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Angioplasty

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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withdrawn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

• A coronary stent is a tube placed in the coronary


arteries that supply the heart, to keep the arteries
open in the treatment of coronary heart disease. It is
used in a procedure called percutaneous coronary
intervention (PCI)
LASER ANGIOPLASTY
• catheter with a laser at its tip
is used and inserted into an
artery that opens into
coronary arteries blocked by
plaque, a build-up of
cholesterol, cells and other
fatty substances in an
artery's inner lining. Then the
plastic tube is advanced
through the artery to the
blockage in the coronary
artery, and it emits pulsating
beams of light from where the
laser is in position
CORONARY ATHERECTOMY
• This procedure is begun similar to angioplasty. But
instead of a balloon pressing against the fatty
deposits in the walls of the arteries, special
instruments are used which cut away the plaque.
• This technique is proving very useful in treating
blockages that may be too calcified (hardened) or
inaccessible for balloon angioplasty

• 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

• Shaving, scrubbing and numbing of


groin
• Finding the artery
• Entering needle with wire
• Introduction of sheath over wire
• Insertion of catheter
….CONTINUED
• Filming the coronary arteries
• Viewing coronary arteries from
different angles
• Using particular technique relieve
blockage of narrowed coronary artery
is done
PROBLEM’S
• Re-narrowing of your artery (Restenosis).
• Blood clots.
• Bleeding.
• Heart attack.
• Coronary artery damage.
• Abnormal heart rhythms.
• Stroke.
• Kidney problems.
BENEFIT’S
• Compared to surgical interventions such as
bypass surgery, balloon angioplasty and stent
placement are much less invasive and
relatively low-risk, low-cost procedures.
• These procedures are performed using local
anesthesia; no general anesthetic is required
in the majority of patients.
• No surgical incision is needed—only a small
nick in the skin that does not have to be
stitched closed.
• You will be able to return to your normal
activities shortly after the procedure.
RISKS
• Inserting the catheter can lead to injury of the
artery.
• When angioplasty is performed alone, blockages can
recur.
• Heavy bleeding from the catheter insertion site may
require special medication or a blood transfusion.
• There is a risk of stroke when angioplasty and/or
stenting are performed on the carotid artery.
• Slight risk of infection and allergic reaction
if contrast material is injected.
• Contrast material used during these procedures may
cause renal failure, a decrease in kidney function.

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