Coronary angiogram is done if patients have:

• Symptoms of coronary artery disease like chest pain (angina)s
• Pain in your chest, jaw, neck or arm
• New or increasing chest pain (unstable angina)
• A heart defect you were born with (congenital heart disease)
• Abnormality in the results of noninvasive heart stress test
• Other blood vessel problems
• chest injury
• A heart valve problem that requires surgery.

Potential risks and complications include:

• Heart attack
• Stroke
• Injury to the catheterized artery
• Irregular heart rhythms (arrhythmias)
• Allergic reactions to the dye or medications used during the procedure
• Kidney damage
• Excessive bleeding
• Infection

Angiogram help to show the doctors what's wrong with the blood vessels. It can:

• Show how many coronary arteries are blocked or narrowed by plaques or (atherosclerosis)
• Pinpoint the area where the blockages are located in blood vessels
• Show how much blood flow is blocked in the blood vessels
• Check to see the results of previous coronary bypass surgery
• Check how the blood flow through the heart and blood vessels

With this information doctor can determine what treatment is best for the patient and how much danger the heart condition poses to the patient health. Based on the results, the doctor may decide that what would benefit from having coronary angioplasty or stenting to help clear clogged arteries. This is also possible that angioplasty could be done during the angiogram to avoid another procedure.

CORONARY ANGIOPLASTY AND STENTING

Coronary angioplasty is a procedure in which a balloon is used to open a blockage in a coronary (heart) artery which is narrowed by atherosclerosis. With the help of this procedure improves blood flow to the heart.

Angioplasty is a common medical procedure. It may be used to:

• Improving the symptoms of CAD, like angina and shortness of breath.
• Reducing damage to the heart muscle from a heart attack.
• Reducing the risk of death in the patients.

Angioplasty research is still ongoing to make it safer and more effective and to prevent arteries from closing again and to make the procedure an option for more people.

Who Needs Coronary Angioplasty?

Coronary angioplasty is a procedure which is used to restore blood flow to the heart when the coronary arteries become narrowed or blocked due to coronary artery disease (CAD).

When CAD symptoms does not improve even after medicines and lifestyle changes, such as following a healthy diet and getting more physical activity, doctor will talk to about other treatment options. These options involve different types of procedures like angioplasty and coronary artery bypass grafting (CABG), a type of open-heart surgery.

Angioplasty is a procedure which is often used when there is less severe narrowing or blockage in the arteries and when the blockage can be reached during the procedure.

CABG is also an option if you have severe heart disease, multiple arteries that are blocked, or if you have diabetes or heart failure.

If Compared with CABG here are some advantages of angioplasty:

• Has fewer risks than CABG
• It won't require a large cut
• This is done with the help of medicines and numb you and help you relax.
• Has a shorter recovery time.

There is a disadvantage of angioplasty as compared with CABG is that in this the artery may become narrow again with a period of time. The chance of this happening the narrowing is lower when stents are used and especially medicine-coated stents. These stents can also cause risk. In some cases, there may be blood clots in the medicine-coated stents and can cause a heart attack.