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Peripheral Arterial Angioplasty with Stent Placement Treatment Cost in India

  • Peripheral Arterial Angioplasty with Stent Placement Treatment Cost in India is between USD 1200 - USD 3000

  • Hospital Days: 1 - 2

  • Procedure Duration: 1 Hrs - 2 Hrs

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Peripheral arterial angioplasty with stent placement is a minimally invasive procedure for treating peripheral artery disease (PAD). It involves widening narrowed or blocked arteries with a balloon catheter and placing a small metal mesh tube called a stent to support the vessel walls and maintain blood flow. This combined approach effectively restores blood flow to the affected limb, alleviating symptoms such as leg pain and improving overall circulation. It offers benefits such as shorter recovery times, reduced risk of complications, and improved long-term outcomes compared to traditional surgical interventions.

Why Do You Need Peripheral Arterial Angioplasty with Stent? 

Peripheral arterial angioplasty with stent placement is necessary to address the complications associated with peripheral artery disease (PAD), a condition characterized by narrowing or blockage of the arteries in the extremities. Here's why peripheral arterial angioplasty with stent placement may be needed:

  • Improved Blood Flow: PAD often results in reduced blood flow to the extremities, leading to symptoms such as leg pain, cramping, and numbness. Peripheral arterial angioplasty with stent placement effectively widens narrowed or blocked arteries, restoring adequate blood flow to the affected limb, and alleviating symptoms.
  • Prevention of Tissue Damage: In severe cases of PAD, reduced blood flow can lead to tissue damage, non-healing wounds, or ulcers, increasing the risk of infections and limb-threatening complications. Angioplasty with stent placement helps prevent further tissue damage by restoring blood flow and promoting wound healing.
  • Reduction of Complications: Untreated PAD can lead to serious complications such as peripheral artery occlusion, gangrene, or limb amputation. Peripheral arterial angioplasty with stent placement is a proactive intervention to reduce the risk of these complications by restoring blood flow and maintaining limb function.
  • Improved Quality of Life: PAD can significantly impair a patient's quality of life by limiting mobility and independence. Peripheral arterial angioplasty with stent placement improves blood flow to the extremities, allowing patients to resume normal activities, maintain an active lifestyle, and enhance their overall well-being.
  • Alternative to Surgery: Peripheral arterial angioplasty with stent placement offers a less invasive alternative to surgical interventions such as bypass surgery. It is associated with shorter recovery times, reduced risk of complications, and improved patient outcomes compared to traditional surgical approaches.

Types of Peripheral Arterial Angioplasty with Stent?

Peripheral arterial angioplasty with stent placement encompasses various techniques tailored to address specific arterial blockages and patient needs. Here are some common types:

  • Balloon Angioplasty with Stent: This is the most common approach, where a balloon catheter is used to widen the narrowed artery, and a stent is deployed to support the vessel walls and maintain patency post-dilation.
  • Drug-Coated Balloon Angioplasty with Stent: In this approach, a specialized balloon coated with medication is used to perform angioplasty. The medication is released into the artery walls during balloon inflation, helping to reduce the risk of restenosis (re-narrowing) post-procedure.
  • Cutting Balloon Angioplasty with Stent: This technique involves using a balloon catheter with microsurgical blades or wires on its surface. These blades or wires score or cut through the artery's plaque, facilitating better vessel expansion during balloon inflation and optimizing stent deployment.
  • Directional Atherectomy with Stent: Atherectomy devices physically remove or modify plaque from the artery walls before stent placement. This approach is particularly useful for heavily calcified or fibrotic lesions where standard balloon angioplasty may be less effective.

How Patients are Selected for the Procedure? 

Patients are selected for peripheral arterial angioplasty with stent placement based on several factors, including their medical history, symptoms, diagnostic imaging findings, and treatment goals. Here's how patients are typically evaluated and selected for the procedure:

  • Symptoms Assessment: Patients presenting with symptoms of peripheral artery disease (PAD), such as leg pain, cramping, numbness, or weakness, especially during physical activity, undergo evaluation to determine the severity and extent of arterial blockages.
  • Diagnostic Imaging: Imaging studies such as ultrasound, computed tomography angiography (CTA), magnetic resonance angiography (MRA), or angiography are performed to assess the vascular anatomy, identify arterial blockages, and determine the location and severity of stenosis or occlusions.
  • Medical History Review: Healthcare providers review the patient's medical history, including any underlying medical conditions, previous surgeries or interventions, medications, and lifestyle factors. This information helps assess the patient's overall health status and identify any risk factors or contraindications for peripheral arterial angioplasty with stent placement.
  • Multidisciplinary Evaluation: In complex cases, a multidisciplinary team of healthcare professionals, including interventional cardiologists, interventional radiologists, vascular surgeons, and other specialists, may collaborate to evaluate the patient and determine the most appropriate treatment plan.
  • Treatment Goals: The patient's treatment goals and preferences are important in selecting candidates for peripheral arterial angioplasty with stent placement. Healthcare providers discuss the potential benefits, risks, and alternatives to the procedure, considering the patient's needs and preferences.

Patient selection for peripheral arterial angioplasty with stent placement involves a comprehensive evaluation of medical history, symptoms, diagnostic imaging findings, treatment goals, and multidisciplinary input to ensure the procedure is appropriate and likely to achieve optimal patient outcomes.

Risks and Benefits Associated with Peripheral Arterial Angioplasty with Stent

Benefits of Peripheral Arterial Angioplasty with Stent:

  • Improved Blood Flow: Angioplasty with stent placement effectively opens narrowed or blocked arteries, restoring adequate blood flow to the affected limb. This alleviates leg pain, cramping, and numbness and improves overall limb function and mobility.
  • Minimally Invasive: Compared to traditional surgical interventions such as bypass surgery, peripheral arterial angioplasty with stent placement is minimally invasive. It typically involves smaller incisions, shorter recovery times, and reduced risk of complications.
  • Outpatient Procedure: The procedure is often performed on an outpatient basis, allowing patients to return home the same day and resume their normal activities sooner than inpatient surgery.
  • High Success Rate: Peripheral arterial angioplasty with stent placement has a high success rate, with most patients experiencing significant improvement in symptoms and blood flow. This leads to enhanced quality of life and reduced risk of complications associated with peripheral artery disease.

Risks of Peripheral Arterial Angioplasty with Stent:

  • Arterial Injury: There is a risk of arterial injury during the procedure, including vessel perforation, dissection, or rupture. This risk is higher in heavily calcified or tortuous arteries and may require additional interventions to repair.
  • Restenosis: Despite successful angioplasty and stent placement, there is a risk of restenosis (re-narrowing) of the treated artery over time. This may require repeat procedures or additional interventions to maintain arterial patency.
  • Thrombosis: The procedure may dislodge plaque or cause blood clots to form, leading to thrombosis (blood clotting) within the treated artery. This can result in reduced blood flow or blockage of the artery, necessitating further treatment.
  • Contrast Dye Reaction: Peripheral arterial angioplasty with stent placement involves using contrast dye, which can cause allergic reactions or kidney damage in some patients, particularly those with pre-existing renal impairment or allergies.

What to Expect After a Peripheral Arterial Angioplasty with Stent?

After undergoing peripheral arterial angioplasty with stent placement, patients can expect a period of recovery and may experience certain post-procedure effects. Here's what to expect:

  • Immediate Post-Procedure Period: Following the procedure, patients are monitored closely in a recovery area for a few hours to ensure stability. Vital signs such as blood pressure, heart rate, and oxygen saturation are monitored, and the healthcare team manages any immediate post-procedure discomfort or pain.
  • Discharge Instructions: Before leaving the healthcare facility, patients receive detailed discharge instructions from their healthcare provider. These instructions typically include information about wound care, activity restrictions, medications, and signs of potential complications that require medical attention.
  • Pain and Discomfort: After the procedure, patients may experience mild discomfort or pain at the insertion site or in the treated limb. This is normal and can usually be managed with over-the-counter pain medications such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Activity Restrictions: Patients are usually advised to avoid strenuous activities, heavy lifting, or prolonged standing or sitting for a specified period following the procedure. However, light activities such as walking are encouraged to promote circulation and aid recovery.
  • Follow-up appointments: Patients are scheduled with their healthcare provider to monitor their recovery progress, assess treatment efficacy, and address any concerns or complications that may arise. These appointments ensure optimal long-term outcomes and address ongoing issues or symptoms.

while recovery from peripheral arterial angioplasty with stent placement varies for each individual, most patients experience a relatively smooth recovery process with proper care and follow-up. Patients must follow their healthcare provider's instructions carefully and promptly report any unusual symptoms or concerns for further evaluation and management.

How is Peripheral Arterial Angioplasty with Stent Performed?

Peripheral arterial angioplasty with stent placement is a minimally invasive procedure performed in a specialized interventional radiology suite or catheterization laboratory (cath lab). Here's an overview of how the procedure is typically performed:

  • Preparation: Before the procedure, the patient is prepared by changing into a hospital gown and lying on an examination table. Vital signs such as blood pressure, heart rate, and oxygen saturation are monitored throughout the procedure. The area where the catheter will be inserted (usually the groin or wrist) is cleaned and numbed with a local anesthetic to minimize discomfort.
  • Catheter Insertion: A thin, flexible tube called a catheter is inserted into a blood vessel through a small incision in the skin. The catheter is guided to the site of the arterial blockage using fluoroscopic guidance, a type of X-ray imaging that allows the healthcare team to visualize the catheter's position in real-time.
  • Angiography: Once the catheter is in position, contrast dye is injected through the catheter to visualize the arterial anatomy and identify the location and severity of the blockage.
  • Balloon Angioplasty: A specialized balloon catheter is advanced through the guiding catheter and positioned at the site of the arterial blockage. The balloon is then inflated, compressing the plaque against the artery walls and widening the vessel, restoring blood flow.
  • Stent Placement: After balloon angioplasty, a stent—a small metal mesh tube—is deployed to support the newly widened artery and maintain its patency. The stent is carefully positioned within the artery using the catheter and then expanded to its full size, holding the artery open.
  • Confirmation: After stent placement, contrast dye may be injected again to confirm the procedure's success and ensure adequate blood flow through the treated artery.
  • Catheter Removal: Once the procedure is complete, the catheter and other devices are carefully removed, and pressure is applied to the insertion site to prevent bleeding. A bandage or compression device may be applied over the site to facilitate healing.

Peripheral arterial angioplasty with stent placement is a minimally invasive procedure that effectively opens narrowed or blocked arteries, restoring blood flow to the affected limb and alleviating symptoms associated with peripheral artery disease.

Doctors for Peripheral Arterial Angioplasty with Stent Placement in India

Author

Doctor of Pharmacy
Dr. Deepanshu Siwach is a skilled clinical pharmacist with a Doctor of Pharmacy degree. He has 4+ years of experience and has worked with thousands of patients. He has been associated with some of the top hospitals, such as Artemis Gurgaon and Teerthanker

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Dr. Deepanshu Siwach is a skilled clinical pharmacist with a Doctor of Pharmacy degree. He has 4+ years of experience and has worked with thousands of patients. He has been associated with some of the top hospitals, such as Artemis Gurgaon and Teerthanker...

Frequently Asked Questions

Peripheral arterial angioplasty with stent placement typically takes 1 to 3 hours to complete. However, the exact duration may vary depending on factors such as the complexity of the arterial blockage, the number of arteries treated, and any additional procedures performed during the angioplasty. Patients should consult their healthcare provider for specific details regarding their procedure timeline.

The success rate of peripheral arterial angioplasty with stent placement is generally high. Most patients experience significant improvement in blood flow and symptom relief following the procedure. However, individual outcomes may vary depending on factors such as the severity of arterial blockage, overall health, and adherence to post-procedure care. Patients should consult with their healthcare provider for personalized information regarding success rates.

Following peripheral arterial angioplasty with stent placement, patients typically experience a smooth recovery process. They may have mild discomfort at the insertion site, managed with pain medications. Activity restrictions and wound care instructions are provided. Patients are monitored for any signs of complications. Regular follow-up appointments are scheduled to assess progress. Contact healthcare providers for specific post-procedure guidance.

Patients can typically return to normal activities within a few days to weeks after peripheral arterial angioplasty with stent placement. However, the exact timeline varies based on individual factors such as the severity of arterial blockage, overall health, and post-procedure recovery. Patients should follow their healthcare provider's instructions and gradually increase activity levels as tolerated.

Peripheral arterial angioplasty with stent placement typically lasts between 1 to 3 hours. However, the duration may vary depending on factors such as the complexity of the arterial blockage and the number of arteries treated. Patients should consult their healthcare provider for specific details regarding the duration of their procedure.

Following peripheral arterial angioplasty with stent placement, lifestyle changes may include adopting a heart-healthy diet low in saturated fats, regular exercise to improve circulation, smoking cessation, and managing conditions like high blood pressure and diabetes. Consult with healthcare providers for personalized recommendations to optimize vascular health and prevent future complications.

Yes, alternative treatments to peripheral arterial angioplasty with stent placement exist. These may include medication therapy, lifestyle modifications such as exercise and dietary changes, and other minimally invasive procedures like atherectomy or balloon angioplasty without stent placement. Treatment choice depends on factors such as the severity of arterial blockage, overall health, and patient preferences. Consult with healthcare providers for personalized recommendations.

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