Get your Angioplasty and Vascular Stenting in India at low cost under world class cardiac surgeons
Author: Dr. Seema Mehta (indianHealth)
Angioplasty and Vascular Stenting in India comes at hospitals where all equipment is state of the art and the best and most modern cardiac surgery equipment and techniques are used. The expertise of Indian cardiac surgeons is among the best in the world. The cardiac surgeons catering the Angioplasty and Vascular Stenting in India are certified and widely recognized specialists so you can rest assured you are in the hand of the finest experts. The setting at various Indian hospitals at Mumbai, Bangalore, Chennai and New Delhi is highly clinical and comfort-concentrated. After the surgical procedure, the patients are provided with specialized staff that helps them throughout the recovery process. In the past few years, international patients from all over the world visit for various medical treatments and surgeries including the Angioplasty and Vascular Stenting in India wherein they get low cost and at their convenient time period. A growing number of tourists are flocking in large number because of the superlative medical care and facilities that India offers.
What is Angioplasty and Vascular Stenting?
Angioplasty with or without vascular stenting is a minimally invasive procedure performed to improve blood flow in the body's arteries and veins. In an Angioplasty procedure, imaging techniques are used to guide a balloon-tipped catheter, a long, thin plastic tube, into an artery or vein and advance it to where the vessel is narrow or blocked. The balloon is then inflated to open the vessel, deflated and removed. During Angioplasty, a small wire mesh tube called a stent may be permanently placed in the newly opened artery or vein to help it remain open. There are two types of stents: bare stents (wire mesh) and covered stents (also commonly called stent grafts).
How is Angioplasty and Vascular Stenting performed?
Image-guided, minimally invasive procedures such as Angioplasty and Vascular Stenting should only be performed by a specially trained interventional radiologist in an interventional radiology suite or occasionally in the operating room. This procedure is often done on an outpatient basis. However, some procedures may require admission. Please consult with your physician. You will be positioned on the examining table. You will be connected to monitors that track your heart rate, blood pressure and pulse during the procedure of Angioplasty and Vascular Stenting. A nurse or technologist will insert an intravenous (IV) line into a vein in your hand or arm so that sedative medication can be given intravenously. You may also receive general anesthesia. The area of your body where the catheter is to be inserted will be shaved, sterilized and covered with a surgical drape. Your physician will numb the area with a local anesthetic. A very small nick is made in the skin at the site. A sheath is first inserted into the artery. Guided by x-rays, the catheter is then inserted through the skin and maneuvered through the artery until it reaches the site of the blockage. Once the catheter is in place, contrast material will be injected into the artery and an angiogram will be taken of the blocked artery to help identify the site of the blockage.
With x-ray guidance, a guide wire will then be moved to the site, followed by the balloon-tipped catheter. Once it reaches the blockage, the balloon will be inflated for a short period of time. The same site may be repeatedly treated or the balloon may be moved to other sites. Additional x-rays will be taken to determine how much the blood flow has improved. When your physician is satisfied that the artery has been opened enough, the balloon catheter, the guide wire and catheter will be removed. Many Angioplasty and Vascular Stenting procedures also include the placement of a stent, a small, flexible tube made of plastic or wire mesh to support the damaged artery walls. Stents can be self-expandable (opens up itself upon deployment) or balloon expandable (balloon needed to open the stent). Balloon expandable stents are typically placed over a balloon-tipped catheter so that when the balloon is expanded, it pushes the stent in place against the artery wall. When the balloon is deflated and removed, the stent remains permanently in place, acting like a scaffold for the artery. Self-expandable stents are easy to deploy, but may require additional angioplasty with balloon to obtain satisfactory dilation (opening) of the diseased vessel. Covered stents or stent-grafts have additional advantages over bare stents and are becoming more commonly used.
Drug-coated (also called drug-eluting) stents have recently been approved for clinical use in the coronary (heart) arteries by the U.S. Food and Drug Administration (FDA). These stents are coated with a medication that is slowly released to help keep the blood vessel from re-narrowing, a condition called restenosis. If a sheath was inserted into your arm or wrist, it will be removed. At the end of the procedure of Angioplasty and Vascular Stenting, the catheter will be removed and pressure will be applied to stop any bleeding. The opening in the skin is then covered with a dressing. No sutures are needed.
You may need to lie in bed with your legs straight for several hours. In some cases, your physician may use a device that seals the small hole in the artery, called a "closure device", which will allow you to move around more quickly. When the procedure is completed, you will be moved to a recovery room or to a hospital room.
Your intravenous line will be removed. The length of the procedure of Angioplasty and Vascular Stenting varies depending on the time spent evaluating the vascular system prior to any therapy, as well as the complexity of the treatment.
What are the limitations of Angioplasty and Vascular Stenting?
Angioplasty and Vascular Stenting is just one way to treat narrowed or blocked arteries. Medications and exercise are often the first step in treating atherosclerosis. Regardless of which artery is blocked, Angioplasty does not reverse or cure the underlying disease of atherosclerosis. It is extremely important for patients to make lifestyle changes, including eating a healthy diet that is low in saturated fat, exercising and not smoking. Individuals with diabetes, high blood pressure and/or high cholesterol need to follow the treatment plan prescribed by their healthcare providers. Angioplasty and Vascular Stenting may have to be repeated if the same artery becomes blocked again, a condition called restenosis. If a stent is placed at the time of the Angioplasty, the chance of restenosis may be reduced but can still occur. Only about half of patients with renal vascular hypertension caused by atherosclerosis have their blood pressure successfully treated or improved by Angioplasty and Vascular Stenting. By the time the procedure is done, many of these patients have disease in small arteries within the kidney that does not respond to Angioplasty.
Angioplasty and Vascular Stenting for peripheral artery disease (PAD) affecting arteries in the pelvis and legs are less successful when there are multiple leg vessels that are narrowed or when small vessels have to be opened. Patients with PAD can benefit from smoking cessation, eating a proper diet, exercising regularly and controlling blood cholesterol. Angioplasty and Vascular Stenting placement in the carotid artery has been approved by the FDA, but there is not much long-term data to know how well this works, or if there are potential complications that can develop from stents being placed in the carotid arteries. A dedicated filter device may be used during stent placement to try and help keep blood clots and other plaques from passing into the brain during the procedure, thereby lowering the risk of stroke. Surgical repair has been done for many years and has been proven effective and safe when done by skilled surgeons. You should discuss with your physician what the potential risks and benefits of carotid artery stenting are in your particular situation.
Why Angioplasty and Vascular Stenting in India?
Angioplasty and Vascular Stenting in India is an excellent option for people who are suffering from cardiac issues as it is available at a reasonable price in various hospitals of Mumbai, Bangalore, Chennai, Hyderabad and New Delhi. Traveling abroad for medical treatment has now become an accepted and even preferable option. It is now a welcome alternative to spending huge amounts of money to get the required level of treatment or spending inordinate amounts of time waiting for the qualified health care professionals to be available in the patient's own locality. The Angioplasty and Vascular Stenting in India comes in medical centres which are well equipped with the latest technology and houses highly qualified and experienced staff that provides timely and quality medical treatment to patients. As a move in promoting medical tourism, many hospitals are deemed as "corporate hospitals" that specially cater to the needs of medical tourists in India.