Home / Interventional Therapies / Complex Angioplasties

Complex Coronary Angioplasties

Complex Coronary Angioplasty is an advanced minimally invasive procedure used to restore blood flow in severely narrowed or blocked coronary arteries, particularly in patients with complex coronary artery disease and previous bypass surgery.

ABOUT THE SERVICE

Complex Coronary Angioplasties

Complex Coronary Angioplasty is performed to treat advanced coronary artery disease and restore adequate blood flow to the heart muscle. The procedure involves widening narrowed or blocked coronary arteries using a small balloon catheter. In many cases, a stent is placed inside the artery to keep it open and maintain long-term blood flow.

Coronary artery blockages develop when fatty deposits known as plaque accumulate along the artery walls. These deposits restrict blood circulation and may lead to chest pain, shortness of breath, or heart attack. Complex angioplasty provides an effective alternative to more invasive surgical treatments by improving blood supply to the heart through catheter-based techniques.

PCI

Complex CADs Types

  • ✓ Balloon angioplasty
  • ✓ Carotid artery angioplasty
  • ✓ Cerebral angioplasty
  • ✓ Coronary artery stent
  • ✓ Lasar angioplasty
  • ✓ PTA of the femoral artery

procedure

  • Angioplasty is performed by a specialist in the cardiac catheterization laboratory of the hospital under local anesthesia and IV sedation.

  • You will be made to lie comfortably on your back on an X-ray table.

  • The area of catheter insertion, either the groin or arm, is shaved, disinfected, and local anesthesia is injected to numb the area.

  • Your physician will initially perform an angiogram to determine the extent and location of blockage within the coronary arteries, followed by a tiny incision at the insertion site.

  • A small tube called a sheath is inserted into an artery, usually in the groin.

  • A flexible catheter is advanced through the sheath under X-ray guidance to reach the blocked artery.

  • A contrast dye is injected through the catheter and X-ray images are taken to assess the severity of the blockage.

  • A guide wire is advanced across the blockage through the catheter.

  • A balloon catheter is positioned within the blockage and inflated to widen the artery and restore blood flow.

  • A wire-mesh stent is often placed to keep the artery open. Once proper expansion is confirmed, the balloon, guide wire, and catheter are removed.

  • The stent remains permanently in place to support the artery and maintain healthy blood flow.

  • Pressure is applied to the insertion site for about 15 minutes, followed by a pressure bandage to prevent bleeding.

service Image

Risk Factors

  • Bleeding from the insertion site.

  • Irregular heart beat.

  • Chest pain.

  • Blood vessel damage from the catheter requiring an operation for repair.

  • Kidney damage from dye used with angiogram.

  • Restenosis- Usually occurs within 6 months. Restenosis is the re-accumulation of plaque or scar tissue causing narrowing or blockage of the coronary artery.

  • Blood clot formation

  • Dislocation of stent