Angioplasty mein stent bina chest khole lagaya jaata hai. Kalai (ya jaangh) ki nas mein local anaesthesia dekar ek patli tube heart ki nas tak pahunchayi jaati hai. Uske andar se ek baarik wire blockage ke paar jaata hai, phir balloon phula kar blockage dabaya jaata hai aur usi jagah jaali jaisa metal stent khol diya jaata hai. Stent hamesha ke liye nas ko khula rakhta hai. Aam taur par 30–90 minute lagte hain.
Short mein samjhein
- Patient hosh mein rehta hai; sirf puncture wali jagah sunn ki jaati hai.
- Wire → balloon → stent: yahi teen kadam blockage kholte hain.
- Aaj zyaadatar drug-eluting stent lagte hain jo dawai chhod kar dobara sikudne se bachaate hain.
- IVUS jaise imaging se stent ka sahi size aur poora khulna confirm hota hai.
- Kalai ke raste hone par patient aksar kuch ghanton mein chalne lagta hai.
Stent kya hota hai aur kyun lagaya jaata hai?
Stent ek chhoti, jaali jaisi metal ki tube hai — lagbhag ek spring jaisi — jo heart ki sikudi hui nas (coronary artery) ke andar khol kar chhod di jaati hai. Iska kaam hai nas ko andar se sahara dena taaki woh dobara band na ho aur heart ki maspeshi tak khoon theek se pahunchta rahe.
Stent tab lagaya jaata hai jab nas mein itna blockage ho ki woh lakshan (jaise chalne par seene mein dard) de raha ho, heart attack ka kaaran ho, ya FFR jaise test mein saabit ho ki blockage khoon rok raha hai. Har blockage mein stent zaroori nahi hota.
Aasan bhasha mein: socho ek pipe andar se kachre se sikud gaya hai. Pehle ek patli taar andar se nikali jaati hai, phir ek gubbara phula kar kachra deewar se chipka diya jaata hai, aur phir ek jaali ki parat lagaa di jaati hai taaki pipe khula rahe.
Angioplasty se pehle kya taiyari hoti hai?
Planned angioplasty se pehle kuch zaroori kadam hote hain:
- Blood tests — khaaskar kidney (creatinine), haemoglobin aur sugar.
- ECG aur 2D Echo se heart ki pumping ka andaaza.
- Do blood thinner dawaiyan (aspirin aur ek dusri antiplatelet) — kai patients mein procedure se pehle hi shuru ho jaati hain.
- Aam taur par 4–6 ghante khaali pet, aur sugar ya blood thinner ki dawaiyon ke baare mein doctor ke specific instructions.
- Likhit consent aur cost estimate.
Agar angiography usi din ho rahi hai, to wahi taiyari angioplasty ke kaam aati hai. Dono ka rishta samajhne ke liye padhein: kya angiography ke saath hi stent daalte hain.
Stent lagane ke step kya hain?
Poora procedure cath lab mein hota hai, jahan X-ray machine screen par nas ki live tasveer dikhati hai.
| Step | Kya hota hai | Aap kya mehsoos karte hain |
|---|---|---|
| 1. Sunn karna | Kalai (radial) ya jaangh (femoral) par local anaesthesia | Ek chhoti sui ki chubhan, phir sunnpan |
| 2. Sheath aur catheter | Nas mein chhoti pipe (sheath), phir catheter heart ki nas ke munh tak | Halka dabav; nas ke andar chalti tube mehsoos nahi hoti |
| 3. Guide wire | Baal se bhi patla wire blockage ke paar | Kuch nahi |
| 4. Balloon | Blockage par balloon kuch second phula kar plaque dabaya jaata hai | Kabhi kuch second ke liye seene mein halka bhaaripan |
| 5. Stent | Balloon par chadha stent blockage par phula kar khola jaata hai | Wahi kuch second ka halka dabav |
| 6. Check | Dye se flow dekha jaata hai; zaroorat ho to IVUS se stent ka khulna confirm | Dye se kuch second garmahat |
| 7. Band karna | Kalai par tight band; jaangh mein closure device ya dabav | Band ka dabav kuch ghante |
Stent pehle se balloon ke upar sikuda hua chadha hota hai. Jab balloon phoolta hai, stent bhi phail kar nas ki deewar se chipak jaata hai. Balloon nikaal liya jaata hai, stent wahin rehta hai aur kuch hafton mein nas ki andar ki parat use dhak leti hai.
Kalai se angioplasty aur jaangh se angioplasty mein kya fark hai?
Aajkal zyaadatar angioplasty kalai ki radial artery se hoti hai. Iske fayde hain: bleeding ka risk kam, patient jaldi baith aur chal sakta hai, aur bistar par seedhe letne ki majboori nahi hoti. Kuch situations mein — jaise kalai ki nas bahut patli ho, ya complex procedure mein badi tube chahiye — jaangh (femoral) ka raasta liya jaata hai. Dono surakshit hain; doctor aapke case ke hisaab se chunte hain.
Kaunsa stent lagta hai?
Aaj lagbhag sabhi patients mein drug-eluting stent (DES) lagta hai. Is stent par ek dawai ki parat hoti hai jo dheere-dheere nikal kar stent ke andar zaroorat se zyada tissue badhne se rokti hai, jisse dobara sikudne ka risk kaafi kam ho jaata hai. India mein coronary stents ki keemat government dwara niyantrit hai, aur aapko yeh jaanne ka haq hai ki kaunsa stent lagega.
Stent ka size (lambai aur chaudai) blockage ke hisaab se chuna jaata hai. Complex ya lambe blockage mein IVUS guided angioplasty se nas ka asli size napa jaata hai, jisse stent poori tarah khulta hai. Agar blockage mein patthar jaisa calcium ho, to pehle rotablation ya IVL se use todna padta hai.
Angioplasty mein kya risk hote hain?
Angioplasty aaj ek routine aur aam taur par surakshit procedure hai, phir bhi koi bhi procedure bilkul risk-free nahi hota. Planned case mein gambhir complication kam hote hain; emergency heart attack, bahut kamzor heart, kidney ki bimari aur badi umar mein risk thoda zyada hota hai.
- Puncture wali jagah: neel padna ya halki sujan sabse aam hai; kalai ke raste yeh kam hota hai.
- Dye se: kabhi allergy ya kidney par asar, khaaskar pehle se kamzor kidney mein.
- Nas se judi: bahut kam mamlon mein nas mein chot, achanak band hona ya dhadkan ki gadbadi, jinhe cath lab mein turant sambhala jaata hai.
Aapke case mein kaunsa risk zyada hai, yeh consent ke samay doctor se zaroor poochhein.
Procedure ke baad kya hota hai?
- Kuch ghante CCU ya ward mein monitoring — ECG, BP aur puncture wali jagah ki dekhrekh.
- Kalai ka band dheere-dheere 2–4 ghante mein dheela kiya jaata hai.
- Pani zyada piyein taaki dye kidney se nikal jaaye (agar doctor ne mana na kiya ho).
- Planned case mein aksar agle din discharge. Hospital stay ki detail: angioplasty mein kitne din hospital mein rehna padta hai.
- Do blood thinner dawaiyan (DAPT) aam taur par 6–12 mahine tak, aur aspirin/statin lambe samay tak.
Stent ke baad chalna, kaam par lautna aur savdhaniyan — iske liye padhein stent lagne ke baad kaun-si savdhani rakhein. Aur stent kitne saal chalta hai, yeh yahan hai: stent kitne saal tak chalta hai.
Turant batayein: procedure ke baad kalai ya jaangh mein tezi se sujan, khoon behna, haath ka thanda ya neela padna, ya seene mein dard lauta — to turant staff ko batayein. Ghar jaane ke baad yeh ho to Prathmesh 24x7 emergency +91 77778 65621 par call karein.
Raipur mein angioplasty ke liye Prathmesh Cardiac Institute
Prathmesh Cardiac Institute (Prathmesh Hospital ki cardiac unit, NH-30, Amlidih Road, Deopuri) mein angioplasty aam taur par kalai ke raste 3D angiography wale cath lab mein ki jaati hai, aur zaroorat par IVUS, FFR, rotablation aur IVL ka upyog hota hai. Complex aur purane band blockage par kaam karne wale heart doctor in Raipur Dr. Gaurav Tripathi aur Dr. Sulabh Chandrakar dono DM Cardiologist hain.
Procedure se pehle aapko bataya jaata hai ki kaunsi report ki wajah se stent zaroori hai, kaunsa stent lagega aur likhit estimate kya hai. Angioplasty in Raipur ki poori jaankari us page par hai. Google Maps par Prathmesh Cardiac Institute ki location dekhein.
NH-30, Amlidih Road, Deopuri, Raipur, Chhattisgarh 492015 · OPD: Somvaar–Shanivaar, 10 AM – 6 PM · Cardiac Emergency: 24x7
Aksar poochhe jaane wale sawal (FAQ)
Nahi. Angioplasty local anaesthesia mein hoti hai, yaani sirf kalai ya jaangh ki jagah sunn ki jaati hai. Patient poori tarah hosh mein rehta hai, doctor se baat kar sakta hai. Ghabrahat kam karne ke liye kabhi halki nind wali dawai di ja sakti hai.
Ek seedhe blockage mein angioplasty aam taur par 30–60 minute mein ho jaati hai. Kai stent, calcium wale ya purane band blockage mein 1–2 ghante ya usse zyada bhi lag sakte hain. Isme angiography ka samay alag se judta hai.
Nahi. Stent phaila kar nas ki deewar mein dabaya jaata hai aur kuch hafton mein nas ki parat use dhak leti hai. Ek baar sahi tarah khula stent apni jagah se nahi khisakta. Isliye sahi size aur poora khulna — jise IVUS se check kiya ja sakta hai — zaroori hai.
Aaj ke coronary stents MRI ke liye aam taur par surakshit maane jaate hain aur airport metal detector mein dikkat nahi karte. Phir bhi apna stent card ya discharge summary saath rakhein aur MRI se pehle doctor ko stent ke baare mein zaroor batayein.
Kalai ke raste hui angioplasty mein aksar kuch ghanton mein baith aur dheere chal sakte hain. Jaangh ke raste hone par aam taur par 4–6 ghante pair seedha rakhna padta hai. Pehle hafte halki walking theek hai, bhaari kaam aur wazan uthana kuch din mana hai.
Yeh jaankari sirf aam jaagrukta ke liye hai, yeh doctor ki salah ka vikalp nahi hai. Apni sthiti ke liye hamesha yogya cardiologist se salah lein. Emergency mein 108 ya +91 77778 65621 par turant call karein.