Angioplasty is a surgical procedure to open the arteries
Angioplasty (AN-jee-o-plas-tee) is a minimally invasive procedure that does not require any cuts and injuries and opens the stenosis and blockage of the arteries entering the heart muscle; angioplasty can be associated with some signs of arterial arrest and arthritis such as chest pain and stricture Improve your breath.
In angioplasty, this procedure is often performed with local anesthesia or mild anesthesia, and since this does not require general anesthesia, the patient will be awake during the procedure, which usually lasts about an hour; through the intravenous catheter, fluids and drugs Will receive sedation and will receive blood thinners (anti-coagulant) to reduce the blood clotting, and then the cardiologist will begin to place a small balloon temporarily at the site where the patient’s veins are cramped.
And it winds up to help open the artery. Angioplasty is often accompanied by the permanent insertion of a wired wire tube called a stent into the artery to hold it open, keeping the artery open and preventing it from narrowing and blocking.
Angioplasty can also be used in the event of heart attacks to quickly block the artery and to reduce the amount of damage to the heart. However, patients who perform stent placement, compared with patients who undergo bronchial artery bypass graft surgery, pain And much less discomfort and a much shorter recovery time.
Although angioplasty is a less invasive way to open the arteries of the arteries of the heart, it may also have dangers. The most common angioplasty risks include the following:
Blood clots may appear inside the stents. These clots can block the artery again and cause a heart attack. Therefore, taking aspirin, clopidogrel (plavix), prazogrel (effetate), or other drugs that help reduce the risk of blood clots, according to your doctor, is very important in reducing the likelihood of clot formation within your stent.
After stenting in the angioplasty technique, it may be necessary to medication for a long time to reduce the chance of clot formation in the stent. If this procedure only includes angioplasty and no placement of the stent, about 30% of the cases occur, the artery stenosis will occur. Stents are designed to reduce the risk of re-artery inflammation. Most people who have done angioplasty, whether they are left stent or not, should take aspirin for life.
Angioplasty is performed in a special room with X-ray computer equipment called the Catheterization Laboratory. To patients, a small amount of diazepam (valium), midazolam (worms), morphine, and other sedative injections are injected intravenously. The patient may have minor discomfort at the site of the wound in the groin or arm. It may also experience a period of angina when the balloon is blowing. Angioplasty can last from 30 minutes to two hours, but usually completed within 60 minutes. Most patients are discharged one day after angioplasty, and the cardiologist makes recommendations to the patient.
If the number of blockages is high or if the heart’s main artery is narrowed or your heart rate is reduced or if you have diabetes, your doctor and cardiologist may advise you, instead of angioplasty and stent, to open heart surgery. In addition, some of the blockages are better for surgical reasons for technical reasons.
Dr. Fariba hendesi, cardiologist and blood pressure specialist in Tehran. Member of the American Heart Association, Founder of the First Specialized Blood Clinic, Member of the National Committee for Stroke, Member of the Heart Association and Heart Surgeons of Iran