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Coronary Angioplasty and Stenting

Coronary Angioplasty and Stenting
1providers
1doctors
USD 5500 – USD 10200

Quick facts

Treatment type Minimally invasive, catheter-based
Procedure time About 30-90 minutes
Hospital stay Usually 1 day
Anaesthesia Local

What is it

Coronary angioplasty opens a narrowed or blocked heart artery with a balloon, and a stent, a small metal mesh tube, is usually left in place to hold the artery open. It is done through a catheter, without opening the chest.

Why it is done

To restore blood flow to the heart muscle, relieve angina and, in a heart attack, to reopen the blocked artery quickly and limit damage to the heart.

Who needs it

Angina that continues despite medicines A narrowing found on coronary angiography that is suitable for stenting During a heart attack, to reopen the blocked artery A positive stress test with a significant single or double vessel narrowing

Types and options

Balloon angioplasty - the balloon alone widens the narrowing. Drug-eluting stent - the most commonly used stent, coated with medicine to reduce re-narrowing. Bare metal stent - used in selected patients. Supporting techniques may include intravascular imaging, pressure wire assessment and rotational atherectomy for heavily calcified arteries.

Tests before treatment

Coronary angiography, which usually identifies the blockage ECG and echocardiography Stress testing where done Blood tests including kidney function Assessment of which vessels are involved and whether stenting or bypass surgery is the better option

How it is done

Performed in a catheterisation laboratory under local anaesthetic, usually taking about thirty to ninety minutes depending on the number and difficulty of the blockages.

Recovery

Often one night in hospital, and sometimes same-day discharge for a straightforward case. Light activity resumes within a few days and most people are back to normal within a week. Antiplatelet medicines are continued exactly as prescribed - stopping them early is the main cause of a stent blocking - and cardiac rehabilitation is recommended where offered.

Benefits and outcomes

Relieves angina and breathlessness Restores blood flow to the heart muscle In a heart attack, limits damage to the heart No chest incision and no general anaesthetic Short hospital stay and quick return to normal life

Risks and complications

Bleeding or bruising at the puncture site Reaction to the contrast dye and effect on kidney function Re-narrowing of the treated segment over time Stent thrombosis, a clot in the stent, which is why antiplatelet medicines matter Artery injury or dissection Rarely, heart attack, stroke, or a need for emergency bypass surgery

Preparing to travel

Fasting as advised before the procedure Antiplatelet medicines are usually started beforehand Tell the team about diabetes medicines, blood thinners and any contrast allergy Blood tests including kidney function Arrange follow-up and someone to take you home

How it is done

  1. 1
    Access

    Local anaesthetic is given and a short tube is placed into the artery at the wrist or groin.

  2. 2
    Crossing the narrowing

    A fine guide wire is passed across the narrowed segment of the coronary artery.

  3. 3
    Balloon dilatation

    A balloon is advanced over the wire and inflated to open the narrowing.

  4. 4
    Stent placement

    A stent mounted on a balloon is positioned across the segment and expanded against the artery wall.

  5. 5
    Final check

    Images confirm that blood is flowing freely, and the catheters are removed.

Where you can have this

1 listed

Doctors who perform this

What it costs

USD 5500 – USD 10200 The range hospitals publish for this treatment. Your own price is confirmed after a surgeon reviews your reports. (1 providers) Get a treatment quote

What changes the price

Number of stents used Type of stent Whether imaging or pressure-wire guidance is used Complexity of the blockage, including calcified or totally blocked arteries Hospital selected Cardiologist and team Length of stay

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