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DAY CARE CORONARY ANGIOPLASTY

A Simple Explanation

In this situation, Coronary Angioplasty is performed on a patient and is discharged the same day.

What is it?

Day care Coronary Angioplasty is the concept of performing the procedure and the discharge of the patient within 4-6 hours of the procedure on the same day, without the normal overnight stay for recovery.

This concept was followed because of the rise of coronary diseases amid limited centers performing angioplasties. This proved to be cost-effective and convenient for the patient. Even though, it has risen to be a fruitful effort, the patients who develop complications during or after the procedure are admitted in the hospital and discharged only after the patient has fully recovered.

What is Coronary Angioplasty?

Coronary Angioplasty, or Percutaneous Transluminal Coronary Angioplasty, is a therapeutic procedure performed to treat stenotic coronary arteries of the heart. These stenotic segments of the arteries are due to the plaque build up of cholesterol.

This procedure helps in opening up blocked arteries and restoring normal blood flow to the heart muscle.

The Procedure

The procedure usually takes around 1-3 hours. There might be a few complications that can occur, like:

  • Bleeding the Catheter Insertion site
  • Damage to the walls of the arteries
  • Heart Attack or maybe abnormal heart rhythms
  • Allergy to the X-ray dye
  • Blood clots
  • Infection
  • Stroke
  • Temporary Kidney Failure

Pre-Procedure

  • The patient will undergo blood tests, diagnostic tests like ECG etc.
  • The patient has to inform of the medications being presently used.
  • The patient will have to fast a couple of hours before the procedure

The Actual Procedure

The catheter will be inserted either through the groin area or the arm area. These areas will be cleaned and local anaesthesia is administered here. Then a thin, flexible tube called Catheter with a deflated balloon at its end is inserted through the artery either in the groin or wrist areas and then guided to the blocked part of the artery using X-Ray video.

Once the catheter is positioned at the blocked part of the blood vessel, the balloon is then inflated to widen the blood vessel slowly and then a stent is placed to hold up the walls.

Once the procedure is complete, the catheter will be removed. Pressure will be applied at the site of catheter insertion for around 30 minutes, to prevent bleeding.

Post-Procedure

  • The patient will have to lie still on the back for couple of hours.
  • The Pressure dressing is applied at the catheter insertion site to prevent bleeding. In some cases, a vascular closure device will be used to seal the site to allow for quicker hospital discharge.
  • Before being discharged, patient will be given instructions to be followed at home.
  • The patient will have to come for frequent follow-ups with the doctor.
  • After being discharged, the patient has to inform the doctor for
    • Any signs of infection, like fever or chills.
    • Redness, swelling, increase of pain, excessive bleeding or any other discharge at the insertion site.
    • Nausea and vomiting
    • Pain even after application of medications
    • Chest pain, breathing problems etc.,
    • Joint pain, fatigue, rash or any other new symptoms.

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Billroth Hospitals,
43, Lakshmi Talkies Road, Shenoy Nagar,
Chennai-30.

+91-44-42921777

+91-7299404040

admin@billrothhospitals.com

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