A common heart disorder where the narrow arteries disrupt the regular flow of blood is referred to as Peripheral artery disease. In peripheral arterial disease, generally the legs don’t receive enough blood according to the body’s needs. This gives rise to leg pain sometimes severe, while walking. In such conditions, Peripheral Angioplasty is performed which is a minimally invasive technique.
The varied methods available and used by the surgeons to perform angioplasty are as following:
- Balloon Angioplasty – The most commonly practiced method of angioplasty where a catheter is channelized upto the narrowed artery. A balloon fitted at the tip of the catheter is inflated to clear the plaque and the balloon is then deflated and withdrawn. This widens the artery facilitating normal blood flow.
- Stent Placement – After an angioplasty is done, depending upon the patient’s condition a stent is placed to keep the arteries intact and reduce the risk of restenosis. Blood thinning medications are given with the usage of stent to help prevent blood clots in the recovery period.
- Atherectomy – The plaque is scraped off and removed from the artery wall instead of being pushed against the wall in case of balloon angioplasty.
- Laser – Tiny laser beams are seldom used to break the plaque and remove it from the arteries to ensure normal flow of blood in the heart.
Blockage in the leg requires peripheral angioplasty which can be conducted via the following ways:
- The main artery i.e. the aorta that comes from the heart.
- Artery in the hip or pelvic region.
- Artery in the thigh
- Artery behind the knee
- Artery in the lower leg
Peripheral Angioplasty comprises a procedure where an intravenous channel into the arm is made to facilitate the entire process in a smooth way. Through the groin a catheter is inserted into the blood vessel. The catheter when it reaches the blocked or narrowed artery, the balloon fitted at its tip is inflated to widen the narrowed artery. The accumulated plaque is cleared and the balloon is then deflated and removed. This procedure helps in the increased supply of blood in the body.
In case of balloon angioplasty, peripheral stents are used. It helps in opening up the artery, supplying blood to the narrowed or blocked artery. Recent developments in the stents have made it possible to prevent restenosis i.e. recurrence of the blood vessel. Drug eluting stents coated with medicines to enhance the healing process is now widely available.
The chances of peripheral arterial disorder increases with age. Other factors increasing the risk for this disorder are smoking, diabetes, hypertension and others. Risks of angioplasty also include:
- Allergic reactions
- Heart attack and stroke
- Bleeding or infection in the incision area where the catheter is inserted.
- Loss of limb
- Kidney failure in certain risks
- Blood thinning medications are given to prevent the formation of blood clots.
Results depend upon various factors like the condition of the blockage, the size of the blockage and whether other health issues exist or not. The surgery assures a less painful recovery with small incision and post operative health complications are rarely heard of. The success rate is 95% and people generally undergoing this treatment don’t face any post operative difficulties. The cost for peripheral angioplasty is quite affordable in India and commences from USD 3000 and extends upto Rs. USD 6000 on an average. The hospitals here provide a low cost yet effective treatment compared to other western countries where the cost is quite high. Cost of angioplasty in the western countries like UK, USA ranges between USD 15000 to USD 30000. Thus international patients too often get attracted by both the low budget and the high quality treatment with all the necessary facilities provided by the hospitals.
India has an efficient network of hospitals catering to the needs of cardiac patients. With an affordable package of treatment, these hospitals attract people from all across the world to get their treatment done here. Latest means of technology supports the entire process of treatment in a smooth way, ensuring complete recovery. Leading hospitals for peripheral angioplasty are:
- Apollo Group (Bangalore, Kolkata, Delhi, Hyderabad)
- Artemis Hospital, Gurgaon
- Asian Heart Institute, Mumbai
- Columbia Asia,Yeshwanthpur
- Fortis Group (Delhi, Mohali, Bangalore, Chennai)
- Global Hospitals, Hyderabad.
- Wockhardt Hospital, Mumbai
- Max Super Speciality Hospital,Delhi
- Kokilaben Dhirubhai Ambani Hospital, Mumbai.
- Medanta- The Medicity, Gurgaon.
Proficient and experienced doctors ensure a successful treatment to the patients and findings suggest that their contribution has led to a remarkable development in the field of cardiac surgery. India has some of the best surgeons in the field of peripheral angioplasty. They are:
- Dr Naresh Trehan (Medanta- The Medicity, Gurgaon)
- Debdatta Bhattacharya (Rabindranath Tagore International Institute of Cardiac Science, Kolkata)
- Lekha Pathak (Nanavati Hospital, Vile Parle)
- Mahadev D Dixit (Aster Hospital, Bangalore)
- Devi Prasad Shetty (Narayana Institute of Cardiac Sciences, Bangalore)
- S.K Gupta ( Indraprastha Apollo Hospital, Delhi)
- Jamshed Dalal ( Kokilaben Dhirubhai Ambani Hospital, Mumbai)
- Ajit Menon ( Wockhardt Hospital, Mumbai)
- Dr, R. S Joshi (Rabindranath Tagore International Institute of Cardiac Science, Kolkata)
- Sanjay Mehrotra (Narayana Institute of Cardiac Sciences, Bangalore)
A woman from Bangladesh narrates her experience:
“My husband had been suffering from peripheral arterial defect and often had painful cramps in the thigh region. Slowly, his condition deteriorated and he was unable to walk around as it caused him severe pain. A friend of ours’ told us to get in touch with MedTour2India as they come up with helpful solutions for patients suffering from any disease. I got in touch with them and they recommended a hospital in the city itself, which made it easier for me to get him admitted faster. After going through his medical reports, the surgery was conducted by the doctors. He got an angioplasty done on both legs. First, the right leg was done and after a month the left. The incision has been made through the thigh and he has faced no major difficulty in recovering. He has been given drug eluting stents which the doctor said would facilitate his faster recovery. He has no pain now while walking and the surgery has really been successful. Without the help of MedTour2India and Apollo Gleneagles, Kolkata I don’t know how my husband’s recovery would have happened. I am extremely thankful to the hospital staff for assisting us throughout the course of the treatment and would recommend it to all patients in need.”
A 70 year old patient from Oman says :
“I have always been an active person and used to do freehand exercises along with walking around. Then, one day I felt a stinging pain in my muscle and had a lot of difficulty in walking back to my home. The pain was persistent and I visited a doctor who after an ultrasound said that my arteries were clogged and that a surgery was required. The treatment cost was high in my country, and so after consulting it with my family, I decided to get operated in Kolkata. MedTour2India came to my rescue and guided me throughout my treatment and stay in India. I got admitted in Wockhardt Hospital and scrutinizing my physical condition, my doctor suggested a minimally invasive procedure to clean my arteries. Though I was nervous, I was assured of complete recovery. Thus, an angioplasty was conducted and I received a stent on my left leg. Afterwards, what followed was a complete miracle. I faced no complications and gradually recovered. My legs felt stronger with the passing of each day and used to be under regular checkups. My doctor was very cooperative and from time to time he used to prescribe be the necessary medicines. I am glad that I chose to get operated in India as now I hardly face any difficulty in moving around. I would also thank MedTour2India, without whose aid my treatment would not have been a success.”