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.

What is Coronary Angioplasty and Stenting?

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).

Expert Team with Exceptional Track Record

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.

Advanced Cath Lab Technology at Livasa Hospital

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

Types of Coronary Blockages Treated

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

Indications for Angioplasty and Stenting

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

Types of Stents Used at Livasa Hospital

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

Acute Heart Attack Management (Primary PCI)

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.

The Angioplasty and Stenting Procedure

Procedure Duration: 30–60 minutes (depending on complexity)

Step-by-Step Process:

  1. Preparation: Baseline angiography to identify blockage

  2. Guide Wire Positioning: Careful advancement across the lesion

  3. Balloon Angioplasty: Inflation to compress plaque

  4. Stent Delivery: Positioning and deployment of stent

  5. Stent Expansion: Optimal stent positioning achieved

  6. Final Angiography: Confirmation of successful intervention

  7. 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

Post-Procedure Hospital Stay and Recovery

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

Post-Procedure Medications (Critical)

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

Lifestyle Modifications for Long-Term Success

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

Cardiac Rehabilitation Program at Livasa Hospital

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

Long-Term Outcomes and Success Rates

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

About Dr. Harinder K. Bali - Your Interventional Cardiologist

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

Hospital Infrastructure and Services

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

Schedule Your Angioplasty and Stenting Consultation

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.

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