Coronary angioplasty is usually performed by an interventional cardiologist, a doctor specialised in the treatment of the heart using invasive catheter-based procedures.
Where Coronary Angioplasty/Stenting Is Indicated?
- Cases of chest pain – acute or chronic (angina), proved to have single or multiple discreet blocks on an angiogram.
- Patients having positive treadmill tests and demonstrable blocks on angiogram.
- Post ‘heart attacks’ where angiogram shows residual blocks after the use of clot busting drugs.
- Post ‘bypass surgery’ cases who develop fresh blocks and are not considered fit for a re-do surgery.
- Patients with borderline blocks having positive ‘myocardial perfusion studies’.
When Not To Go For Coronary Angioplasty/Stenting
- Left main stenosis in a patient who is a surgical candidate. (Although bypass surgery is still the preferred treatment for left main stenosis, this area is rapidly evolving toward safe and feasible angioplasty options.)
- Diffusely diseased small-caliber artery.
- Multiple blocks, especially in diabetic patients, where bypass surgery has better outcome.
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