Coronary Angioplasty (PTCA)
Coronary Angioplasty (PTCA)is recommended when
fatty deposits have narrowed or blocked one or more of the
coronary arteries which supply blood to the heart. It is a
non-surgical technique used to open or widen the narrowed
coronary arteries. It can relieve symptoms of coronary artery
disease by improving the flow of blood to the heart muscle.
During coronary angioplasty, a special
catheter (a long, thin, flexible tube) with a small balloon at
the tip is guided into the diseased artery. When the catheter
reaches the narrow portion of the artery, the balloon is
inflated, stretching the artery and flattening the fatty deposits
against the artery's wall.
Stent Placement
Sometimes one or more stents is implanted
during a coronary angioplasty procedure. A stent is a small,
metal coil or mesh structure that is placed in a collapsing
artery to hold it open. The stent is mounted on a balloon
catheter and delivered to the site of the blockage. When the
stent is inflated (deployed), it expands and is pressed against
the inner wall of the coronary artery. After the balloon is
deflated and removed, the stent remains in place, keeping the
artery open. The physician may use more than one stent, depending
on the length of the diseased segment. Once in place, the stent
conforms to the shape, size and bends of the vessel. Eventually,
the artery wall grows around the stent as it continues supporting
the coronary artery.
After the procedure, patients who receive
stents are given a Patient Information Card to carry
with them. This card gives limited information about the stent(s)
they received, and should be shown whenever they undergo dental
or medical treatment.
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