Answer ( 1 )

  1. Hi. Thanks for your query on MediMetry.
    Angioplasty and Bypass surgery are two operative procedures done to relieve blockage of vessels of the heart. It's done in cases of heart attack (myocardial infarction MI), in some severe cases of angina refractory to medication depending on extent of damage and severity caused by the blocked vessels, previous medical history, etc.

    During cardiac catheterization, your doctor will examine images of the inside of your coronary arteries. If plaques are present ( coronary artery disease) treatment may be required. For some people, medications and lifestyle changes may be the treatment of choice.

    ANGIOPLASTY:
    Angioplasty (percutaneous coronary intervention) may be perfomed to open the clogged arteries. It may be recommended if you are having chest discomfort known as Angina, which is completely or partially unresponsive to medication and lifestyle changes.
    During angioplasty, your doctor inserts a tiny balloon at the site of the blockage and expands it to widen the narrowed artery. Your doctor then may implant a small metal coil (stent) in the clogged artery to keep the artery open and reduce the risk of it narrowing again.
    It's possible you may even have angioplasty during your cardiac catheterization, if your doctor thinks it's the most appropriate treatment option for you.

    BYPASS SURGERY
    If your arteries are narrowed or blocked in multiple areas, or your left main coronary artery is narrowed, your doctor may recommend coronary bypass surgery. Some studies show coronary bypass surgery may also be an appropriate treatment if you have multiple blocked or narrowed arteries and diabetes.
    During bypass surgery, surgeons take a section of healthy blood vessel — often from inside the chest wall or the lower leg — and attach it above and below the blocked artery. This allows blood to bypass the blocked area and flow to the heart muscle.

    Hope this answers your query.
    Please reply back if any further clarifications are required.
    Live healthy.