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Angioplasty, also called percutaneous coronary intervention (PCI), is a keyhole operation to widen or unblock an artery.
The operation is done using a minimally invasive (keyhole) technique. A small balloon is inserted into the artery, where it is inflated to stretch open the artery. Often a stent will be inserted in the same procedure in order to keep the artery open.
Coronary angioplasty can be used to reduce symptoms of angina. It is also used as an emergency treatment if you have a heart attack.
Our fixed-price packages include the cost of your surgery and all appropriate aftercare appointments. However, any pre-surgery diagnostic tests and your consultant's outpatient appointment consultation fee are charged separately.
Our flexible payment options help you spread the cost of your payment across a time period that suits you. We offer fixed-term monthly payment plans over one to five years with no deposit required. If you decide to pay over 12 months, you will pay interest-free. If you are paying for a longer period, you will pay 9.9% APR.
If you have private health insurance, the procedure will usually be covered by your provider. Speak to your insurer directly to find out.
Angioplasty can improve blood flow to your heart, which in turn improves your heart muscle's oxygen supply.
This is when your coronary arteries (the main blood vessels that serve your heart) have become clogged with fatty deposits called plaques.
Plaques build up over time and cause your arteries to thicken or harden in a process called atherosclerosis. As a result, it becomes harder for blood to flow through your coronary arteries and into your heart. This blood brings oxygen to your heart, and so a problem with blood flow to the heart also reduces your heart's oxygen supply.
Coronary heart disease (also known as coronary artery disease) can lead to:
Angina is the name for chest pain and other symptoms caused by reduced blood flow to the heart muscle. These include:
A heart attack can happen when a blood clot stops the flow of blood to the heart. If you have plaque in your coronary arteries, sometimes a bit breaks off and creates a blood clot, which can cause a completely blocked artery. This can trigger a heart attack, because the blood supply to your heart has stopped.
Heart attacks don't automatically happen because you have coronary heart disease, however in the long term your risk is increased. If you do have a heart attack due to blocked arteries, angioplasty can prevent a further heart attack (or at least lower the risk) by widening the artery and therefore removing the cause.
An angioplasty won't be suitable or necessary for everyone with angina. For some people it may be possible to have a coronary bypass surgery. Others won't be recommended surgery at all.
Coronary artery disease can also be treated using drugs to relieve the symptoms and to help prevent the disease getting worse. In some cases, lifestyle changes can significantly slow the development of coronary heart disease.
Coronary heart disease (CHD) develops slowly over time. Not everyone will have symptoms. Some people have a heart attack without noticing any previous signs of CHD.
If you do have symptoms of CHD, it's generally angina, which includes:
Your symptoms might be triggered by exercise or stress, and they'll often calm down or stop within a few minutes of resting.
The main risk factor for CHD is age, as the condition develops over time. Other risk factors include:
Your consultant will probably organise a selection of diagnostic tests during this first appointment. Sometimes these can be done on the same day, and sometimes you'll have to come back another day to have them done. It depends on which tests you need.
As well as arranging tests, they will ask you lots of questions about your medical history, your symptoms and what brought you to see us, as well as more personal questions about your lifestyle and interests. We tailor our treatment plans to the individual, so we like to know what's important to you and what you want to get out of your treatment before we make our recommendations.
Once we have the results of your diagnostic tests, your consultant will be able to make a diagnosis and start putting together a treatment plan for you. This will be bespoke to you and they won't make any decisions before discussing them with you in detail.
Your cardiologist will begin by making a small incision (cut) into an artery in your groin, wrist or arm. A thin tube called a catheter will be inserted and guided towards the affected coronary artery. We typically use an X-ray to help us guide the catheter to the right place.
Once the catheter is in place, they will insert a thin, hollow wire with an uninflated balloon on the end of it. Once at the narrowed or blocked artery, this balloon will be inflated, widening the artery so that blood and oxygen can flow more freely.
Often, a stent will also be inserted during this procedure. A stent is a sort of tube that sits inside your artery, holding it open permanently. The stent is usually placed around the balloon before it's inserted into your arteries. When the balloon is deflated and removed, the stent stays in place.
A PCI usually takes between half an hour and two hours.
Potential complications during or soon after the procedure:
Potential late complications:
Once you get home, you should avoid any strenuous activity for at least a week. Your care team will let you know how to look after yourself when you get home, what activities to avoid and how to care for your wound. We'll let you know what to expect from your recovery, and give you any medicines you might need to take home with you.
You won't be able to drive yourself home, so it's a good idea to arrange for a loved one to collect you. We can order you a taxi if you would prefer.
If you have high blood pressure or high cholesterol, you will usually need to continue with most of the drugs you were on before the procedure. Your consultant will tell you everything you need to know about this.
As you recover, we'll keep in touch regularly to make sure you're feeling better, and we won't fully discharge you until we're happy that you're well on the road to recovery.
If you have private medical insurance, speak to your insurer about how to get a referral to one of our hospitals. We work with all major health insurance providers.
If you are paying for your own treatment and would like to spread the cost to make it more affordable, we work with Chrysalis Finance to offer loans that can be paid back over a period of one to five years.
If you want to know more about cardiology and how we can help you look after your heart, book your appointment online today or call a member of our team directly on 0141 300 5009.