COMPLICATIONS ASSOCIATED WITH ANGIOPLASTYAbstract
For certain people, heart disease treatment can be achieved without surgery. Angioplasty and stend placement are the common, non-surgical procedures that can be used to open the blocked heart arteries. This technique involves five different procedures including: Percutaneous coronary angioplasty, Peripheral angioplasty, Carotid angioplasty, Renal angioplasty and Venous angioplasty. Carotid angioplasty and stenting (CAS) has been proposed as another option to surgery and is presently performed more frequently and is all around accepted, at least for high surgical risk patients. However, complications and particularly embolic strokes, even with a meticulous technique in all the procedures, can occur at any step of the procedure. To avoid and reduce these complications associated with angioplasty, it is important to have good indications dependent upon good patient and lesions selection, as well as correct technique. Patients with diabetes and 70% blocked arteries are not recommended for angioplasty. Though it is regarded as the safest, effective and of less cost it has several complications associated such as restenosis, heart attack, ventricular fibrillation, myocardial infarction, misplacement of stent, aneurysms, kidney failure, seizures, occur within 6 to 10 hours of angioplasty performed. These complications can be prevented by using antiplatelets, aspirin and to avoid kidney failures intravenous injections are used. Indians underwent a cath lab procedure in 2013, the number rose to 2.48 lakh in 2014. There has been a 40% rise in the number of deaths during or immediately after primary angioplasty—from 0.89% in 2013 to 1.25% in 2014. There is no proven benefit in implanting a stent in a blockage that does not impair blood flow to the heart muscle. These blockages require only medications and lifestyle changes to treat successfully.