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Angioplasty is a minimally invasive medical procedure used to open narrowed or blocked blood vessels, most commonly the coronary arteries that supply blood to the heart. It is often performed to treat conditions such as coronary artery disease, where plaque buildup restricts blood flow and causes chest pain or increases the risk of a heart attack. During angioplasty, a small balloon is inflated inside the artery, and in many cases, a stent is placed to keep the vessel open. This procedure helps restore healthy blood flow, relieve symptoms like chest pain and shortness of breath, and improve overall heart function. Recovery after angioplasty is usually quick, with many patients returning to normal activities in a short time. In this video, we explain what angioplasty is, why it is done, how the procedure works, and what to expect before and after treatment. _________________________________________________________________________________ Apollo Hospitals is the leading multi-specialty hospitals group in India. It is also present in several countries in the Asia-pacific region. Over 8000 doctors provide best in class treatment at the groups 70+ hospitals in 27 cities. It specializes in - Cardiology, Orthopaedics, Spine, Neurology & Neurosurgery, Gastroenterology, Gynaecology, Oncology, Transplants, ICU, Emergency, Preventive Medicine, Robotics, Bariatric Surgery, Nephrology & Urology and Colorectal Surgery. Follow Apollo Hospitals on Social Media for Regular Updates: Facebook - / theapollohospitals Twitter - / hospitalsapollo Instagram - / theapollohospitals Linkedin - / apollo-hospitals uh senior consultant intervention cardiologist Apollo main hospitals Green's Road Today I would like to talk about the importance of primary angioplasty in saving lives in patients with heart attack as well as uh patients who have high calcium load and have critical blockages. How new technologies have come in angioplasties which can treat patients as well as make them better. First of all, heart attack is a very important problem day to day. As you see in our country, gone are the days where heart attack is known to occur mainly for elderly people. no age is safe from heart attack. Even youngsters... beyond the age of 20-30 also suffer a heart attack. So what do mean by heart attack? Heart attack is complete 100 % blockage of arteries which are going to the heart. So... medical terms we call it myocardial infarction. When patients develop heart attack, it is life threatening and life endangering. So they have to approach the uh hospital which have catalogue facilities and round the clock cardiologists. care. So when a patient comes immediately to the emergency room, we call it door to balloon time, where it should be 90 minutes from the time of chest pain or even below. So we immediately attend to the patient, do the basic investigations, and then after informing the patient, we take the patient to the cat lab. So every minute we delay heart attack, I muscle gets affected and life-threatening complications can occur. So once we wheel into the catalogue, we immediately do angiogram which shows where exactly the blockage is and immediately after that followed by we do primary angioplasty. That means we pass in a wire, uh balloon the adhesion and put in a stent. So this stent usually crushes the block to the vessel wall and once again the blood flow which is completely blocked resumes. nothing is more gratifying for intervention cardiologists than saving a patient from heart attack. Apart from the primary angioplasty, there are other subset of patients who are actively working for angioplasty and some of the elderly people have got highly calcified arteries which means deposition of calcium in the inner lining of the artery. So these patients are the ones who need latest technologies in the form of We have got so many devices which can modify the plaque, decrease the calcium load and then we can deliver the stent. If we don't use these technologies, what can happen is we can go in and do a routine angioplasty but stent, if it does not expand adequately, patients may come back with a re-stenosis or even a stent thrombosis. So in Apollo, I specialized in doing uh such patients where we use an image guiding facility in the form of I-VAS, an intravascular ultrasound, or an optical cohenence tomography, is uh like a catheter which has a camera inside. And we introduce it inside and we can see. where the calcium is and the anatomy of the artery can be found out. which we can do the, then we have various plaque modification or calcium modification devices, like cutting balloons, high pressure balloons, non-compliant balloons. Then we have calcium cutting devices, like we have rotablater. and we have orbital atherectomy