Coronary angioplasty and stenting is a minimally invasive, life-saving procedure used to open blocked coronary arteries and restore blood flow to the heart muscle. At Livasa Hospital Mohali, this procedure is performed by an experienced interventional cardiology team using advanced cath lab technology, making it one of the preferred centres for coronary interventions in Punjab.
During coronary angioplasty, a thin catheter with a small balloon at its tip is inserted through an artery in the wrist or groin and navigated to the site of blockage in a coronary artery. Once in position, the balloon is gently inflated to compress the fatty plaque against the artery wall and widen the vessel. In most cases, a stent—a small metal mesh tube—is then deployed to keep the artery open and prevent re-narrowing (restenosis).
Livasa Hospital's interventional cardiology program is led by Dr. Harinder K. Bali, Chairman Cardiac Sciences, who has:
40+ years of interventional cardiology experience
50,000+ successful coronary interventions (one of highest in India)
150,000+ patients treated globally
International recognition in complex procedures
Pioneered primary angioplasty for heart attack management in Punjab
First to demonstrate non-surgical device closure of heart complications
His expertise, along with a skilled team of consultants, nurses, and technicians, ensures high procedural success rates and excellent long-term outcomes.
The cath labs at Livasa Hospital Mohali are equipped with state-of-the-art technology:
| Equipment | Function | Advantage |
|---|---|---|
| Modern Angiography Systems | Real-time vessel imaging | High-quality visualization |
| IVUS (Intravascular Ultrasound) | Vessel dimension assessment | Optimal stent sizing |
| OCT (Optical Coherence Tomography) | High-resolution imaging | Precise plaque characterization |
| Rotational Atherectomy | Calcified lesion treatment | Complex blockage management |
| FFR Assessment | Functional significance testing | Appropriate intervention decision |
| Multiple Stent Options | Various designs available | Tailored treatment selection |
Angioplasty and stenting at Livasa Hospital successfully treats:
Simple single-vessel disease
Multiple vessel disease (multi-vessel PCI)
Left main coronary artery disease
Bifurcation lesions (blockage at vessel branch)
Heavily calcified lesions
In-stent restenosis (previous stent re-narrowing)
Saphenous vein graft disease
Chronic total occlusions (CTO)
Acute myocardial infarction (heart attack)
Unstable angina
Angioplasty and stenting is recommended for patients with:
Heart attack (acute myocardial infarction) – Emergency treatment
Unstable angina – Severe, unpredictable chest pain
Symptomatic coronary artery disease – Persistent symptoms despite medication
Significant coronary blockage – 70%+ stenosis on angiography
Positive stress test – Evidence of cardiac ischemia
Left main disease – Critical blockage requiring revascularization
Multi-vessel disease – Multiple significant blockages
Failed conservative therapy – Inadequate symptom control with medications
| Stent Type | Characteristics | When Used |
|---|---|---|
| Drug-Eluting Stents (DES) | Release anti-restenosis medication | Most contemporary cases |
| Bare Metal Stents (BMS) | No medication coating | Specific clinical scenarios |
| Bioresorbable Stents | Gradually dissolve after healing | Selected younger patients |
| Specialized Stents | Bifurcation/long lesion specific | Complex anatomies |
In acute ST-elevation myocardial infarction (STEMI), primary angioplasty is the treatment of choice when performed promptly. Livasa Hospital operates 24x7 for cardiac emergencies, maintaining:
Rapid triage protocols
Door-to-ECG time: <10 minutes
Door-to-balloon time: <90 minutes (gold standard)
Immediate cardiology consultation
Emergency cath lab availability
Full ICU and intensive monitoring
This rapid response system minimizes heart muscle damage and significantly improves survival rates.
Procedure Duration: 30–60 minutes (depending on complexity)
Step-by-Step Process:
Preparation: Baseline angiography to identify blockage
Guide Wire Positioning: Careful advancement across the lesion
Balloon Angioplasty: Inflation to compress plaque
Stent Delivery: Positioning and deployment of stent
Stent Expansion: Optimal stent positioning achieved
Final Angiography: Confirmation of successful intervention
Hemodynamic Monitoring: Continuous surveillance during recovery
Patient Experience:
Awake but comfortable under sedation
Local anesthesia at access site
May feel pressure in chest during balloon inflation (normal)
Contrast injection creates warm sensation (normal)
No significant pain during procedure
| Timeline | Status | Activity |
|---|---|---|
| Immediate | Recovery room | Continuous monitoring |
| 4-6 hours | Can sit up | Monitor access site |
| 8-12 hours | Can ambulate | Light activity |
| 24 hours | Discharge eligible | Most patients go home |
| 1-2 weeks | Restricted activity | Light work, walking |
| 4-6 weeks | Normal activities | Return to full routine |
After stent placement, strict medication adherence is essential:
Dual Antiplatelet Therapy (DAPT):
Aspirin: Lifelong daily
Clopidogrel (Plavix): 1 month (BMS) to 12 months (DES) minimum
Do not stop without cardiologist approval (risk of stent thrombosis)
Additional Medications:
Beta-blockers: Heart rate and blood pressure control
ACE inhibitors: Heart protection
Statins: Cholesterol and plaque stabilization
Medications as per individual assessment
After stent placement, optimize your lifestyle:
Diet: Heart-healthy, low-sodium, low-cholesterol diet
Exercise: Gradually increase activity (supervised programs available)
Smoking Cessation: Quit immediately (critical)
Stress Management: Regular relaxation and stress reduction
Weight Management: Target BMI <25 kg/m²
Regular Monitoring: Follow-up appointments and tests
The hospital offers a comprehensive cardiac rehabilitation program combining:
Supervised Exercise: Progressive training in monitored setting
Nutritional Counseling: Dietary optimization
Educational Sessions: Heart disease and medication education
Psychological Support: Anxiety and depression management
Stress Management: Relaxation techniques
Lifestyle Modification: Sustainable healthy behavior change
Family Education: Caregiver support and involvement
Livasa Hospital's angioplasty and stenting program maintains:
Procedural Success Rate: >98% (successful stent placement)
In-Hospital Mortality: <1% (excellent safety profile)
Stent Thrombosis Rate: <1% (with proper medication compliance)
Re-stenosis Rate: 3-5% (with contemporary DES)
Long-term Survival: >95% at 5 years
Quality of Life: Most patients return to normal activities within 4-6 weeks
Dr. Harinder K. Bali's Credentials:
40+ years of interventional cardiology practice
50,000+ successful coronary interventions globally
150,000+ cardiac patients treated with excellent outcomes
International publications: 75+ papers in leading journals
MD from PGI Chandigarh (1985) - Kataria Memorial Gold Medalist
DM in Cardiology from PGI (1988)
25+ years faculty at PGI as Additional Professor
International Guest Faculty at major European cardiology conferences
Pioneer in primary angioplasty technology in North India
Recognized expert in complex coronary interventions
Livasa Hospital Mohali:
230-bed multi-speciality facility
NABH-accredited for quality assurance
Established 2008 - 15+ years of cardiac excellence
300,000+ patients treated annually
25+ super-specialities under one roof
State-of-the-art cath labs with latest technology
Dedicated cardiac ICU with advanced monitoring
24/7 emergency services with rapid response
Network across Punjab: Mohali, Amritsar, Hoshiarpur, Nawanshahr, Khanna
For consultations regarding coronary angioplasty and stenting in Mohali:
Livasa Hospital Mohali
Sector 71, Sahibzada Ajit Singh Nagar (SAS Nagar)
Mohali, Punjab – 160071
Phone: +91-80788 80788 (24/7 Emergency)
Website: www.livasahospitals.com
Don't let coronary artery disease compromise your health. Contact Livasa Hospital Mohali today at +91-80788 80788 to schedule your consultation with our expert interventional cardiologists. Early intervention can save your heart and your life. Your cardiac health is our priority.
+91 80788 80788
Livasa Healthcare Group Corporate Office,Phase-8, Industrial Area, Sector 73, Sahibzada Ajit Singh Nagar, Punjab 160071
livasacare@livasahospitals.in
| Mohali | +91-99888 23456 |
| Amritsar | +91-99887 49494 |
| Hoshiarpur | +91-99883 35353 |
| Nawanshahr | +91-75081 82337 |
| Khanna | +91-98888 05394 |