Angioplasty
Angioplasty
Angioplasty
ANGIOPLASTY……???
•A method to
restores blood flow
through narrowed
or blocked coronary
arteries.
NEED …….???
• to relieve a
blockage of an
artery caused by
atherosclerosis, or
hardening of the
arteries.
BEFORE ANGIOPLASTY
• Diagnostic test is performed called
cardiac catheterization
In this procedure:
procedure
• A catheter is threaded through the blood
vessels leading to the heart
• A special contrast dye that shows up on x-
rays is injected into the coronary arteries
• X-ray images are taken to look for narrowed
areas in the arteries and determine how
severe the narrowing's are.
TYPES
• BALLOON ANGIOPLASTY
• LASER ANGIOPLASTY
• ATHERECTOMY
BALLOON ANGIOPLASTY
• An empty and collapsed balloon
on a guide wire, known as
a balloon catheter, is passed
into the narrowed locations and
then inflated to a fixed size
using water pressures some 75
to 500 times normal blood
pressure(6 to 20 atmospheres).
The balloon crushes the fatty
deposits, opening up the blood
vessel for improved flow, and
the balloon is then collapsed and
withdrawn
CORONARY STENTING
• TYPES:
1. DIRECTIONAL
2. EXTRACTION
3. ROTATIONAL
DIRECTIONAL
• This procedure
uses a device
that is a
combination of a
balloon and a
shaving blade.
The cutting
device, usually
located on the
side, is run back
and forth and
shaves the
deposits away.
EXTRACTION
This procedure uses a
tiny rotating blade
that works in much the
same fashion as the
cutter on a food
processor to whisk
away blockages inside
the artery wall at a
rate of up to 1,200
revolutions per minute.
ROTATIONAL
• This procedure uses a
high-speed, diamond-
tipped drill called
rotablator to
penetrate fatty
deposits and is
particularly useful on
hard, calcified plaque.
• Size is 1.25 to 2.5 mm
in dia.
PROCEDURE