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Percutaneous Transluminal Coronary Angioplasty

Percutaneous Transluminal Coronary Angioplasty

Find the best hospitals for Percutaneous Transluminal Coronary Angioplasty on the Bajaj Finserv Health platform.

Minimum Cost
₹25,000
Average Cost
₹1,92,990
Maximum Cost
₹2,60,000
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What is Percutaneous Transluminal Coronary Angioplasty (PTCA) Surgery?

Percutaneous Transluminal Coronary Angioplasty (PTCA) is a minimally invasive surgical procedure used to treat blocked/narrowed coronary arteries. The procedure involves the use of a catheter that has a small balloon at the tip to widen the narrowed artery; this improves blood flow to the heart muscle. This procedure is also commonly referred to as balloon angioplasty. PTCA is most commonly used to treat patients with coronary artery disease. This condition arises when plaque builds up in the arteries that supply blood to the heart. The condition can lead to chest pain, also known as angina, and in severe cases, can cause a heart attack.

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Types of Percutaneous Transluminal Coronary Angioplasty (PTCA) Procedure

There are several types of PTCA procedures, each with its own unique benefits and risks. Some of the most common types of PTCA procedures include:

  • Standard Balloon Angioplasty:

    This is the most basic type of PTCA procedure and involves using a catheter with a small balloon at the tip to widen the blocked or narrowed artery. The balloon is inflated to push the plaque against the vessel wall, widening the artery and improving blood flow.

  • Cutting Balloon Angioplasty:

    This type of PTCA procedure uses a catheter with a balloon that has small, sharp blades on its surface. As the balloon is inflated, the blades cut through the plaque, allowing the balloon to expand the artery more effectively.

  • Drug-Eluting Balloon Angioplasty:

    This type of PTCA procedure involves using a balloon coated with medication which is slowly released into the artery. The medication helps to prevent the artery from re-narrowing after the procedure.

  • Stent Placement:

    In some cases, a stent (a small metal mesh tube) may be inserted into the narrowed artery after the balloon angioplasty to help keep the artery open and prevent it from collapsing. This procedure is known as stent placement. Thus, Percutaneous Transluminal Coronary Angioplasty (PTCA) is a minimally invasive procedure used to treat blocked or narrowed coronary arteries. There are several types of PTCA procedures, each with its own unique benefits and risks. These procedures can help in enhancing the flow of blood to the heart muscle and reduce the heart attack risk in patients with coronary artery disease. If you have CAD symptoms, speak to your doctor and learn more about whether PTCA may be a good option for you.

    • When is PTCA Operation Required?

  • PTCA is a procedure used to treat coronary artery disease (CAD). CAD is a condition caused by the building up of plaque in the arteries which supply blood to the heart.

  • PTCA is typically recommended when CAD leads to symptoms like chest pain (angina) or shortness of breath that can't be controlled with medication or lifestyle changes.

  • It may also be recommended as an emergency procedure during a heart attack.

    • How to Prepare for PTCA Surgery?

  • Before the procedure, your doctor will perform a physical exam and review your medical history.

  • You may need to stop taking certain medications, such as blood thinners, before the procedure. Your doctor will provide specific instructions.

  • You will be asked to fast for several hours before the procedure, typically starting at midnight the night before.

  • Arrange for someone to drive you home after the operation since you will be unable to drive for 24 hours.

  • Wear clothes that fit you loosely and are comfortable; leave your jewelry at home for safety.

  • You will be provided with a gown from the hospital to wear during the procedure.

    • What Happens During PTCA Surgery?

    PTCA is typically performed in a hospital cardiac catheterization lab or special procedure room.

  • You will be given a local anesthetic to numb the region where the catheter will be inserted.

  • A small incision will be made in your groin or arm and a thin, flexible tube called a catheter is inserted in an artery and is guided to the heart using X-ray imaging.

  • A contrast dye is injected from the catheter to help your doctor see the blockage on a monitor.

  • A small balloon at the end of the catheter is inflated to open the blocked artery and improve blood flow to the heart.

  • If necessary, a stent (a small mesh tube) may be inserted to help keep the artery open.

  • The procedure typically takes 30 minutes to 2 hours to complete.

    • What Are the Risks of PTCA Surgery?

    PTCA is generally safe; however, some possible risks are:

  • Bleeding or bruising at the place where catheter is inserted

  • Infection

  • Allergic reaction to the contrast dye

  • Damage to the artery or heart

  • Heart attack or stroke

  • Restenosis (re-narrowing of the artery) or stent thrombosis (blood clot inside the stent)

  • Your doctor will discuss the risks and benefits of PTCA with you before the procedure and answer any questions you may have.

    • What to Expect After PTCA Surgery?

  • You will be monitored for several hours after the procedure to make sure there are no complications.

  • You may be able to go home the same day or may need to stay overnight in the hospital.

  • You will need to lead a physically sedentary lifestyle for a few days and avoid driving for 24 hours.

  • Your doctor will give specific instructions regarding caring for the catheter insertion site.

  • You will need to take medications as prescribed by your doctor to prevent restenosis or blood clots.

  • You will need to follow up with your doctor regularly to monitor your condition.

    • What Happens Before Percutaneous Transluminal Coronary Angioplasty (PTCA) Surgery?

    Before the surgery, the patient will undergo several tests and assessments to determine if they are a good candidate for the procedure. These tests may include:

  • Electrocardiogram (ECG) to measure the heart's electrical activity

  • Blood tests to determine the cholesterol level and other cardiac indicators

  • Chest X-ray to evaluate the heart and lungs

  • Echocardiogram to assess the heart's structure and function

  • Angiogram to visualize the coronary arteries and identify blockages

  • The patient will also meet with their doctor so that he/she can have a detailed discussion and understand the procedure and any potential risks or complications. They will be instructed to avoid eating or drinking anything for several hours before the surgery and may be given medication to help them relax.

    • What Happens During Percutaneous Transluminal Coronary Angioplasty (PTCA) Operation?

    During the PTCA procedure, the patient is administered local anesthesia; this numbs the area where the catheter will be inserted. The doctor will then make a small incision in the groin or arm and thread a thin, flexible tube called a catheter via the artery and into the blocked coronary artery. Once the catheter is in place, a small balloon that is present at the end of the catheter will be inflated to compress the plaque and widen the artery. This process is called balloon angioplasty. The balloon is then deflated and removed, but in most cases, a small metal mesh tube called a stent will be left in place to help keep the artery open. The entire PTCA procedure usually takes between 30 minutes to an hour. Afterward, the patient will be monitored in the hospital for several hours to ensure that there are no complications. They may experience some discomfort or bruising at the site of the incision. This usually resolves within a few days.

    Methods/Techniques Used for Performing Percutaneous Transluminal Coronary Angioplasty (PTCA) Procedure

  • Accessing the artery

    The first step in performing a percutaneous transluminal coronary angioplasty (PTCA) procedure is accessing the artery. This can be done through the femoral artery, radial artery, or brachial artery. A small incision is made in the skin and a catheter is inserted into the artery.

  • Guiding the catheter

    Once the catheter is inserted into the artery, it is guided to the blocked or narrowed area in the coronary artery using X-ray imaging. The catheter has a small balloon at the end which is inflated to open up the blockage or narrowed area.

  • Inflating the balloon

    Once the catheter is in position, the balloon is inflated to open up the blockage or narrowed area. The balloon inflation compresses the plaque against the artery walls, creating a larger opening for blood to flow through.

  • Stent placement

    In some cases, a stent may be placed during the PTCA procedure. A stent is a small wire mesh tube inserted in the artery to help keep it open. The stent is inserted over the balloon and expanded when the balloon is inflated. Once the stent is in place, it holds the artery open.

    • Post Procedure Details

    After the PTCA procedure, the patient is usually monitored for several hours to ensure that there are no complications. The patient may need to lie flat for a period of time to prevent bleeding or hematoma formation at the access site. The patient is usually discharged the same day or the next day. The patient will need medicines to prevent blood clots and reduce the risk of complications. These medications may include aspirin, clopidogrel, or other antiplatelet drugs. The patient may also need to make healthier lifestyle choices like quitting smoking, exercising regularly, and eating a heart-healthy diet.

    Risks and Complications Associated with Percutaneous Transluminal Coronary Angioplasty (PTCA) Surgery

  • Bleeding or hematoma formation at the access site

    The most common complication associated with PTCA surgery is bleeding or hematoma formation at the access site. This can usually be managed by applying pressure to the site or using a compression device.

  • Artery damage

    In rare cases, the catheter may damage the artery during the PTCA procedure. This can cause bleeding, hematoma formation, or other complications. If this occurs, further treatment may be necessary.

  • Heart attack or stroke

    In rare cases, the PTCA procedure may cause a heart attack or stroke. This can occur if the plaque dislodges during the procedure and blocks blood flow to the heart or brain. Patients who are at high risk of heart attack or stroke may not be good candidates for the PTCA procedure.

  • Restenosis

    In some cases, the artery may narrow again following the PTCA procedure. This is known as restenosis. Patients who experience restenosis may need to undergo another PTCA procedure or a different type of treatment.

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    DisclaimerThe cost of percutaneous transluminal coronary angioplasty depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.

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