Coronary Angioplasty & Stents

Percutaneous Transluminal Coronary Angioplasty (PTCA) 

Sometimes during a heart cath the doctor may find blockages that are suitable for angioplasty.  A catheter with a small balloon at the tip is inserted into the artery and the balloon is positioned over the plaque which is creating the blockage.   The balloon is inflated and deflated several times to compress the plaque against the artery wall, opening the artery wider for better blood flow to your heart muscle.

Stents

Stents are now being used to hold blocked arteries open.  The stents are tiny wire “cages” that are situated on the end of a balloon, similar to what is used during the PTCA.  The deflated balloon and stent are placed in the artery at the site of the blockage, then the balloon is inflated and the stent expands to compress the blockage against the artery wall.  When the balloon is deflated, the stent stays in place.  Sometimes several stents are needed for a single blockage.  Other times, several stents may be placed at different sites if there are multiple blockages.  

How do I prepare for a PTCA or stent placement?  

The preparation for PTCA is the same as for a cath. You will need to bring an overnight bag if you are scheduled for PTCA or stent placement. 

Will I have to spend the night in the hospital?  

Yes.  If you have angioplasty or have a stent placed, you will have to stay overnight in the hospital.  Most people are able to go home the next day.

What can I expect after a PTCA/stent?

You should be able to go home the day following your procedure, provided there were no complications.  You will be able to shower and walk, but will need to restrict lifting to no more than 10 pounds for about 2 weeks.  You will be asked to keep an eye on the insertion site and look for redness or swelling.  Mild tenderness is common and there may be a small knot present, but you will need to notify your physician for any swelling, drainage, bleeding or if it hurts to walk.  You should also contact your doctor for any cramping, weakness in the affected leg or if the leg gets “sleepy” or feels tight when you walk.  You will also need to contact your doctor for any chest pain or shortness of breath.