Angioplasty with Medicated (Cypher) Stent in India

Definition

Angioplasty with Medicated (Cypher) Stent is a kind of treatment used to cure coronary artery disease. This treatment helps to open the blocked arteries and blood so that they smoothly flow to your heart muscle. This treatment unlocks a blocked coronary artery by inflating a tiny balloon in the artery. Your doctor will decide when you have to go for angioplasty with medicated stent after conducting few tests and diagnosis.
Most of this treatment is now carried out using a small metal like catheter called ‘stent’ that works as scaffolding to keep the blood vessel open.

Reasons for treatment 

The main reasons why one should go for Coronary Angioplasty with medicated stent include the following:
  • When you undergo server chest pain or angina and your diagnosis confirms that you have clogged arteries
  • When you don’t want to go for clot-dissolving drugs after a recent heart attack
  • When your doctor post-diagnosis tells you that you have coronary artery disease which is usually due to fatty deposits inside the blood vessels of the heart

Risks involved

Angioplasty with medicated stent involves less risk. However, under certain cases the following risks may arise after angioplasty:
  • Your blood vessel may be damaged or may get clogged completely during this procedure
  • The condition may result to an emergent heart bypass or can cause a heart attack
  • In some cases under severe heart attacks four out of 1000 patients die after the surgery

Pre-treatment requirements 

Your doctor will advise you for the following requirements to be taken care of before angioplasty starts:
  • You will undergo a cardiac catheterization which will diagnose the level of your coronary artery disease
  • You will undergo a chest X-ray, and electrocardiogram (ECG) and blood tests
  • Your doctor will slot in an IV dip and you will also be given sedative tablet before you are transferred to the cardiac catheter theatre
  • In the theatre you will be placed on an X-ray table and will also be connected to a heart monitor. All this before your groin is cleaned with sterilizing agents. A local anesthesia will later be given.

Post-treatment requirements

Post-angioplasty involves the following requirements for the patient:
  • You will be shifted to the coronary care unit where you will be advised for complete bed rest with a cover which will coat the puncture site
  • Your ECG will be checked by the nurse after you are being placed on a heart monitor
  • Your limb, puncture site, pulse and blood pressure will be checked regularly
  • The catheter which was inserted in your groin will be removed once the effects of the blood-thinning drugs given during surgical procedure have dilapidated away
  • There will be a small dressing over the incision site
  • Your doctor will advised you to use some painkillers to relieve any post-operative pain

Average Stay

If the patient is observed to have a normal recovery after the surgery then, he can be discharged the next day his angina has subsided. However, some patients who read signs of slow recovery stay back in the hospital for three days.