Cardiothoracic Surgeon Questions Angioplasty

What does an angioplasty procedure involve?

I am due for an angioplasty, but I am extremely nervous about the procedure and it would be of great help to tell me what exactly will be involved. My kids did some research, and the doctors weren't specific enough (in my opinion), so I would like to know a little more.

15 Answers

Angioplasty is simply stretching and dilatation of the heart arteries that have blockages. Most of the time a stent is placed in the blocked artery to improve the results.It is an outpatient procedure and you can be discharged the same day. Angioplasty has a high success rate.
You need to go to the surgeon or whoever is going to do the procedure and have them explain the procedure and why it is being done. This is the best way, do not consent to any procedure until your questions are answered. Bring a family member along to hear the explanation.
An angioplasty is when a balloon is inserted into a blood vessel and inflated to open a narrowed blood vessel. It is a minimally invasive procedure. You should have the person doing the angioplasty explain why and how it is being done, and if you do not get a satisfactory answer, you should seek another opinion. No one is “DUE” for an angioplasty. It is not a regular routine yearly procedure
Angioplasty is done endovascular the risk may involve thrombosis of the distal arterial segment hematoma of the access site
Inflating a Baloon to open the artery
Angioplasty is done to relieve narrowing in an artery because of atherosclerosis. Atherosclerosis causes the narrowing by stimulating the body to respond to inflammation which leads a plaque that is made up of tissues or varying hardness. Angioplasty is done by inflating a balloon inside the artery at the area of plaque formation to compress the softer tissues and crack and reduce the harder tissues in the plaque, thereby opening up the lumen of the blood vessel to allow for better blood flow. Frequently, a stent is inserted after the balloon angioplasty to keep the treated area of the blood vessel open.
Depends on which artery is being angioplastied. Different for the heart of mesenteric circulation or the legs
Angioplasty means stretching the artery open (using a small, inflatable balloon that is removed after stretching it open) from the inside of the artery. This can be performed in tiny vessels (coronary) or larger vessels (as large as the aorta). Results vary depending on vessel disease and diameter.
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Angioplasty involves: access in the groin usually the opposite groin after numbing the area, then a small caliber tube is placed in the artery and through that tube the cathether that has a balloon at the end is advanced to push the blocking plaque against the wall of the artery to open it up. After that is done a plug is placed in the groin so you don't bleed.
An angioplasty is a procedure for artery blockages. A catheter is put into an artery (like the groin or the wrist), and through this catheter, pictures are taken to define where a blockage is. Next, another catheter is put through the catheter in the artery, which has a balloon on it that is inflated to displace the blockage; sometimes, at the same time, a stent will be put in. Sometimes, the balloons contain medication to help prevent the formation of new blockages.

I hope this helps.
You have coronary artery disease (blockages in the arteries on the surface of the heart). Your cardiologist, based on your symptoms and the angiogram, feel some of the blockages may be severe and account for your symptoms. They will do an angioplasty, which involves placing a wire across the blockage and blowing up a tiny balloon to dilate the blockage. Usually, they then place a stent to keep the area of the blockage open. This can be performed in several of your blocked arteries. You will need to take medicine like ASA and plavix after the procedure.
Angio - vessel
Plasty - molding, repair

Therefore, the term is not particularly specific.
A vessel - artery or vein will be repaired
- Molded by a balloon angioplasty
- Widened with a patch - patch angioplasty

If angioplasty fails, a stent can be used to fix the defect in the blood vessel.
It really depends on what type of angioplasty we are talking about. If you have had some type of study of your heart that showed an abnormality, such as an abnormal nuclear medicine study for your heart, then you will be having a cardiac angiogram. When the cardiologist does the angiogram they can identify narrowing in the blood vessels that feed the heart. If your cardiologist is a “interventionalist,” then he will proceed with an angioplasty of the lesion if possible. If the cardiac disease is severe, he or she will take pictures and request a consultation with a cardiac surgeon.
If you are having leg pain from a vascular source and an area of disease has been identified with ultrasonography of some other modality, then the wires and catheters will be directed toward your legs. If I am treating the left leg, I usually enter from the right side. This allows me to evaluate the entire arterial tree from the aorta to the foot. A long sheath( to tube that I operate through) is fed I’ve a wire to the opposite leg. At that time angiography is done and if areas of blockage are identified it is best to address them at that time. There are multiple ways to treat blockages in the legs. Atherectomy is a device that cuts the plaque out of the vessel to improve flow. Balloons of different sizes can be used to open up the vessels and stents are metal mesh tubes that are inserted to hold the vessel open as the inner layer heals.
After the procedure, I prefer to put in some type of closure device. There are a few different types. This seals up the hole in the artery and reduces the amount of time you have to lay on your back with your leg straight.
When any type of angioplasty is done, it is usually followed with some oral medication, such as aspirin or plavix for a period of time. This keeps the platelets in the blood from sticking to the treated area. When they stick to the area, they secrete hormones to cause scarring of the area, which can reocclude the vessel.
Opening the artery with a balloon going through a needle in the groin.
A fairly low risk procedure if heart vessels usually will require a stent and then plavix if in the legs then ballooning alone or stent may be needed simply it dilates the blood vessel