Angioplasty

How to treat it before and after surgery

Do you need to undergo Angioplasty?

Many patients come into the emergency rooms with symptoms of Angina, a pain in the chest due to lack of blood oxygen.

Medical history and assessments of risk factors are taken along with many non-invasive tests.

If tests indicate a high likelihood of Coronary Disease, then a Cardiac Catheterization is scheduled.

Caridac Catheterization

This is the Angioplasty procedure; a catheter is placed inside the groin or wrist to travel into artery to find any blockage

Protocol

Patient will come in the night before or the day of, undergoing standardized tests and reviewing the procedure with the doctor. Procedure is done in a "Cath Lab," a special room fitted for the high resolution X-Ray equipment. During procedure, patient remains awake in order to respond to certain instructions. Patient is medicated with pain medicine and numbing during process.

What is found

Patient could have


  • No blockage - patient can return to physician
  • Minimal blockage - not severe enough to continue, instead therapy may be suggested to relieve symptoms
  • Multiple blocked arteries - bypass surgery may be suggested
  • One or more blockages - Angioplasty may be continued

Post Procedure

Patients may be able to go home or rest in hospital over night. Medications will be prescribed to help with pain. During recovery, patient should avoid heavy lifting or other physical activity that might reopen the punctured wound.

The 6 month period after surgery is very crucial. During this time, Restenosis can occur, if so, medication will be prescribed.

Patients should watch for any purpling around wound or infection.

If patient begins to have chest pain, shortness of breath or any other symptoms, patient should immediately contact cardiologist.