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Angioplasty Stenting (PCI) in India

In this article, we have covered the following:

  • Understanding Angioplasty
  • Best Hospitals for Coronary Angioplasty in India
  • Top Interventional Cardiologists in India
  • Cost of Coronary Angioplasty in India
  • How to Proceed- How we Help!

Best Hospitals for Coronary Angioplasty in India

HospitalCityHospital Page link
Fortis Escorts Heart Institute & Research CentreNew Delhi, IndiaVisit hospital page, contact
Medanta – The Medicity, Gurgaon Gurgaon, IndiaVisit hospital page, contact
Kokilaben Hospital, Mumbai Mumbai, IndiaVisit hospital page, contact
Artemis Hospital, GurgaonGurgaon, IndiaVisit hospital page, contact
Max Super Specialty Hospital, New Delhi New Delhi, IndiaVisit hospital page, contact
BLK Super Specialty Hospital, New Delhi New Delhi, IndiaVisit hospital page, contact
Apollo Hospital, Chennai Chennai, IndiaVisit hospital page, contact
Jaypee Hospital, Noida Noida, IndiaVisit hospital page, contact
Fortis Memorial Research Institute, Gurgaon Gurgaon, IndiaVisit hospital page, contact
Wockhardt Hospitals, Mumbai Mumbai, IndiaVisit hospital page, contact
Global Hospital ChennaiChennai, IndiaVisit hospital page, contact
Fortis Flt. Lt. Rajan Dhall Hospital, New Delhi New Delhi, IndiaVisit hospital page, contact
Fortis Hiranandani Hospital, Vashi, Mumbai Mumbai, IndiaVisit hospital page, contact
Indraprastha Apollo Hospital, New Delhi New Delhi, IndiaVisit hospital page, contact
Fortis Hospital, Bangalore Bangalore, IndiaVisit hospital page, contact
Fortis Hospital, Mulund, MumbaiMumbai, IndiaVisit hospital page, contact
Max Hospital, Gurgaon Gurgaon, IndiaVisit hospital page, contact
Fortis Malar Hospital, Chennai Mumbai, IndiaVisit hospital page, contact
Global Hospital, Mumbai Mumbai, IndiaVisit hospital page, contact
MaxCure Hospital, Hyderabad Hyderabad, IndiaVisit hospital page, contact
Mazumdar Shaw Cancer Centre (MSCC), Bangalore Bangalore, IndiaVisit hospital page, contact
Narayana Institute of Cardiac Sciences, Bangalore Bangalore, IndiaVisit hospital page, contact
Paras Hospital Gurgaon, IndiaVisit hospital page, contact
S. L. Raheja Hospital, Mumbai Mumbai, IndiaVisit hospital page, contact
SIMS Hospital, Chennai Chennai, IndiaVisit hospital page, contact
Sri Ramakrishna Hospital, Coimbatore Coimbatore, IndiaVisit hospital page, contact

Top Interventional Cardiologists in India

NameDepartmentCityCheck profile, contact
Dr. Praveen ChandraInterventional CardiologistGurgaonCheck profile, contact
Dr. Samuel MathewInterventional CardiologistMumbaiCheck profile, contact
Dr. Ashok SethInterventional CardiologistNew DelhiCheck profile, contact
Dr. Manjinder SandhuInterventional CardiologistGurgaonCheck profile, contact
Dr. Jamshed DalalInterventional CardiologistMumbaiCheck profile, contact
Dr. Monik MehtaInterventional CardiologistGurgaonCheck profile, contact
Dr. Subhash ChandraInterventional CardiologistNew DelhiCheck profile, contact
Dr. Vishal RastogiInterventional CardiologistNew DelhiCheck profile, contact
Dr. Atul MathurInterventional CardiologistNew DelhiCheck profile, contact
Dr. Praveer AggarwalInterventional CardiologistNew DelhiCheck profile, contact
Dr. Prashant NairInterventional CardiologistMumbaiCheck profile, contact
Dr. Snehal KulkarniInterventional CardiologistMumbaiCheck profile, contact
Dr. Arvind DasInterventional CardiologistGurgaonCheck profile, contact
]

Cost of angioplasty in India

The cost of angioplasty in India is about USD 5,000 & about 500 extra for each drug-eluting stent (the most popular variety)

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Understanding Angioplasty

Angioplasty is a non-surgical procedure to clear blockages in the heart arteries. It clears or unblocks the narrowed or blocked arteries that are the reasons for chest pain or heart attacks. It is done in the cardiac catheterization laboratory or cath-lab by Interventional Cardiologists who insert a catheter through a wire into the narrowed blood vessels. The balloon is then inflated to a fixed size to expand the vessel and then deflated and withdrawn. The procedure takes about one to three hours to complete.

Angioplasty is one of the most common heart procedures done today. It is estimated that about one-third of patients with Coronary Artery Disease (CAD) undergo coronary angioplasty stenting. Every year 300,000+ angioplasties are done in India.

Indications

Clinical indications for PCI are as follows:

  • Acute ST-elevation myocardial infarction (STEMI)
  • Non-ST-elevation acute coronary syndrome
  • Stable angina
  • Angina equivalent (eg, dyspnea, arrhythmia, dizziness/syncope)
  • Asymptomatic or mildly symptomatic patients with evidence of a viable myocardium or symptoms of ischemia on noninvasive investigations.

Clinical contraindications include significant comorbidities (a relative contraindication)

Angiographic indications

Indications for PCI include hemodynamically significant significant lesions or blockage in vessels supplying viable myocardium (good sized coronary vessels; diameter >1.5 mm).

Angiographic relative contraindications are as follows:

  • Left main stenosis- coronary artery bypass grafting [CABG] is the preferred treatment for left main stenosis; however there are certain cases of  PCI in left main stenosis cases also
  • Diffusely diseased small-sized artery or CABG vein graft
  • Other coronary anatomy not amenable to PCI

Other Contraindications to a coronary stenting are as follows:

  • Patients in whom antiplatelet and/or anticoagulant therapy is contraindicated
  • Blockage or stenotic Lesion that prevents complete opening of an angioplasty balloon or proper placement of stent

Coronary stents are implemented after balloon angioplasty. The delivery system consists of a balloon-tipped catheter, over which the collapsed desired sized stent is threaded. Once the stent is advanced at the stenotic site, the balloon is inflated to expand the stent using ballon of delivery system. The stent subsequently becomes endothelialized over the period of time.

Stent Variants

Stents are of 3 types:

  • Bare metal stents( stainless steel, cobalt chromium alloy, or nickel chromium alloy)
  • Drug eluting stents– stents with a polymer coating or antiproliferative drug, which release drugs into the coronary wall for weeks to months after coronary stenting procedure
  • Bioabsorbable drug eluting stents which are made up of special bioabsorbable polymer

Bare metal stents are rarely used now because of recent advancement and lot of research in the coronary interventions. Drug eluting stents have less chances of stent thrombosis due to elution of drug for weeks to month.

Design Features

Bare metal stent differ from each other with respect to element (eg, stainless steel, cobalt chromium alloy, or nickel chromium alloy), design, and delivery system used ( balloon catheter that delivers the stent, self-expanding, or balloon expandable).

Drug Eluting Stents are balloon-mounted, expandable, slotted tubular / multilink scaffolds made of a stainless steel or cobalt chromium . Stent has a polymer with antiproliferative drug, which allows drug elution for weeks to months to reduce the local proliferative healing response.

Angioplasty or Bypass surgery?

Both angioplasty and bypass surgery (CABG) are basically the procedures to clear the blocked arteries for allowing smooth blood flow. Based on type of blockage and other medical conditions, your cardiologist decides, which procedure to perform of the two. Generally angioplasty is done in case of one to three arteries blockage while bypass is considered when there is significant blockage of main coronary arteries or when all the three coronary arteries are blocked.

Recovery after angioplasty

The recovery of angioplasty patients is faster. The hospital stay is about one day. You would be able to walk within two to six hours and return to normal activities in a week. But you need to avoid physical activities, strenuous work or any kind of weight lifting for about two weeks. A gradual exercise regime would be recommended by your doctors.

In case of stents, medications for up to one month to one year would be prescribed, based on your medical condition, to prevent blood clots.

For complete recovery and preventing recurrence of the disease, it is essential to maintain a healthy lifestyle minus smoking, high cholesterol diet and weight gain.

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