtorelaxduring theprocedure.

● Throughonearm,anticoagulantsareprovidedtohelpyourelax.

● Localanesthesiaisusedtonumbthearealocallywherethecatheterhastobeinserted.

● Guidedentryofthecatheterismadeeitherfromthewristorthegroinwhichismonitored throughtheX-Rayfeed.

● Contrastdyeistheninjectedintothecatheterwhichthroughthearteryreachesthesiteof blockagesandidentifiesthemaroundtheheart.Assoonastheblockagesarelocated,the surgeonwillguideasecondcatheteralongwithwhichasmallballoonisdirectedtothe siteoftheblockage.

● Thisballoonwheninflatedatthesitepushestheplaquesawayopeninguptheartery.In caseofmultipleblockages,theprocesshastoberepeatedseveraltimes.

● Thisprocessmayormaynotbeassociatedwithastent,dependinguponthepatient’s condition.Thestentprovidessupporttothewallsofthearteryandpreventsthemfrom narrowingagain.

What HappensAfterThe Procedure?

● Yourangioplastyexpertwillremovethecathetersandapplyabandagetotheareawhere thecatheterswereinsertedintoyourskin.

● Thepatientwillbemonitoredovernighttoseeifthereisanycomplicationrelatedtothe surgery,ifnot,he/sheisdischargedwithwell-instructedmedication.

● Thepersonisaskedtorestwellforaweekbeforereturningtotheregularroutine.

● Toflushoutthecontrastdyeusedduringtheprocedure,fluidintakeisadvised.

Apersonmustimmediatelyconsultthehealthcareorangioplastyexpertifhe/sheobservesone ofthefollowing:

● bleeding/swelling/rednessintheareawherethecatheterwasinserted.

● anysignsofinfectioninthebodyorthesiteofinsertionofthecatheter.

● dizzinessornausea.

● chestpainordifficultyinbreathing.

What areThe Benefits and Risks ofAngioplasty?

Therearesomebenefitsandsomerisksofangioplasty,whicharegivenbelow:

Benefits ofAngioplasty:

● Lowcostandlessrisk.

● Minimallyinvasivehencefewerwounds.

Risks ofAngioplasty:

● Infectionorreactionbecauseofthedyeused.

● Bleedingatthesiteofcatheterinsertion.

● Bloodclots.

● Theblockagemightrepeatduetothere-depositionofplaques.

● Bloodvesseldamage.

● Heartattack.

Complicationsaremoreinold-agedpeopleascomparedtomiddle-agedones.

Recovery time after the surgery:

● Dependingupontheseverityandnumberofblockages,post-surgerycareandrecovery areinstructed.

● Thepatientmightneedtostayforafewhoursoranighttobecloselymonitored.

● Medicationmustbestrictlyfollowedassuggestedbythecardiologist.

● Iftakenpropercareof,thepatientrecoverssoonfromthesurgeryandcanbacktothe normalroutinewithinaweek’stime.

Dr.RavinderSinghRaoisTheBestAngioplastyExpertinIndiaandalsoTheBestDoctorof TMVRandTMVI.BookanappointmenttodayorcallusEmergencyLine(+91)7891791586.

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