Coronary Angioplasty

Stent placement cost in Mumbai varies based on several factors:

• Type of stent used (Bare Metal vs Drug-Eluting)
• Complexity of the procedure
• Hospital facility and infrastructure
• Insurance coverage and available schemes

Dr. Sheth believes in transparent pricing and provides clear cost estimates during your consultation. He also actively participates in schemes like Rajiv Gandhi Yojana to ensure affordable angioplasty in Mumbai for economically weaker patients.

Rotablation Angioplasty

For heavily calcified arteries that standard balloons cannot open, Dr. Sheth specializes in Rotablation Angioplasty. This advanced technique uses a diamond-tipped burr rotating at high speed to safely drill through calcium deposits. As a Proctor for Boston Scientific ROTA, Dr. Sheth is a nationally recognized Rotablation specialist who trains other cardiologists across India in this complex procedure.

Bifurcation Stent

Bifurcation lesions - blockages that occur at artery branch points - require specialized expertise. Dr. Sheth is a trusted Bifurcation Stent Specialist in Mumbai, using advanced techniques to treat these challenging cases with excellent long-term results.

IVUS and OCT Guided Angioplasty

For precision beyond what standard angiography can provide, Dr. Sheth utilizes Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) . These advanced imaging technologies allow him to:

• See inside the artery wall in microscopic detail
• Select the perfect stent size
• Ensure optimal stent placement
• Minimize complication risks
• Achieve superior long-term outcomes

Primary (Emergency) Angioplasty

Primary angioplasty is the preferred emergency treatment for acute myocardial infarction (heart attack) when performed in a well-equipped facility. Emergency angioplasty is recommended when:

• A skilled PCI-capable cath lab is available
• Door-to-balloon time is less than 90 minutes
• Surgical backup is available
• Fibrinolysis is contraindicated or delayed

High-Risk Heart Attack Situations:

• STEMI
• Cardiogenic shock
• Killip Class ≥ 3
• Late presentation (>3 hours)
• High bleeding risk
• Uncertain diagnosis of STEMI

The angioplasty procedure typically takes 30 to 90 minutes under local anesthesia. The patient remains awake but comfortable while your cardiologist works through a tiny puncture - usually in your wrist - to restore blood flow to your heart.

Throughout the procedure, the patient’s heart rhythm and blood pressure are continuously monitored to ensure safety. After completion, the patient is observed in a recovery area or coronary care unit for a few hours before discharge, depending on the clinical condition.

How Effective Is Angioplasty?

• Successfully opens blocked arteries in 9 out of 10 patients
• Relieves chest pain and improves blood flow
• Reduces heart attack risk
• Long-term success is higher with drug-eluting stents
• Smoking cessation significantly improves outcomes

If re-narrowing occurs, repeat angioplasty or bypass surgery may be required in a small number of cases.

Recovery Timeline:

• Walking: Possible within 12–24 hours
• Hospital stay: 1 - 2 days for uncomplicated cases
• Return to normal activities: Within a few days, as advised by the doctor

Understanding Angioplasty Risks and Benefits

While angioplasty is generally safe, potential risks include:

• Bleeding at the catheter insertion site
• Blood vessel damage (rare)
• Sudden artery closure (uncommon)
• Heart attack (very rare)
• Restenosis (re-narrowing of the artery)
• Need for repeat procedures or bypass surgery in a small number of cases

With experienced hands and advanced imaging techniques, complication rates remain very low - Dr. Sheth maintains a complication rate below 1%.

After angioplasty, patients are prescribed antiplatelet medications to prevent clot formation and reduce the risk of heart attack or stroke.

Standard Medication Protocol:

• Aspirin + another antiplatelet (such as clopidogrel or ticagrelor)
• Drug-eluting stent: Dual therapy required for at least 1 year
• Bare metal stent: Dual therapy for 1 month to 1 year
• Long-term aspirin therapy is usually continued lifelong

Medication duration may be adjusted in patients with a higher bleeding risk. Never stop these medications without consulting your doctor.

Heart care after angioplasty is essential for long-term success. Patients are advised to participate in a cardiac rehabilitation program, which includes:

• Supervised exercise training
• Heart-healthy diet guidance
• Smoking cessation support
• Blood pressure, cholesterol, and diabetes management
• Stress reduction techniques

Lifestyle changes are just as important as the procedure itself. They help prevent future blockages and ensure you enjoy the full benefits of your treatment.

While angioplasty is generally safe, potential risks include:

• Bleeding at the catheter insertion site
• Blood vessel damage
• Sudden artery closure
• Heart attack (rare)
• Restenosis (re-narrowing)
• Need for repeat procedures or bypass surgery

With experienced hands and advanced imaging techniques, complication rates remain very low.