Angioplasty Procedure at Desun Hospital
Step-by-Step Process:
1. Pre-Assessment & Consent
ECG, echo, blood tests, and review of medicines/allergies. Fasting 4–6 hours; consent taken.
2. Preparation
IV-line, vitals monitoring, local anesthesia at wrist (radial) or groin (femoral). Light sedation and blood thinners given.
3. Arterial Access
A sheath is inserted into the artery for catheter entry.
4. Diagnostic Angiography
Contrast dye and X-ray map the heart blockage.
5. Crossing the Blockage
A guidewire is passed through the narrowed artery.
6. Balloon Angioplasty
A tiny balloon inflates to widen the artery.
7. Stent Placement (if needed)
Drug-eluting or bare-metal stent inserted to keep artery open.
8. Final Check
Additional ballooning if needed; blood flow confirmed.
9. Closure
Compression band (radial) or pressure device (femoral) applied.
10. Observation
Vitals monitored; hydration given; ECG and enzymes checked.
11. Discharge & Medication
Dual antiplatelet therapy continued; most radial cases discharged same day or next morning.
12. Recovery & Follow-Up
Keep site clean, avoid heavy lifting, monitor for chest pain or bleeding, follow rehab plan, and control diabetes, cholesterol, hypertension, and quit smoking.
Advanced Technology Used
Some advanced technologies used in angioplasty that make the procedure safer and more effective:
Drug-Eluting Stents (DES)
- Coated with medication that prevents re-narrowing of the artery (restenosis).
- Ensures long-term artery patency compared to bare-metal stents.
Bioresorbable Vascular Scaffolds (BVS)
- Temporary stent that dissolves after restoring blood flow.
- Reduces long-term complications like late stent thrombosis.
Intravascular Ultrasound (IVUS)
- Imaging tool inserted inside the artery to visualize plaque buildup.
- Helps doctors decide optimal stent size and placement.
Optical Coherence Tomography (OCT)
- Provides high-resolution images of the artery interior.
- Allows precise stent positioning and assessment of results.
Fractional Flow Reserve (FFR) Technology
- Measures pressure differences across a blockage.
- Help to determine if angioplasty is really needed.
Atherectomy Devices
- Rotational or laser atherectomy removes hardened plaque before stent placement.
- Used in complex or calcified lesions.
Drug-Coated Balloons (DCB)
- Balloon angioplasty with a drug coating to prevent re-narrowing.
- Useful when stent placement is not ideal.
Team of Interventional Cardiologists
A team of interventional cardiologists typically consists of highly trained specialists who perform minimally invasive procedures like angioplasty, stenting, and structural heart interventions.
Safety Measures & Infection Control
Sterile Cath Lab Environment
- Full sterilization of the Cath Lab before the procedure.
- Use of HEPA filters and positive pressure ventilation to reduce airborne contaminants.
Hand Hygiene & PPE
- Mandatory hand washing and use of alcohol-based sanitizers by all staff.
- Use of sterile gloves, gowns, masks, and caps by the medical team.
Patient Skin Preparation
- Proper cleaning of the access site (wrist or groin) with antiseptic solutions like chlorhexidine or povidone-iodine.
- Hair removal (if required) with clippers, not razors, to avoid micro-cuts.
Use of Sterile Equipment
- Single-use catheters, guidewires, balloons, and stents.
- Strict monitoring of expiration dates and packaging integrity.
Aseptic Technique During Procedure
- Maintaining a sterile field throughout.
- Avoiding unnecessary catheter manipulation to reduce contamination risk.
Prophylactic Antibiotics (if indicated)
- Administered to high-risk patients to prevent infection.
Infection Surveillance
- Monitoring for catheter-related infections or post-procedure wound infections.
- Regular audits and reporting in the hospital’s infection control program.
Post-Procedure Care
- Keeping the access site clean and covered with sterile dressing.
- Educating patients on signs of infection (redness, swelling, fever).
Cost of Angioplasty in Kolkata
Average angioplasty cost in Kolkata
At Desun Hospital, the average angioplasty cost in Kolkata ranges between ₹90,000.00 to ₹1,50,000.00. The exact cost depends on the number of balloons and stents required during the procedure. Most patients need a minimum of one stent and up to three, based on their health condition and severity of blockages.
Factors affecting angioplasty charges
Several factors can influence the angioplasty cost in Kolkata:
- Type of Stent Used: Drug-eluting stents cost more than bare-metal stents but offer better long-term results.
- Number of Stents & Balloons: Patients may require one or multiple stents depending on the extent of blockages.
- Hospital Stay: At Desun Hospital, the standard stay includes 2 nights, which is factored into the overall package.
- Patient’s Health Condition: Complex cases may require additional interventions, impacting the cost.
- Insurance & cashless facility at Desun Hospital
Desun Hospital is recognized as a leading angioplasty hospital in Kolkata, offering cashless Mediclaim and hassle-free insurance approvals. We are empaneled with major TPA and insurance providers, ensuring patients get quality treatment without financial stress.
Risks & Recovery after Angioplasty
Possible Risks & Complications
Bleeding or Hematoma
- Occurs at the catheter insertion site (wrist or groin).
- Can range from mild bruising to severe bleeding requiring intervention.
Artery Damage
- Injury to the artery during catheter insertion or balloon inflation.
- May require surgical repair in rare cases.
Restenosis (Re-narrowing of the Artery)
- Scar tissue formation or plaque buildup after the procedure.
- Reduced risk with drug-eluting stents and drug-coated balloons.
Blood Clots (Stent Thrombosis)
- Can occur inside the stent, leading to a heart attack.
Kidney Damage (Contrast-Induced Nephropathy)
- Due to the contrast dye, especially in patients with pre-existing kidney issues.
- Preventive hydration and monitoring are essential.
Post-Procedure Care & Recovery Time
Hospital Stay
- Most patients stay for 24–48 hours for observation.
- High-risk or emergency cases may need longer monitoring.
Access Site Care
- Keep the wrist or groin site clean and dry.
- Report any redness, swelling, or bleeding immediately.
Medication Adherence
- Never stop medication without consulting your cardiologist.
Activity Restrictions
- Avoid heavy lifting and strenuous exercise for at least one week.
- Light walking is encouraged to improve circulation.
Diet & Lifestyle
- Low-fat, low-salt diet.
- Quit smoking, limit alcohol, and manage diabetes & blood pressure.
Follow-up Checkups
- Regular visits for ECG, echocardiography, and lipid profile.
- Stent patients need long-term monitoring.
Why Choose Desun Hospital for Angioplasty?
⏱️ 24×7 Emergency Cardiac Care
- Immediate response for heart attack and cardiac emergencies.
- Round-the-clock availability of interventional cardiologists and Cath Lab.
👨⚕️ Experienced Cardiologists & Cardiac Surgeons
- A team of highly skilled interventional cardiologists, backed by cardiac surgeons for complex cases.
- Expertise in angioplasty, stenting, and complex coronary interventions.
🏥 NABH Accredited, Advanced Cath Lab
- State-of-the-art Cath Lab for accurate and safe angioplasty procedures.
- Use of advanced imaging technologies like IVUS and OCT for precision.
✅ High Success Rate
- Proven track record with thousands of successful angioplasty procedures.
- Focus on patient safety, quick recovery, and long-term cardiac health.
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