Categories: Cardiac Surgery

RADIAL ANGIOPLASTY – The New Frontier in Cardiology

Millions across the world have benefited by advancement in medicine and healthcare technology. Billions of dollars is spent on medical research and development to discover breakthrough technology that aims at improving the quality of people’s life.
What is Coronary Angiography?
Coronary angiography is an imaging technique which allows us to picture the coronary arteries supplying the heart and diagnose the extent of blockages in them. Angiography is used to determine which treatment option would be best for the patient.

Traditionally, coronary angiography is done by putting a plastic tube in the femoral artery i.e. The artery supplying the leg. Through this plastic tube called a sheath, small caliber plastic pipes are taken to the heart and dye injected into them to take pictures in cath lab.

The femoral route of angiography has been considered as inconvenient to the patient

· As patient has to lie down for at least 6 hours with his leg straight.
· This can lead to backache, difficulty in passing urine and pain at local puncture site.

· Higher chances of bleeding complications and blood collection at local site which can be troublesome for the patient and rarely requiring blood transfusions also.

To circumvent these problems, a recent development called Radial Angioplasty has comewhich is safe and convenient for the patient. Radial artery I.e. Artery which supplies the hand is one of them and one of the most frequently used route now a days for coronary angiography. The same procedure is followed in this as in femoral route but the chances of complications and bleeding are minimal.

Advantages of Radial Angioplasty
· It allows patient to be mobile just after angiogram and allows him to go home as early as 2 hours after procedure.
· The advent of radial angiogram has converted this into a day care procedure and saved into hospital expenditure of the patient and stay duration.
Radial route has been used for diagnostic angiography as well as therapeutic purpose i.e. Coronary angioplasty or PTCA i.e. Percutaneous Transluminal Coronary Angioplasty.  Through the same procedure as angiography, a wire is taken down to the coronary artery with blockage and put across the blockage. Then a balloon is inflated across the blockage to make appropriate place for stent. Following this a stent is deployed across the blockage which scaffolds the artery and prevents further recurrence of blockage in future. 
What is a stent?

Stent is a metallic mesh which has enough strength to open up the coronary arteries. Previously the angioplasties were performed without placement of a stent, but this was associated with high rates of reblockages. This procedure is now called as POBA i.e. Plain Old Balloon Angioplasty. With the advent of stent, this procedure has almost become obsolete now and most of the angioplasties now are being performed with stents and called PTCA +stent.

Again the advantage of choosing radial route over femoral is shorter duration of hospital stay with most of the patients being discharged the next day and early mobility as soon as 3-4 hours after angioplasty. The bleeding complications are minimal. Still the femoral route is used sometimes where radial route cannot be used and for performing complex angioplasties.

In the coming times, most of coronary interventions will be done preferably by radial route and with advent of new hardware and technology this is getting simpler and safer.
Dr. Ram Chitlangia
Consultant, Cardiology
Narayana Health

Recent Posts

सर्वाइकल कैंसर या बच्चेदानी के मुंह का कैंसर

बच्चेदानी के मुंह का कैंसर महिलाओं में होने वाले कैंसर में दूसरे स्थान पर आता…

2 weeks ago

Cervical Cancer Screening

Regular cervical screening can prevent about seven or eight out of every 10 cervical cancers…

2 weeks ago

Amyotrophic lateral sclerosis: All you need to know

Amyotrophic lateral sclerosis Table of Content: What is amyotrophic lateral sclerosis? Who gets ALS? What…

3 weeks ago

Brain Angiogram: Why Is It Done?

Brain angiogram, also known as a cerebral angiogram, is one of the common diagnostic tests…

3 weeks ago

All you need to know about Ataxia

Table of Content: What is Ataxia? Causes Symptoms Risk Factors & Complications How is it…

3 weeks ago

पोस्ट कोविड सिंड्रोम में तेजी से बढ़ रही पल्मोनरी फाइब्रोसिस और एम्बोलिज्म (खून के थक्के) की समस्या

जयपुर। कोरोना संक्रमण से ठीक होने के बाद भी फेफड़ों पर इसका असर लंबे समय…

3 weeks ago