Complex Coronary Angioplasty (Bifurcation, Left main, ROTA, IVL)

A coronary angioplasty is a procedure used to widen blocked or narrowed coronary arteries, the main blood vessels supplying the heart.

The term "angioplasty" means using a balloon to stretch open a narrowed or blocked artery. However, most modern angioplasty procedures also involve inserting a short wire mesh tube, called a stent, into the artery during the procedure. The stent is left in place permanently to allow blood to flow more freely.

Coronary angioplasty is sometimes known as percutaneous transluminal coronary angioplasty (PTCA). The combination of coronary angioplasty with stenting is usually referred to as percutaneous coronary intervention (PCI).

When a Coronary Angioplasty is Used

Like all organs in the body, the heart needs a constant supply of blood, which is provided by the coronary arteries. In some people, these arteries can become narrowed and hardened, a condition known as atherosclerosis, which can cause coronary heart disease.

If the flow of blood to the heart becomes restricted, it can lead to chest pain known as angina, usually triggered by physical activity or stress. While angina can often be treated with medication, a coronary angioplasty may be required to restore the blood supply to the heart in severe cases where medication is ineffective. Coronary angioplasties are also often used as an emergency treatment after a heart attack.

Benefits of a Coronary Angioplasty

In most cases, the blood flow through the coronary arteries improves after an angioplasty. Many people find their symptoms get significantly better and they are able to do more than they could before the procedure.

If you've had a heart attack, an angioplasty can increase your chances of surviving more than clot-busting medication (thrombolysis). The procedure can also reduce your chances of having another heart attack in the future.

How a Coronary Angioplasty is Performed

A coronary angioplasty is performed using local anesthetic, which means you'll be awake while the procedure is carried out.

A thin, flexible tube called a catheter will be inserted into one of your arteries through an incision in your groin, wrist, or arm. This is guided to the affected coronary artery using an X-ray video.

When the catheter is in place, a thin wire is guided down the length of the affected coronary artery, delivering a small balloon to the affected section of artery. This is then inflated to widen the artery, squashing fatty deposits against the artery wall so blood can flow through it more freely when the deflated balloon is removed.

If a stent is being used, this will be around the balloon before it's inserted. The stent will expand when the balloon is inflated and remains in place when the balloon is deflated and removed.

A coronary angioplasty usually takes between 30 minutes and 2 hours. If you're being treated for angina, you'll normally be able to go home later the same day or the day after you have the procedure. You'll need to avoid heavy lifting, strenuous activities, and driving for at least a week.

If you've been admitted to hospital following a heart attack, you may need to stay in hospital for several days after the angioplasty procedure before going home.

How Safe is a Coronary Angioplasty?

A coronary angioplasty is one of the most common types of treatment for the heart. As the procedure doesn't involve making major incisions in the body, it's usually carried out safely in most people. Doctors refer to this as a minimally invasive form of treatment.

The risk of serious complications from a coronary angioplasty is generally small, but this depends on factors such as:

• Your age
• Your general health
• Whether you've had a heart attack

Serious problems that can occur as a result of the procedure include:

• Excessive bleeding
• A heart attack

Alternatives

If many coronary arteries have become blocked and narrowed, or the structure of your arteries is abnormal, a coronary artery bypass graft may be considered. This is a type of invasive surgery where sections of healthy blood vessel are taken from other parts of the body and attached to the coronary arteries. Blood is diverted through these vessels, so it bypasses the narrowed or clogged parts of the arteries.

Expert Care with Dr. Anil Kumar Choudhary

Dr. Anil Kumar Choudhary, an esteemed Interventional Cardiologist in Jaipur, stands out as a leading figure in the field of cardiology. His exceptional qualifications, vast experience, and unwavering commitment to delivering high-quality care make him an outstanding choice for patients seeking exceptional cardiac treatment.

1. Extensive Expertise:

   • Dr. Anil Kumar Choudhary is a meritorious graduate from Jawahar Lal Nehru Medical College JLNMC, Ajmer from where he completed his MBBS. He did his M.D. in Internal medicine from the prestigious Post Graduate Institute of Medical Education & Research, Chandigarh and further pursued his DM in Cardiology from same premier institute PGI, CHANDIGARH.

2. Specialized Training:

   • Dr. Choudhary has undergone specialized training equipping him with the knowledge and skills to perform a wide range of advanced interventional procedures. These include peripheral angiography and angioplasty for vascular blockages, carotid angiography and angioplasty for cerebrovascular conditions, renal angiography and angioplasty for hypertension, bronchial artery embolization for bleeding, and non-surgical procedures like ASD/VSD/PDA closure using devices.

3. Cutting-Edge Techniques:

   • Dr. Choudhary is highly skilled in employing cutting-edge techniques to address complex cardiac conditions. He is adept at treating highly calcified blockages through rotablation and performing procedures like electrophysiology studies (EPS) and implantation of heart failure devices.

4. Personalized Care:

   • With a patient-centric approach, Dr. Choudhary takes the time to understand each individual’s unique medical history, concerns, and needs. He provides personalized care, ensuring that patients receive tailored treatment plans and ongoing support throughout their journey to better heart health.

5. State-of-the-Art Facilities:

   • As the Director and Interventional Cardiologist at NHBH Hospital, Dr. Choudhary has access to advanced diagnostic tools and state-of-the-art facilities. This allows him to provide accurate diagnoses and deliver cutting-edge treatments, ensuring the best possible outcomes for his patients.

6. Compassionate Approach:

   • Beyond his exceptional medical expertise, Dr. Choudhary is known for his compassionate and empathetic approach. He takes the time to listen to his patients, address their concerns, and guide them through every step of their treatment, providing support and reassurance throughout their cardiac care journey.

By choosing Dr. Anil Kumar Choudhary as your Interventional Cardiologist in Jaipur, you can rest assured that you are in the hands of a highly skilled and dedicated professional who is committed to delivering exceptional cardiac care. His extensive knowledge, specialized training, and compassionate approach make him an outstanding choice for individuals seeking the highest level of cardiovascular treatment.