When Coronary Angioplasty is required?
A method used to open clogged heart arteries is known as Coronary Angioplasty or Percutaneous Coronary intervention. This defect often results in shortness of breath and chest pain (angina) and angioplasty helps in restoring the normal functioning of the heart. The arteries get clogged due to the deposition of plaque in the blood vessels and the condition is termed as Atherosclerosis. It might increase the risks of heart attack and might also cause severe heart problems.
Types of Angioplasty
The surgeon can choose from the following methods of Angioplasty depending upon the patient’s condition.
- Balloon Angioplasty- A thin tube or catheter is passed through the incision in the groin or in the arm. The catheter with a balloon fitted at its top is then guided upto the clogged artery which widens it.
- Laser Angioplasty- This method is quite similar to Balloon Angioplasty but instead of a balloon at its end uses a laser tipped catheter. The laser helps in destroying the plaque by turning it into gaseous state. This procedure can be performed along with the former one.
- Coronary Atherectomy- In this method, the plaque is destroyed by the usage of special instruments. This method has other sub categorical approaches including Extraction Atherectomy, Rotational Atherectomy and Directional Atherectomy.
- Coronary Stenting – With the catheter, stents which are metallic devices are inserted into the defected artery after the angioplasty is done. These stents are fixed in the artery which helps in preventing their closure in the future times.
How it is done?
Depending on the condition of the heart, the surgeon decides whether to perform an angioplasty versus bypass surgery or a coronary artery bypass surgery. Angioplasty is done by inserting a tiny balloon in the clogged artery for a temporary period to help widen it. This method is often done alongside with the placing of a small wire mesh tube called a stent through an incision. The stent is fixed permanently to widen the artery and prevents it further narrowing. Some stents are given along with drug- eluting materials while other stents are bare metal. The stent is often inserted through the groin and may be also done via the wrist area. Small electrode pads are used while conducting angioplasty to monitor the condition of the heart.
Precautions / Points to remember
Though Angioplasty is a less invasive approach to deal with clogged arteries in comparison to bypass surgery, yet it possesses certain risks which the patient should keep in mind.
- Chances of blood clotting within the stents persist which might increase the risk of heart attack.
- Restenosis or re-narrowing of the artery can also occur in 30% of the patients. Bare metal stents decrease the chances of re-narrowing but chances still prevail.
- The site of incision might bleed and should be taken proper care of to avoid infection and serious bleeding.
- In some cases, the coronary artery might get damage leading to emergency bypass surgery.
- Kidney problems might also occur. Thus, it’s important to be well hydrated during the surgical process.
- If plaque breaks loose during the procedure, it might raise the chances of stroke.
Success rate of Coronary Angioplasty
90% of the patients suffering from acute heart problems have underwent successful Coronary Angioplasty. However, 30 to 40% of the patients despite having successful surgeries and proper recovery might face the reoccurrence of narrowing of arteries. Presently, if a stent is used to keep the arteries widened then the recurrence rate is below 10%. Patients suffering from diabetes have additional chances for the occurrence of restenosis. The recovery span and extent depends upon age and the severity of the condition also.
Cost of Coronary Angioplasty in India?
The cardiac surgical cost in India is comparatively lower by 60% of what a patient spends for the same treatment in the western countries. The coronary angioplasty cost generally commences from $4967. The treatment price also varies with the following factors: the age of the patient, the technique used and also differs from one city to another. Besides the treatment provided by the private hospitals across India, cheap and effective treatment is rendered by some Government hospitals like AIIMS, Safdarjung Hospital and National Heart Institute all located in Delhi and others. Indian Government has recently decreased the price of coronary stents but this might vary for different hospitals according to the techniques used.
Top Indian hospitals for Coronary Angioplasty
The hospitals that are widely recommended across India for successful Coronary Angioplasty surgeries with an affordable treatment package are as follows:
- Fortis Escorts Heart Institute and Research Centre, New Delhi
- Max Super Speciality Hospital, New Delhi
- Artemis Hospital, Gurgaon
- Medanta- The Medicity, Gurgaon
- Kokilaben Hospital, Mumbai
- Jaypee Hospital, Noida
- Apollo Hospital, Chennai
- Wockhardt Hospitals, Mumbai
- Global Hospitals, Chennai
- Indraprastha Apollo Hospital, New Delhi
- Narayana Institute of Cardiac Sciences, Bangalore
- SMIS Hospital, Chennai
Best Heart Surgeons in India
India is known for its proficient doctors and cardiac surgeons whose contribution to the history of cardiac surgery has been remarkable. The most distinguished cardiac surgeons for Coronary Angioplasty are:
- Ashok Seth (Fortis Escorts Heart Hospital, Delhi)
- Naresh Trehan ( Medanta, Gurgaon)
- Devi Prasad Shetty (Narayana Institue of Cardiac Science, Bangalore)
- S.K Sinha (Max Super Speciality Hospital, Delhi)
- Purushottam Kale (Fortis Hospital, Mumbai)
- Suresh Rao ( Kokilaben Dhirubhai Ambani Hospital, Mumbai)
- Bhaba Nanda Das (Indrarastha Apollo Hospital, Delhi)
- Ajay Kaul (BLK Super Speciality, Delhi)
- Majinder Singh Sandhu (Artemis Hospital, Gurgaon)
- Mahadev D Dixit (CMI Hospital, Bangalore)
Some patients have shared their medical experiences in India.
- A patient from Morocco says: “I often used to suffer from shortness of breath. On visiting a doctor and after some physical examinations I was detected with With rising complexities in my health and with the expensive treatment package at, I decided to travel down to India for my treatment. I had derived information from the internet and Medicure Assist came to my aid. I was admitted in a hospital in Delhi and had an angioplasty. Accordingly, the surgeon placed one stent and within a short span after the surgery I could feel the improvement in my health. No acute pain or discomfort surfaced in the recovery period. I was to avoid strenuous activities and was asked to follow proper remedial diet. Regular checkups were also advised by my doctor. The hospital along with its surgeons and support staff made the entire period of my treatment smooth and easier. I would recommend any cardiac patient about Medicure Assist who guided me throughout my stay in India and the hospital which helped in my successful recovery.”
- A man from Iraq remarks “My son was suffering from Coronary Artery Disease and his health was gradually deteriorating. Being tensed, I got in touch with Medicure Assist who referred me to Fortis Hospital, New Delhi. There the surgeon after conducting necessary tests, performed an angioplasty and placed two stents in my child’s heart. The artery opening was closed and improvement showed in his health. Medications were prescribed along with regular visits to the doctor. We were also told to make him drink a lot of fluids. The treatment was low cost and highly effective. My son’s recovery would never have been possible without the dedication of the surgeon and the cooperation of the hospital. I am also thankful to Medicure Assist for helping me out in the entire process.”