Angioplasty for Coronary Artery Disease

 

Although many factors are involved, angioplasty with or without stenting is usually done if you have:

  • Frequent or severe chest pain (angina) that is not responding to medicine.
  • Evidence of severely reduced blood flow (ischemia) to an area of heart muscle caused by one narrowed coronary artery.
  • An artery that is likely to be treated successfully with angioplasty whether or not stenting is also used.
  • You are in good enough health to undergo the procedure.

Angioplasty may not be a reasonable treatment option when:

  • There is no evidence of reduced blood flow to the heart muscle.
  • Only small areas of the heart are at risk, and you do not have disabling chest pain (angina).
  • You are at risk of complications or dying during angioplasty due to other health problems.
  • The anatomy of the artery makes angioplasty or stenting too risky or will interfere with the success of the procedure.
  • The surgeon or hospital does not perform enough procedures to ensure competency.
  • The hospital does not have access to emergency cardiac surgical facilities.

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