Angioplasty and Stenting
What it’s for
Though your heart is full of blood, it also needs a blood supply itself. The blood your heart need for beating is full by vessels called coronary arteries.
When your coronary arteries become narrowed or uncreative by fatty deposits called plaque, your heart no longer gets all the blood it needs. Angioplasty and stenting can be used to reopen your coronary arteries, restoring the blood supply to your heart.
How it’s done
Angioplasty and stenting may be performed after your cardiologist determines that your coronary arteries are becoming blocked. These procedures may also be performed on emergency basis if you are having a heart attack.
You are given medication through an IV to help you relax. Your blood pressure, heart rate and oxygen level are monitored throughout the procedure.
After you are given a medication to numb the area, a small incision is made in your thigh, wrist or arm. A thin tube called a cover is inserted. Then a longer and thinner tube called a catheter is slid into the sheath.
With the help of x-ray images to guide the process, the catheter is moved through your blood vessels to the site of the blockage. A balloon at the end of the catheter is then inflated, squeezing the fatty deposits against the walls of the blood vessel and widening the artery. Once the balloon is deflated, blood flow to your heart is restored.
In most cases, balloon angioplasty is joint with the placement of a stent. A stent is a small, wire-mesh tube that is used to hold a blood vessel open. It helps to stop rest enosis, or re-narrowing of your blood vessel.
A stent starts out in collapsed form. It is put around the deflated balloon at the end of a catheter, then put in into a blood vessel and guided toward the blocked artery.
When the balloon is inflated, it opens up the stent as it drives plaque out of the way and widens your artery. When the balloon is deflated, the stent stays in place to keep your artery open.
Angioplasty and stenting are also used to open blood vessels in other parts of the body, including the arteries in the neck, legs and kid.
Your doctor will talk about the risks of these procedures with you. Some of the risks include the following:
- Chest pain or angina
- Kidney failure
- Heart attack or stroke
- Blood clots
- Allergic reaction to medications
- Bleeding at site of incision
- Acute closure of coronary artery