PTCA and/or stent are the methods used for the treatment of narrowing or obstruction of the coronary arteries detected during the coronary angiography. PTCA and/or stent is performed in angio laboratory like coronary angiography without general anesthesia, by applying local anesthesia to the entrance site. Duration of the procedure is variable.
At the end of the procedure, the patient is taken to the appropriate service according to the doctor’s opinion. Coronary artery balloon angioplasty is carried out by using specifically designed materials.
First, catheter is placed through the sheath placed to intervention site and passed through the obstruction site via the thin guide wire advanced inside this catheter. Balloon is slipped on this wire and reached to diseased site.
Then the balloon is inflated by giving fluid outside and opening of the obstruction is provided. Then, after controlling the sufficiency of the opening in the control, procedure is terminated. It is rare to ensure smooth opening. Also, in order to reduce the risk of re-obstructions in the future, stents are preferred in 95% patients. In the beginning, while only bare, specific, stainless metal stents were used, recently drug eluting stents or other type of stents are used according to the advanced technology.
Which stent will be used in which case will be decided, consulting of the doctor with the patient is the way should be preferred for correct treatment. PTCA stent is an application that requires one day hospital stay of the patient.
The patient is discharged when doctor agrees appropriate. It is very important to avoid stressful environments, sexual relationships for 15 days as 2 days home rest and 15 days of work rest. Following the rest, plane and long land travels of the patient are determined according to the recommendations of the doctor. While coronary angiography procedure is applied through inguinal artery in routine practice, coronary angiography can be performed from the radial artery present in the waist, in our clinic. Also, in our clinic not only the obstructions of the coronary arteries but renal and leg arterial obstructions called as peripheral arteries can be treated with balloon and stent methods as well.