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ANGIOPLASTY
PRESENTED BY: SAILEE VILAS POMENDKAR
4TH YEAR BPTH.
N.Y.I.M.S.R.,BHANDARA
WHAT IS ANGIOPLASTY ?
• Angioplasty is a medical technology used to unblock
blood vessels , most commonly the coronary artery.
• Minimally invasive medical procedure.
• Performed without anesthesia.
INDICATION
• Coronary Artery Disease
• Myocardial Infarction
• Angina
• Atherosclerosis
CONTRAINDICATION
• Presence of any significant comorbid
condition that severely limit lifespan
• Weak heart muscles
• Multivessel coronary artery disease
• Severe coagulopathy
• Critical electrolyte imbalance
• Active endocarditis
TYPES OF ANGIOPLASTY
 Balloon Angioplasty
 Stent Angioplasty
 Cutting Balloon Angioplasty
Balloon Angioplasty
A balloon-tipped
catheter is used to
make space for blood
flow in the artery.
Stent Angioplasty
Either small bare metal mesh
tube or drug coated tube ,
called stent is placed in the
artery for smooth blood
flow.
Cutting Balloon Angioplasty
In case restenosis
(recurrence of artery
or valve narrowing
after corrective
surgery) , the cutting
balloon catheter with
3-5 small blades at the
tip is used to clear
plaque on artery wall.
Angioplasty Procedures
AFTER CARE
• Hospital stay of about 1-2 days.
• Start walking within 2-6 hours.
• Return to normal activities in a week.
• Avoid physical activities , strenuous work or any kind
of weight lifting for about two weeks.
• Gradual exercises regime.
• Maintenance of healthy lifestyle.
ALTERNATIVES TO ANGIOPLASTY
Coronary artery bypass grafting (CABG)
 Involves open heart surgery.
 Requires blood vessels , usually taken
from the legs.
 Longer recovery.
 More dangerous risks.
 May require patient to be on long
term medication.
Heart Medication
 Can only be used when heart attack is
mild and caught early.
 Can cause dangerous bleeding.
 If it is not successful angioplasty or
CABG will be required.
 Least harmful if successful
PROS VS. CONS
PROS CONS
• Fast treatment of heart attack.
• If successful good long term results.
• Safer than CABG.
• Cheaper than CABG.
• Patient recovers faster than any other
alternatives.
• Good prognosis.
• Pain at incision site.
• May rupture artery (rare).
• Stent may become dislodged.
• Excessive bleeding at incisional site.
• During surgery heart attack can occur.
• Stent may need to be replaced in
following years.
THANK YOU

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ANGIOPLASTY.pptx

  • 1. ANGIOPLASTY PRESENTED BY: SAILEE VILAS POMENDKAR 4TH YEAR BPTH. N.Y.I.M.S.R.,BHANDARA
  • 2. WHAT IS ANGIOPLASTY ? • Angioplasty is a medical technology used to unblock blood vessels , most commonly the coronary artery. • Minimally invasive medical procedure. • Performed without anesthesia.
  • 3. INDICATION • Coronary Artery Disease • Myocardial Infarction • Angina • Atherosclerosis
  • 4. CONTRAINDICATION • Presence of any significant comorbid condition that severely limit lifespan • Weak heart muscles • Multivessel coronary artery disease • Severe coagulopathy • Critical electrolyte imbalance • Active endocarditis
  • 5. TYPES OF ANGIOPLASTY  Balloon Angioplasty  Stent Angioplasty  Cutting Balloon Angioplasty
  • 6. Balloon Angioplasty A balloon-tipped catheter is used to make space for blood flow in the artery.
  • 7. Stent Angioplasty Either small bare metal mesh tube or drug coated tube , called stent is placed in the artery for smooth blood flow.
  • 8. Cutting Balloon Angioplasty In case restenosis (recurrence of artery or valve narrowing after corrective surgery) , the cutting balloon catheter with 3-5 small blades at the tip is used to clear plaque on artery wall.
  • 10. AFTER CARE • Hospital stay of about 1-2 days. • Start walking within 2-6 hours. • Return to normal activities in a week. • Avoid physical activities , strenuous work or any kind of weight lifting for about two weeks. • Gradual exercises regime. • Maintenance of healthy lifestyle.
  • 11. ALTERNATIVES TO ANGIOPLASTY Coronary artery bypass grafting (CABG)  Involves open heart surgery.  Requires blood vessels , usually taken from the legs.  Longer recovery.  More dangerous risks.  May require patient to be on long term medication. Heart Medication  Can only be used when heart attack is mild and caught early.  Can cause dangerous bleeding.  If it is not successful angioplasty or CABG will be required.  Least harmful if successful
  • 12. PROS VS. CONS PROS CONS • Fast treatment of heart attack. • If successful good long term results. • Safer than CABG. • Cheaper than CABG. • Patient recovers faster than any other alternatives. • Good prognosis. • Pain at incision site. • May rupture artery (rare). • Stent may become dislodged. • Excessive bleeding at incisional site. • During surgery heart attack can occur. • Stent may need to be replaced in following years.