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What is angioplasty?

Angioplasty is a procedure to improve blood flow in coronary arteries that have become narrow or blocked. Your coronary arteries supply oxygen-rich blood to the heart. If you have coronary artery disease, a sticky material called plaque builds up in the coronary arteries. Plaque is made of cholesterol, calcium, and other substances in your blood. Over time, it can narrow your arteries or fully block them. When this happens, some parts of your heart don't get enough blood.

Angioplasty widens the blocked part of the artery so more blood can get through. It is also called percutaneous coronary intervention (PCI).

What conditions does angioplasty treat?

Doctors use angioplasty to:

  • Reduce chest pain from blockages in the coronary arteries. This type of pain is called angina. There are different types of angina. Angioplasty treats certain types.
  • Limit damage to the heart during or right after a heart attack. In this case, angioplasty is an emergency treatment.

Angioplasty does not cure coronary artery disease. To help prevent more plaque blockages, you'll need to take any prescribed medicines, eat healthy foods, and get regular exercise.

What happens during angioplasty?

Most people have angioplasties in a hospital in a special room called a cardiac catheterization, or cath, lab. You will be awake and lying down. You'll get medicine to help you relax through an intravenous (IV) line. This is a small tube that goes into a vein in your hand or arm.

Angioplasty is done through a blood vessel in your arm, wrist, or groin. Your doctor will:

  • Make a small opening in that area to insert a thin tube (a catheter) into a blood vessel.
  • Thread the tube through the vessel to your heart, using x-rays as a guide.
  • Inject contrast dye inside your arteries. The dye highlights your heart and blood vessels in the x-rays.
  • Replace the first tube with another one that has a small, deflated balloon on the end.
  • Guide the balloon inside the blockage and inflate it to push the plaque flat against the artery wall. This makes the artery wider and improves blood flow.
  • Sometimes put a small, mesh tube into the artery to help keep it open. The tube is called a stent. Some stents have a coating of medicine that helps prevent blood clots from forming.
What happens after an angioplasty?

If you had an angioplasty for chest pain, you'll go to a recovery room for a few hours. You may stay in the hospital overnight. Your doctor will probably prescribe medicines to prevent blood clots. Most people can return to their usual activities after a week.

If you had an emergency angioplasty for a heart attack, you'll need to stay in the hospital for about a few more days.

Are there any risks from angioplasty?

Angioplasty is very safe. You may get a bruise, feel sore, or have some bleeding where the tubes were inserted. More serious problems don't happen very often, but they are possible. They can include serious bleeding, blood clots, and narrowing of the artery again.

NIH: National Heart, Lung, and Blood Institute


WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.

Felter's Materia Medica on Coating

AURANTII DULCIS CORTEX
   The outer rind of the ripe, fresh fruit of Citrus Aurantium. sinensis, Gallesio (Nat. Ord. Rutaceae) Common Names: Sweet Orange Peel (of Sweet... / ...ng also Citric Acid. Specific Indications.-(For Orange juice). Deep red tongue, with brown to black coating; scurvy. Therapy.—Sweet Orange Peel. Slightly stimulant, carminative, and tonic. Used almos...1

BAPTISIA
   The recent root and leaves of Baptisia tinctoria, Robert Brown (Nat. Ord. Leguminosae), a perennial shrub-like plant, indigenous to North... / ...ere we encounter the dusky appearance of the skin and membranes, the sleek, beefy tongue with pasty coating, the fetor of mouth, sordes, upon teeth and lips, and the sluggish capillary flow. Its usefu... / ...healing of the ulcerated surfaces. In all of the local disorders mentioned, baptisia should be given internally as well as applied locally.1

CARBO LIGNI
   Charcoal prepared by burning soft wood. It must be kept in... / ...eble; pallid skin with doughy and tumid abdomen; expressionless, pale tongue, with spots of denuded coating; passive hemorrhages, and profuse secretion. Action and Therapy.—External. Absorbent, deodo......he pulse is feeble, the belly-wall tumid and doughy, the tongue expressionless and pale with little coating and lenticular spots, or the coating may lift in patches.1

GELATINUM
   Gelatin. A purified glue prepared by boiling gelatinous animal tissues in water and purifying, evaporating and drying the product. Description.—A... / ...to the pharmacal preparation of capsules, lozenges, wafers, suppositories, court plasters, and as a coating for pills. Its intravenous or hypodermoclytic use (of about 3 ounces of a 1 per cent steril... / ...to its freedom from the formation of indol it has been advised as a part of the diet in intestinal putrefaction showing marked indicanuria.1

PODOPHYLLUM
   The dried rhizome and roots of Podophyllum peltatum, Linné (Nat. Ord. Berberidaceae). Rich woods and thickets of North America. Dose, 5 to 30... / ...f tissues, and particularly by fullness of superficial veins; oppressed full pulse; dirty yellowish coating of tongue and dizziness. It is contraindicated by pinched features and tissues, contracted s...1

PULSATILLA
   The recent herb of Anemone Pulsatilla, Linné, and of Anemone pratensis, Linné, collected soon after flowering (Nat. Ord. Ranunculaceae).... / ...ar the dental pulp; stomach disorders from indulgence in pastries and fats; pasty, creamy, or white coating upon the tongue, with greasy taste; thick, bland, and inoffensive mucous discharges; alterna...1


References

1) Felter, Harvey Wickes, 1922, The Eclectic Materia Medica, Pharmacology and Therapeutics, Cincinnati, Ohio.