Angioplasty (PCI)
Percutaneous Coronary Intervention (PCI) is a minimally invasive procedure to open blocked coronary arteries using a balloon and stent, restoring blood flow to the heart.
Success Rate
96%
Hospital Stay
1–3 days
Recovery
1–2 weeks
Cost Range
₹80,000 – ₹2,50,000
What is Angioplasty?
Coronary angioplasty, or Percutaneous Coronary Intervention (PCI), is a catheter-based procedure that opens narrowed or blocked coronary arteries. A small balloon is inflated at the blockage site to widen the artery, and a mesh stent is placed to keep it open.
Emergency vs Elective Angioplasty
- Primary PCI (Emergency) — Performed during acute heart attack; restores blood flow within 90 minutes of arrival
- Elective PCI — Planned procedure for stable angina or significant stenosis found during angiography
Stent Types
| Stent | Description |
|---|---|
| Drug-Eluting Stent (DES) | Coated with medication; prevents re-narrowing; current standard |
| Bioresorbable Stent | Dissolves over time; leaves no permanent metal |
| Bare Metal Stent (BMS) | Older generation; still used in specific situations |
After Angioplasty
Dual antiplatelet therapy (aspirin + clopidogrel/ticagrelor) is prescribed for 1 year after DES implantation. Lifestyle modifications and cardiac follow-up are essential.
FAQ
Angioplasty (PCI) — Frequently Asked Questions
Is angioplasty a major surgery?
No. Angioplasty (PCI) is a minimally invasive catheter-based procedure. No surgical incision is needed. A thin tube is inserted via the wrist (radial) or groin (femoral) and guided to the blocked artery.
How long does angioplasty take?
The procedure typically takes 30–90 minutes. Patients are awake throughout, under local anaesthesia. Most go home the following day.
What is the difference between bare metal and drug-eluting stents?
Drug-eluting stents (DES) release medication to prevent re-narrowing (restenosis) and are now the standard of care, offering superior long-term outcomes vs. bare metal stents.