.Coronary Angioplasty & Stenting Implantation

What is it 

A coronary angiography is the procedure during which a flexible tube (catheter) is inserted through an artery in the groin or the arm and threaded up with an X-Ray to the beginning of both coronaries (the arteries that supply with blood the heart). Contrast media is then injected to visualize any possible stenosis (narrowing of the artery) caused by  accumulation of fat in the artery wall. Once visualized, the stenosis can be treated with angioplasty. This requires crossing the stenosis with a small balloon, which is then inflated, pushing out the blockage, restoring patency and blood supply to the heart (Fig. 8). A stent (a wire mesh tube), is almost always placed at the level of the stenosis in order to  prevent re-blockage  (Fig. 9). When a coronary angioplasty and stenting is performed as an emergency treatment for an acute heart ischemia or myocardial infarction (failure in blood supply due to partial or complete occlusion of one of the arteries), it is called a primary angioplasty. Patients are usually discharged 2 days after the operation.


What we perform

Coronary angiography, angioplasty and stenting is performed with the newest angiography equipment (machine that visualize catheters and body structures with X-Ray), therefore reducing the amount of X-Ray dose and contrast media. All available Stent with (Drug-Eluting-Stent, DES) and without (Bare-Metal-Stent, BMS) drugs are available. Non-polymeric and absorbable stent are also used. The selection of the stent type is made on the basis of coronary anatomy and specific patient risk profile and additional diseases.

Ablation in congenital heart disease

Immagine angioplasty

Why a patient needs a Coronary Angioplasty & Stenting

Chest pain (angina) and shortness of breath during exercise are common if coronary stenosis (narrowing) is present. Chronic stenosis can lead to deterioration of the heart function, and acute coronary occlusion (myocardial infarction) can result in acute deterioration of the heart function and sudden cardiac death. Coronary angioplasty and stenting restores  the blood flow to the heart, therefore relieving symptoms and supporting proper heart function.