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Angioplasty
Percutaneous Transluminal Coronary Angioplasty
(PTCA) - often abbreviated to angioplasty - is a
procedure to re-open a narrowed coronary artery.
The heart muscle is supplied with oxygen by blood
arriving through the coronary arteries. If these
arteries are narrowed by fatty deposits, the heart
becomes starved of oxygen, which causes pain in
the chest, called angina.
A successful angioplasty brings relief from angina
and can make a heart attack less likely
This procedure is performed by the cardiology unit
of hospitals, in a specially-equipped room often
called a catheterization lab (or "cath lab" for
short).
The procedure lasts between 15 and 45 minutes. It
is carried out under a local anesthesia and mild
sedation.
A guiding catheter is passed through a large
artery in the groin or arm to the heart. The
physician monitors the insertion of the catheter
under fluoroscopy via x-ray. An injection of
liquid contrast medium through the catheter allows
the physician to visualize coronary arteries and
locate the blockage.
A guide wire is then threaded through the catheter
and manipulated beyond the site of the blockage.
With the guide wire in place, a balloon catheter
is inserted over the guide wire and advanced.
Once in place, the balloon is gently inflated in
the narrowed segment and then deflated after a few
minutes. This reopens the artery to allow improved
flow of blood.
Sometimes the physician can decide to place a
small tube, called a "stent" inside the re-opened
artery to hold it open. The stent is passed along
to the tip of the catheter and then opened up.
The balloon catheter, guide wire and guide
catheter are then removed.
The procedure is generally successful and has a
low rate of complications. The most common problem
is a gradual re-narrowing of the treated arteries,
which causes angina symptoms to return.
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