A balloon and a small mesh tube open a narrowed heart artery from the inside. It eases chest pain and, during a heart attack, gets blood flowing again fast.
Your angiogram report has a number like 90% next to one of your heart arteries, and the word "stent" came up before you'd taken it in. Or you arrived in emergency with crushing chest pain and there was no time to think it over.
Coronary angioplasty (also called PTCA or PCI) opens a narrowed heart artery from the inside. A cardiologist passes a thin tube from your wrist or groin up to the heart, threads a fine wire across the blockage and inflates a tiny balloon to press the plaque back. A stent, a small mesh tube coated with medicine, is then usually left in place to hold the artery open. Your chest isn't opened, and you stay awake.
During a heart attack, opening the artery quickly is the preferred treatment, because every minute of blocked flow costs heart muscle. In stable angina, a stent usually eases the pain but often doesn't lower the risk of a future heart attack much beyond what good medicines achieve, so the tablets and habits afterwards matter as much as the stent.
Our cardiology team performs angiography and angioplasty and gives emergency cardiac care round the clock for heart attacks. Afterwards, our cardiac rehabilitation programme helps you get fit again under supervision.
Angioplasty treats coronary artery disease, where fatty plaque narrows the heart's arteries. The decision rests on your symptoms and your angiogram.
Most people get a drug-eluting stent, whose coating slows scar tissue growing inside it. A medicine-coated balloon without a stent is sometimes used for very small arteries or a narrowing inside an old stent.
A planned angioplasty often follows straight on from the angiogram, in the same sitting, if you agreed to that beforehand. Primary angioplasty is the emergency version during a heart attack. Either way, the wrist artery is the usual route, with the groin kept for when the wrist artery is too small or a complex blockage needs larger equipment.
You lie on the X-ray table with ECG stickers and a drip. A mild sedative helps you relax, your wrist or groin is numbed, and a short sheath goes into the artery.
A catheter is guided to the narrowed artery and dye shows the blockage on screen. A wire thinner than a sewing needle is then steered across it.
A balloon is inflated for a few seconds to press the plaque into the artery wall, which can cause brief chest discomfort. A stent folded over a second balloon is then opened in the widened segment, where it locks against the wall and stays.
Final pictures confirm that blood flows freely. The sheath comes out and a wrist band or groin closure device seals the artery. One stent usually takes 30 to 60 minutes.
Nurses watch the puncture site and your ECG. After the wrist route you can sit up soon, and after the groin route you lie flat for a few hours. Drink plenty of water to flush out the dye.
Most people go home the day after a planned angioplasty. After a heart attack the stay is usually 3 to 5 days. Before you leave, we go through each tablet with you and your family.
Walk a little further each day, and don't lift anything heavy with the treated arm for 5 to 7 days. Most desk workers return in about a week. Ask your cardiologist before driving or riding a two-wheeler, usually a week after a planned procedure and longer after a heart attack.
Cardiac rehabilitation helps you rebuild fitness under supervision. Keep taking both antiplatelet tablets for as long as prescribed, usually 6 to 12 months, then usually one for life, with a statin. Our diet chart for heart patients suggests easy swaps, and stopping smoking protects every artery.
Call us on +91-8826000033 or come straight to our 24/7 emergency department.
In stable angina, large trials show that starting with medicines, a statin and regular exercise is safe, with angioplasty kept for pain that doesn't settle.
A heart surgeon routes blood around the blockages using a vessel from your chest, arm or leg. It often does better with left main or three-artery disease, especially with diabetes. Recovery takes 6 to 12 weeks.
In a heart attack, if angioplasty can't be done quickly, an injection (thrombolysis) can reopen the artery. Most people still need an angiogram afterwards.
Talk to our Cardiology team
Ask about your options, the cost and your insurance before you decide. See the insurance and TPA panels we work with.
This page explains Coronary Angioplasty and Stenting (PTCA) in general terms. Your own plan depends on your health, your test results and your doctor's advice. Please read our medical disclaimer.
Coronary Angioplasty and Stenting (PTCA) is led by our Cardiology team, with other departments stepping in at each stage of your care.
At Prakash Hospital, our Cardiology Department offers expert, round-the-clock care, providing timely diagnosis and advanced treatments for heart conditions to keep your heart healthy and strong.
What the department treats
Interventional Cardiology
Echocardiography
Cardiac Rehabilitation
Pacemaker Implantation
Angioplasty and Stenting
Heart Failure Management
Procedures often considered alongside Coronary Angioplasty and Stenting (PTCA), or that treat related conditions.
An X-ray dye test that maps blockages in the heart's arteries and guides the choice between medicines, stents and surgery.
Measures pressure and oxygen inside the heart and lungs through a thin tube, to guide valve and heart failure care.
An ECG recorded while you walk on a treadmill, to check for reduced blood flow to the heart during exercise.
An ultrasound of the heart that shows how well it pumps and how the valves work. Painless and radiation-free.
A portable ECG worn for 24 to 48 hours to catch irregular heartbeats that come and go.
Other procedures our Cardiology team performs.
We offer expert care across key specialties, including Medicine, Cardiology, Orthopaedics, ENT, Gynaecology, and more—delivering trusted treatment under one roof.
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