Angioplasty with stenting
What is Angioplasty with Stenting?
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Why do you need Angioplasty with Stenting?
Angioplasty with stenting is indicated for:
- Coronary artery disease (CAD):
- Stable angina: Chest pain on exertion due to narrowed arteries (50–70% of cases).
- Acute coronary syndrome: Unstable angina or myocardial infarction (heart attack; 20–30% of cases).
- Prevalence in India: 10–15% of adults over 40 years; higher in urban areas (e.g., 20% in Delhi, per 2023 studies).
- Other indications:
- Failed medical therapy (e.g., nitrates, beta-blockers).
- High-risk findings on stress test or angiogram (e.g., >70% stenosis in major artery).
- Types of stents:
- Drug-eluting stents (DES): Most common (80–90%); coated with medication to prevent re-narrowing.
- Bare-metal stents (BMS): Less common; higher risk of restenosis but used in specific cases (e.g., bleeding risk).
- Associated treatments:
- pre-op: Antiplatelets (e.g., aspirin, clopidogrel) to reduce clotting risk.
- Post-op: Dual antiplatelet therapy (DAPT) for 6–12 months; statins to manage cholesterol.
- Timing:
- Performed in adults (average age 50–70 years for CAD); urgent for heart attack (within 90 minutes of presentation, “door-to-balloon time”).
The procedure aims to relieve chest pain, improve heart function, and reduce the risk of heart attack, with a high success rate for symptom relief and artery patency.
Why Do Angioplasty with Stenting Costs Vary in Philippines?
- Before Procedure Evaluation:
- Assessment:
- Coronary angiogram: Confirms blockage location/severity (e.g., >70% stenosis in left anterior descending artery).
- ECG: Identifies ischemia or prior heart attack.
- Blood tests: Kidney function (contrast dye risk), blood sugar, clotting profile.
- Echocardiogram: Assesses heart function (ejection fraction, typically 40–60% in CAD).
- Preparation: Stop blood thinners (if safe); fasting 4–6 hours; antiplatelets started.
- Consent: Risks, including stent thrombosis, are explained.
- Assessment:
- Procedure Technique:
- Angioplasty with Stenting:
- Performed under local anesthesia with sedation, lasting 30–90 minutes.
- Process:
- Access: Catheter inserted via radial (wrist, 70–80% in India) or femoral artery (groin).
- Coronary angiogram: Contrast dye injected; X-ray (fluoroscopy) visualizes blockages.
- Guidewire advanced through blockage; balloon catheter inflates to open artery (1–3 minutes).
- Stent deployed: Expands to scaffold artery; DES releases drug (e.g., everolimus) to prevent restenosis.
- Completion: Catheter removed; artery sealed (manual pressure or closure device for femoral access).
- Intraoperative Tools:
- Guidewire: Navigates coronary arteries.
- Balloon catheter: Opens artery (1–3 mm diameter).
- Stent: DES (e.g., Xience, Resolute) or BMS; typically 2–4 mm diameter, 8–38 mm length.
- Intravascular ultrasound (IVUS, if needed): Ensures proper stent placement (used in 10–20% of cases).
- Angioplasty with Stenting:
- After Procedure:
- Hospital stay: 1–2 days (stable cases); 3–5 days (heart attack).
- Care: Bed rest for 4–6 hours (femoral access); monitor access site for bleeding.
- Pain management: Mild discomfort at access site for 1–2 days; managed with painkillers (e.g., paracetamol).
- Instructions: Avoid heavy lifting for 1–2 weeks; start DAPT (aspirin + clopidogrel) immediately.
Angioplasty with Stenting Procedure
- Hospital Stay: 1–2 days (stable); 3–5 days (heart attack).
- Post-Procedure Care:
- Pain: Mild discomfort at access site for 1–2 days; resolves in 3–5 days.
- Activity: Avoid strenuous activity for 1–2 weeks (radial); 2–4 weeks (femoral); light activities in 2–3 days.
- Access site: Small bruise common; radial scar (1–2 mm) fades in weeks; femoral scar (2–3 mm) fades in months.
- Medications: DAPT for 6–12 months (aspirin lifelong, clopidogrel 6–12 months); statins, beta-blockers.
- Symptoms: Chest pain relief in 80–90% within days; full benefit in 4–6 weeks.
- Follow-Up:
- Visits at 1 week (check access site), 1 month, and every 3–6 months (monitor symptoms).
- Stress test/ECG: At 3–6 months to assess heart function; 90–95% stent patency at 1 year (DES).
Most resume normal activities in 1–2 weeks; full recovery takes 4–6 weeks. Success rate: 90–95% immediate vessel patency; 80–90% symptom relief; 5–10% risk of restenosis within 1 year (DES).
Recovery After Angioplasty with Stenting
- Procedure Risks:
- Bleeding (2–5%): At access site (femoral > radial); may need pressure or surgery (<1%).
- Vessel damage (1–2%): Dissection or perforation; may need emergency bypass (<1%).
- Allergic reaction (1%): To contrast dye; managed with steroids.
- Post-Procedure:
- Stent thrombosis (1–2%): Clot in stent; risk highest in first 30 days; prevented with DAPT.
- Restenosis (5–10% DES, 20–30% BMS): Re-narrowing; may need repeat angioplasty.
- Kidney injury (1–3%): From contrast dye; higher risk in diabetics or pre-existing kidney disease.
- Heart attack (1–2%): During procedure (e.g., vessel closure); managed with emergency stenting.
- Long-Term:
- Stent failure (5–10% at 5 years): Restenosis or thrombosis; may need repeat procedure.
- Progression of CAD (20–30%): New blockages in other arteries; managed with lifestyle changes, medications.
Report chest pain, fever, severe swelling, or shortness of breath promptly.
Risks and Complications
- Procedure Risks:
- Bleeding (2–5%): At access site (femoral > radial); may need pressure or surgery (<1%).
- Vessel damage (1–2%): Dissection or perforation; may need emergency bypass (<1%).
- Allergic reaction (1%): To contrast dye; managed with steroids.
- Post-Procedure:
- Stent thrombosis (1–2%): Clot in stent; risk highest in first 30 days; prevented with DAPT.
- Restenosis (5–10% DES, 20–30% BMS): Re-narrowing; may need repeat angioplasty.
- Kidney injury (1–3%): From contrast dye; higher risk in diabetics or pre-existing kidney disease.
- Heart attack (1–2%): During procedure (e.g., vessel closure); managed with emergency stenting.
- Long-Term:
- Stent failure (5–10% at 5 years): Restenosis or thrombosis; may need repeat procedure.
- Progression of CAD (20–30%): New blockages in other arteries; managed with lifestyle changes, medications.
Report chest pain, fever, severe swelling, or shortness of breath promptly.
Frequently Asked Questions (FAQs)
What causes the need for angioplasty with stenting?
Coronary artery disease (CAD), causing angina or heart attack, often due to blockages from plaque buildup.
Can I avoid angioplasty with stenting?
Yes, if mild: Medications (e.g., statins, beta-blockers) and lifestyle changes; PCI needed for severe blockages or heart attack.
Is angioplasty with stenting painful?
Mild discomfort at access site for 1–2 days; procedure itself painless (sedation used); resolves in 3–5 days.
How soon can I resume normal activities?
Light activities: 2–3 days; full recovery: 4–6 weeks; avoid strenuous activity for 1–2 weeks (radial) or 2–4 weeks (femoral).
Is angioplasty with stenting covered by insurance in India?
Often covered (medical necessity); confirm with your provider; Ayushman Bharat often subsidizes.
Signs of complications?
Chest pain, fever, severe swelling at access site, or shortness of breath.
How long does a stent last?
DES: 90% functional at 5 years; lifelong if no complications; restenosis risk 5–10%.
Lifestyle changes post-procedure?
Take DAPT, follow low-fat diet, exercise (30 min/day), quit smoking, manage stress, and attend follow-ups.
Conclusion
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Looking for Best Hospitals for Angioplasty with Stenting
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
|---|---|---|
|
Angeles City |
150,000 |
500,000 |
|
Antipolo |
150,000 |
500,000 |
|
Bacolod |
150,000 |
500,000 |
|
Bacoor |
150,000 |
350,000 |
|
Baguio |
150,000 |
500,000 |
|
Butuan |
150,000 |
350,000 |
|
Cagayan de Oro |
150,000 |
500,000 |
|
Caloocan |
150,000 |
350,000 |
|
Cebu City |
200,000 |
700,000 |
|
Dasmariñas |
150,000 |
350,000 |
|
Davao City |
200,000 |
700,000 |
|
General Santos |
150,000 |
500,000 |
|
General Trias |
150,000 |
350,000 |
|
Iligan |
150,000 |
500,000 |
|
Iloilo City |
150,000 |
500,000 |
|
Las Piñas |
150,000 |
500,000 |
|
Makati |
200,000 |
700,000 |
|
Malolos |
150,000 |
350,000 |
|
Manila |
200,000 |
700,000 |
|
Muntinlupa |
150,000 |
500,000 |
|
Parañaque |
150,000 |
500,000 |
|
Pasay |
150,000 |
500,000 |
|
Pasig |
200,000 |
700,000 |
|
Puerto Princesa |
150,000 |
500,000 |
|
Quezon City |
200,000 |
700,000 |
|
San Fernando |
150,000 |
350,000 |
|
San Jose del Monte |
150,000 |
350,000 |
|
Taguig |
200,000 |
700,000 |
|
Valenzuela |
150,000 |
350,000 |
|
Zamboanga City |
150,000 |
500,000 |
Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.