What is coronary angioplasty (stenting)?
Coronary angioplasty is a percutaneous coronary intervention, also known as coronary artery angioplasty or coronary artery stent insertion. It is a way of treating coronary artery disease that does not involve surgery.
A catheter with a small balloon at the end is inserted through an artery in the groin or arm. The balloon is directed to the blockage using x-ray guidance. Once in place, the balloon is inflated. This pushes the fatty material out of the path of the blood and improves the blood supply to the heart.
In most cases, a stent (a short metal tube) will also be left in the artery to keep it open.
Consultants who offer coronary angioplasty
Royal Brompton & Harefield Hospitals Specialist Care is home to a number of specialists who can treat private patients who need coronary angioplasty:
- Dr Abethale Al-Hussaini - Consultant cardiologist
- Dr Jonathan Clague - Consultant cardiologist
- Dr Julian Collinson - Consultant cardiologist
- Dr Miles Dalby - Consultant cardiologist
- Dr Simon Davies - Consultant interventional cardiologist
- Dr Ranil De Silva - Consultant interventional cardiologist
- Dr John Foran - Consultant cardiologist
- Dr Richard Grocott-Mason - Consultant cardiologist, Medical director
- Dr Charles Ilsley - Consultant interventional cardiologist
- Dr Tito Kabir - Consultant cardiologist
- Dr Rajdeep Khattar - Consultant cardiologist
- Dr Rebecca Lane - Consultant interventional cardiologist
- Professor Thomas F. Lüscher - Consultant cardiologist, Director of research, education and development
- Dr Mark Mason - Consultant cardiologist, Divisional director for heart at Harefield Hospital
- Dr Vasileios Panoulas - Consultant cardiologist
- Dr Michael Rigby - Consultant paediatric cardiologist
- Dr Gareth Rosser - Consultant cardiologist
- Dr Robert Smith - Consultant interventional cardiologist
- Dr François Tarragano - Honorary consultant cardiologist.
Locations where coronary angioplasty is available
What are the benefits of coronary angioplasty?
In most cases the procedure will completely get rid of the symptoms of chest pain or at least reduce the frequency and severity of attacks (together with medication).
This procedure avoids the higher risks associated with surgery and those of a general anaesthetic. Your stay in hospital is relatively short at one or two nights, and you can return to normal activities fairly quickly, usually within a week.
Unlike surgery, this procedure can be carried out as often as needed. Angioplasty can also be carried out on coronary artery vein grafts to extend the life of these bypasses and avoid or postpone another operation.
What are the risks of coronary angioplasty?
All major medical procedures can be associated with a degree of risk. The overall risk of any serious complications occurring during or after the angioplasty procedure is between two to three in a hundred cases. However, risks will vary from patient to patient and your doctor will explain if you are at an increased risk for any reason.
If you have not already had a diagnostic angiogram, it may be difficult to precisely calculate your risk because the extent of your coronary artery disease will not be known.
Are there any alternatives to coronary angioplasty?
For some patients, coronary angioplasty is not possible. Heart bypass surgery or the use of drugs is often advised as being a more suitable treatment when the narrowings in the coronary arteries:
- are too long or too tight
- involve multiple branches and arteries
- or when a large artery is completely blocked.
In these cases, surgery is the alternative.
In other cases it may be possible to control symptoms with drugs. Your cardiologist will discuss all these options with you and you may also want to use this opportunity to discuss the effects of not having the procedure.
Fixed price packages for self-funders
If you prefer to pay for your own inpatient treatment, we offer fixed price packages to help manage the cost of surgery and care while in hospital. As the treatment needs vary from patient to patient, you will need to provide an up-to-date medical report or referral to be reviewed by the agreed consultant.
A complimentary consultation to review this report and any test results you have can be arranged. This will determine whether you are eligible for our fixed package price.