Coronary Angioplasty & Stenting
Coronary Angioplasty & Stenting
What are coronary angioplasty & stenting?
A coronary angioplasty, also known as percutaneous coronary intervention or PCI, is a minimally invasive procedure that opens a narrowed coronary artery to restore blood flow to the heart muscle. This procedure is often performed as part of a heart catheterization, which may be used to identify blockages or other issues with blood flow to the coronary arteries. After navigating to the heart from an artery in the wrist or groin area, an interventional cardiologist passes a very thin wire into the coronary artery and through the area of blockage. Balloons and other devices are then advanced along this wire and used to clear the blockage and expand the area of blood flow.
A stent is a wire-mesh tube made of a metal alloy that is usually placed after angioplasty procedures to help keep the artery open and prevent a repeat narrowing in that area. Not all angioplasty procedures require stenting.
Since coronary angioplasty and stenting are minimally invasive procedures, patients are usually discharged within 24 hours and are expected to resume their usual activities within 5-7 days.
Our Approach
At U-M Health, we offer comprehensive and individualized care that utilizes the latest technologies currently available for PCI procedures. The complex coronary revascularization team specializes in evaluating and treating patients who have been told they are not candidates for stent procedures because of difficult blockages or elevated procedure risks.
U-M Health has a dedicated team for stenting of completely blocked coronary arteries (chronic total occlusions or CTOs) that require advanced techniques and equipment with an excellent record of safety and success. Nearly all stent procedures are performed with the guidance of “intracoronary imaging” technology, which allows our doctors to visualize blood vessels from the “inside out” to tailor stent sizes for the best result.
U-M Health specializes in treating patients with prior failed stents and applying advanced techniques and technologies to prevent repeat blockages.
- We are one of a few hospitals in the state of Michigan utilizing a recent FDA-approved drug-coated balloon technology, which allows interventional cardiologists to perform an angioplasty and deliver a medication to the inside of the blood vessel to prevent recurrent blockages. This technology is approved for blockages that form inside prior stents and may also be helpful for blockages not appropriate for stents.
- We also have an established intracoronary brachytherapy program that offers a procedure where radiation is applied to areas of recurrent coronary blockages to keep them from recurring.
Who We Treat
This treatment is for patients with:
- Atherosclerosis Aortic Disease
- Angina or chest pain
- Chronic Total Occlusion
- Coronary Artery Disease
- Heart Attack
- Heart Failure
Appointment Information
To make a coronary angioplasty appointment, contact us at 888-287-1082.
Clinical Trials
At U-M Health, we have numerous clinical trials that you may be eligible for. Current clinical trials related to coronary angioplasty and stenting include:
- COSIRA-II - This trial is testing a novel device that is implanted in the heart’s venous system and may reduce symptoms for patients who have chronic chest pain from issues with coronary blood flow that cannot otherwise be treated.
- PREVAIL Global - This trial is systematically testing drug-coated balloons (angioplasty balloons capable of delivering medicine to the blood vessel wall to prevent recurrent blockages) for patients whose vessels already have stents or are not appropriate for stents.
Locations
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Cardiology Clinic | Frankel Cardiovascular Center 1425 E Ann St
Floor 3 Reception C
Ann Arbor, MI 48109-5856Get Directions
Doctors
Eric Page Cantey, MD
Clinical Assistant Professor
Interventional Cardiology
Stanley Joseph Chetcuti, MD
Clinical Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Elias Jonathan Dayoub, MD
Clinical Assistant Professor
Interventional Cardiology, Internal Medicine, Cardiovascular Disease
Paul Michael Grossman, MD
Clinical Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Sarah Kathrine Gualano, MD
Clinical Associate Professor
Cardiovascular Disease, Interventional Cardiology
Hitinder Singh Gurm, MBBS
Professor
Cardiovascular Disease, Interventional Cardiology, Internal Medicine
Daniel Stephen Menees, MD
Clinical Associate Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Brahmajee K Nallamothu, MD
Professor
Cardiovascular Disease, Interventional Cardiology, Internal Medicine, Cardiology
Michael Peter Thomas, MD
Clinical Assistant Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Brett Leon Wanamaker, MD, FACC, FSCAI
Clinical Assistant Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
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