JAKAYA KIKWETE CARDIAC INSTITUTE (JKCI)

Cardiology Services

Angioplasty (PTCA) And Stenting

Introduction

Much often repeated and discussed, the process of angioplasty seems to be an important step nowadays for removing blocks from coronary artery system. For plenty of people in India, there is an important cause of ischemic heart disease, which is related to atherosclerosis. The blockage in the artery is relieved by the process of a catheter inserted into the artery, which is visible through angiogram studies. This is a step termed as angioplasty, where the balloon present in the catheter is inflated at the point where the coronary arteries have narrowed down. Such a procedure is known as balloon angioplasty or PTCA or Percutaneous Transluminal Coronary Angioplasty. Sometimes, the PTCA is juxtaposed with various other procedures, like that of the atherectomy, by which the removal of

plaques can be done. In the same process, stenting is also done for the narrowed areas of the coronary arteries, whereby the tissue is formed over the stents gradually and the patency is maintained for long time.

It is possible to undergo the procedures of Percutaneous Transluminal Coronary Angioplasty or PTCA and stenting in India with convenience. Many patients of IHD, who were previously shelling out huge sums of money and had limited resources to get better, now have huge number of options in front of them to get proper treatment and get well soon. In form of PTCA and stents, people have the right resources and advanced cardiac surgical procedures to get well from coronary artery disease conditions.

What are Percutaneous Transluminal Coronary Angioplasty or PTCA and stenting

Very often, the coronary arteries are seen to be the sites for atherosclerosis, so that these become blocked, reducing the supply of blood to muscles of the heart beyond the blockage. Coronary arteries are those ones, which help in supplying arterial blood or oxygenated blood to the heart musculature. In such conditions, these are supposed to be the primary source of blood supply to the heart and any kind of blockage will lead to the condition of ischemia. This kind of scenario is labelled under coronary artery disease or CAD. Many people nowadays suffer from atherosclerosis, with other chronic diseases like diabetes and hypertension. When atheromatous plaque gets deposited in the coronary arteries supplying different parts of the heart musculature, it will lead to heart muscles getting less supply, which can pose grave dangers to the heart functions. This is seen very commonly in India and hence the procedure of Percutaneous Transluminal Coronary Angiography or PTCA is very often seen to be performed in these individuals. Usually, the patients are in their late age, above 50 years and the procedure of PTCA can be very well received by them.

In the process of Percutaneous Transluminal Coronary Angioplasty and stenting in Indian Cardiology Hospitals, a catheter is passed through the arteries, which then reach the coronary arteries and the plaque of atheroma is removed. At the tip of such catheters, there is a balloon placed, which is inflated to press upon the lipid accumulation blocking the artery. In this way, the patency of the arteries can be returned, whereby the heart muscles get blood supply back. To make this patency further improved, the stenting process is nowadays done at JKCI, especially by the cardiologists. In the process of PTCA and stenting at JKCI, a mesh like cylindrical coil, which is fixed ahead of the balloon, which can be placed at the site where the atheroma had been present. Hence, stenting is a better way to maintain the patency of the coronary arteries and is being preferred by many cardiologists in Tanzania to solve issues of CAD. With improved technology and better interventional radiology, it is nowadays possible to put the stents and undertake the process of PTCA with competence and improved results in Tanzania.

Why is Percutaneous Transluminal Coronary Angioplasty (PTCA) and stenting required?

To maintain the patency of the coronary arteries, which are vital blood supplying vessels for the heart musculature, the processes of PTCA and stenting is being done at JKCI. People find these procedures to be non-invasive and very well placed to remove any further chances of ischaemic heart conditions. When this process is done nowadays, patients do not require hospitalisation and the patency of their coronary arteries can be well established.

Benefits of Percutaneous Transluminal Coronary Angioplasty and stenting

By undergoing through the process of Percutaneous Transluminal Coronary Angioplasty and stenting, patients are not subjected to any invasive procedures. This means that they have to stay in the hospital for a few days and get long term freedom from coronary atheromatous plaques. This procedure is of much benefit for elderly patients, who are suffering from multiple morbid conditions and are highly prone to ischemic heart diseases. PTCA and stenting at JKCI can be hugely beneficial for patients, because of the advanced methods of catherisation of the veins and arteries and the best quality stents in use. So, when this procedure is performed, it is of benefit for many of the people, as they can continue with their normal lifestyle for many years to come, without the threat of atheromatous plaque being formed again. The stent quality is also quite good, which can get fixed in the arteries and remain so without being clotted due to drugs incorporated for preventing clots. Soon after the stenting process is finished, people are able to go about their day to day activities without much delay.


Patient Testimonials

The smiles on their faces show appreciation after successfully surgeries

Happy kids after successfully surgeries

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