Dr. Rasesh Pothiwala
Director - Cardiology
at Sterling Hospitals

Persistent chest discomfort, breathlessness, or reduced exercise tolerance can often indicate reduced blood flow to the heart muscle caused by coronary artery disease. Coronary angioplasty, often paired with stent placement, is a widely performed interventional procedure that opens narrowed or blocked arteries to restore blood flow and support overall heart function.
At Sterling Hospitals, Ahmedabad, we offer comprehensive interventional cardiac services for patients with coronary artery disease. Our interventional cardiology team provides structured, patient-focused care from initial diagnostic evaluation through post-procedure recovery and cardiac rehabilitation.
Angioplasty is a minimally invasive procedure used to widen narrowed or blocked arteries and improve blood flow. When performed on the coronary arteries, which supply blood to the heart muscle, it is known as coronary angioplasty or percutaneous coronary intervention (PCI).
During the procedure, a thin tube called a catheter is inserted into a blood vessel, usually through the wrist or groin, and guided towards the affected coronary artery. A small balloon is inflated to widen the narrowed area. In many cases, a small mesh tube called a stent is placed inside the artery to help keep it open.
The aim of angioplasty is to restore blood flow to the heart muscle and, where appropriate, relieve symptoms such as chest pain. The decision to undergo the procedure depends on the patient's symptoms, diagnostic findings, overall health and response to other treatments.
Angioplasty may be recommended when narrowed or blocked coronary arteries restrict blood flow to the heart and require treatment. The decision is generally made after assessing the patient's symptoms, medical history, diagnostic test results and the severity of coronary artery disease.
Here are the scenarios in which angioplasty is usually considered:
Not every patient with coronary artery disease requires angioplasty. Depending on the extent of the disease and the patient's overall health, medication, lifestyle changes or coronary artery bypass surgery may be more appropriate.
The type of angioplasty recommended depends on the location and severity of the blockage, the condition of the coronary arteries and the patient's overall health. The cardiologist evaluates these factors before determining the most appropriate treatment approach.
Balloon angioplasty involves inserting a catheter with a small balloon into the narrowed section of an artery. The balloon is inflated to widen the artery and improve blood flow. A stent may also be placed, depending on the characteristics of the blockage and the treatment plan.
During this procedure, a small mesh tube called a stent is placed inside the coronary artery to help keep it open after the blockage has been widened.
Stents may be bare-metal or drug-eluting. Drug-eluting stents release medication that helps reduce the risk of the treated artery narrowing again. The type of stent used depends on the patient's condition and the cardiologist's assessment.
Primary angioplasty is an emergency procedure used to restore blood flow to the heart during certain types of heart attacks. Timely treatment can help limit damage to the heart muscle. The suitability and timing of the procedure depend on the patient's condition and the availability of appropriate emergency cardiac care.
Some patients have multiple blockages, heavily calcified arteries or narrowing in technically challenging locations. These cases may require specialised techniques and additional planning. The cardiologist determines the appropriate approach based on the patient's coronary anatomy and clinical requirements.
Angioplasty can provide several potential benefits for patients with coronary artery disease when the procedure is clinically appropriate. The benefits depend on the patient's condition, the location and severity of the blockage and the reason for treatment.
Angioplasty treats the affected narrowing but does not eliminate the underlying coronary artery disease. Medication, lifestyle changes and regular follow-up remain important after the procedure.
At Sterling Hospitals, Ahmedabad, patients considering angioplasty can seek medical evaluation to understand the procedure, its potential benefits and risks, and the care required during recovery. The process can be broadly divided into three stages: before the procedure, the day of angioplasty and the recovery period.
The process usually begins with a consultation with a cardiologist, who reviews the patient's symptoms, medical history, existing conditions and medications. Investigations may include an electrocardiogram, blood tests, kidney function tests and coronary angiography, depending on the clinical situation.
Before the procedure, the medical team may also review the patient's allergies and any medicines that could affect treatment. Instructions regarding fasting, medication use and admission arrangements are provided according to the planned procedure.
Patients should inform the medical team about all prescribed medicines, over-the-counter medicines and supplements. Medicines should not be stopped or adjusted without medical advice.
On the day of the procedure, the medical team completes the necessary checks and prepares the patient for treatment. The insertion site, usually the wrist or groin, is cleaned and numbed using local anaesthesia. Sedation may be provided when appropriate.
The cardiologist inserts a catheter into the blood vessel and guides it towards the coronary arteries. Contrast dye is injected to make the arteries visible on X-ray imaging and identify the narrowed or blocked area.
A balloon catheter is then guided to the blockage and inflated to widen the artery. If required, a stent is placed to help keep the artery open. Once the procedure is complete, the catheter is removed and the insertion site is managed to control bleeding.
After angioplasty, the patient is monitored to assess vital signs, the insertion site and overall condition. The duration of the procedure and monitoring period depends on the complexity of the treatment and the patient's clinical needs.
Recovery after angioplasty varies according to the patient's health, the complexity of the procedure and whether treatment was performed during an emergency. Some patients may be discharged on the same day or the following day, while others may need a longer hospital stay.
The medical team provides instructions regarding medication, activity, wound care and follow-up. Patients may be advised to:
Severe or persistent chest pain, sudden breathlessness, fainting or significant bleeding from the catheter insertion site requires urgent medical attention.
Like any medical procedure, angioplasty involves certain risks and potential complications. The likelihood of complications varies according to the patient's overall health, the severity of coronary artery disease and whether the procedure is performed in an emergency.
Some possible risks include:
The cardiologist explains the risks relevant to the individual patient before the procedure. Following medication instructions, attending follow-up appointments and managing cardiovascular risk factors are important parts of ongoing care.
The cost of angioplasty in Ahmedabad can vary from one patient to another. It depends on several factors, including the complexity of the procedure, the number and type of stents required, the patient's medical condition and the duration of hospitalisation.
Factors that may influence the overall cost include:
For an accurate estimate, patients can contact Sterling Hospitals, Ahmedabad, to enquire about the cost of angioplasty based on their clinical requirements. Insurance coverage, policy exclusions and cashless treatment eligibility should be confirmed with the hospital and the relevant insurer.
When evaluating treatment options for coronary artery disease, having access to experienced specialists and advanced diagnostic infrastructure is critical. Here are the key features of the interventional cardiac care provided at Sterling Hospitals, Ahmedabad:
Sterling Hospitals follows a structured, time-sensitive PAMI Code protocol for suspected heart attack cases. The protocol facilitates early alerting of the relevant medical teams and parallel coordination of critical steps, supporting timely clinical assessment and treatment decisions when every minute matters.
Sterling Hospitals, Ahmedabad, offers cardiac services spanning interventional cardiology, cardiac surgery and electrophysiology. This multidisciplinary approach supports the evaluation of complex coronary artery disease and helps doctors determine whether angioplasty, coronary artery bypass grafting (CABG) or another treatment is appropriate for the patient.
Cardiac catheterisation laboratories are used for procedures such as coronary angiography and angioplasty. These specialised facilities allow cardiologists to examine the coronary arteries, identify blockages and perform catheter-based treatments, including balloon angioplasty and stent placement.
Sterling Hospitals' cardiac surgery facilities include dedicated operation theatres for surgical procedures involving the heart. These facilities support cardiac surgical services, including coronary artery bypass grafting, which may be considered for patients whose coronary artery disease is not best managed with angioplasty.
Specialised cardiac intensive care facilities support patients who require close monitoring and medical attention following cardiac procedures or surgery. This is particularly important for patients with complex heart conditions or those who need intensive care during recovery.
Sterling Hospitals offers specialised cardiac procedures, including optical coherence tomography (OCT)-guided coronary angioplasty. OCT provides detailed images from inside the coronary arteries, helping cardiologists assess the blood vessels and guide stent placement in selected cases. The choice of imaging and treatment technique depends on the patient's condition and clinical requirements.
If you have been advised to undergo angioplasty or are exploring treatment options for coronary artery disease, consult a specialist at Sterling Hospitals, Ahmedabad. A consultation can help you understand the available treatment options and the investigations required to determine the most appropriate approach for your condition.
Call +91 98989 87878 to book an appointment with a specialist.
You can also book an appointment online through the Sterling Hospitals website.
Cardiology Doctors
Director - Cardiology

Consultant - Interventional Cardiology
Angiography is an imaging procedure used to examine blood vessels and identify narrowed or blocked arteries. Angioplasty is a treatment procedure that uses a balloon, and often a stent, to widen a narrowed or blocked artery. Coronary angiography may be performed before or as part of the planning for angioplasty.
Angioplasty is a minimally invasive procedure and generally does not require open-heart surgery. It involves inserting a catheter through a blood vessel to reach the affected coronary artery. However, it is an important cardiac procedure that carries potential risks and requires appropriate monitoring.
No. A stent is commonly used during coronary angioplasty, but it is not necessary in every case. The decision depends on the characteristics of the blockage, the procedure performed and the cardiologist's assessment.
Angioplasty may take around 30 minutes to an hour in straightforward cases, although complex procedures can take longer. The duration depends on the number and location of blockages, the treatment required and the patient's clinical condition.
Angioplasty is generally performed using local anaesthesia at the catheter insertion site. Sedation may be used in selected cases. The anaesthesia and monitoring plan depends on the patient's condition and the requirements of the procedure.
Recovery depends on the patient's overall health, the complexity of the procedure and whether angioplasty was performed during a heart attack. Some patients resume routine activities within a few days, while others need more time. The treating cardiologist provides guidance on when normal activities can be resumed.
Yes. The treated artery may narrow again, a condition known as restenosis. A blood clot may also form within a stent. Medication adherence and follow-up are important for reducing risks and monitoring recovery.
A coronary stent is designed to remain inside the artery permanently. It does not usually need to be replaced simply because time has passed. However, the artery can develop new narrowing or other problems, which may require medical assessment and further treatment.
Neither treatment is better for every patient. Angioplasty is less invasive and may be suitable for certain patterns of coronary artery disease. Coronary artery bypass surgery may be more appropriate for some patients with complex or extensive blockages. The choice depends on the coronary anatomy, other medical conditions and the cardiologist's assessment.
No. Angioplasty treats a specific narrowed or blocked artery but does not eliminate the underlying coronary artery disease. Medication, lifestyle changes and management of risk factors such as high cholesterol, high blood pressure, diabetes and tobacco use remain important.
Yes. Primary angioplasty may be performed urgently during certain types of heart attacks to restore blood flow through the blocked coronary artery. The treatment and timing depend on the patient's condition and access to appropriate emergency cardiac care.
Patients should take prescribed medicines as directed, follow the instructions for caring for the catheter insertion site and resume physical activity gradually. They should also follow advice on diet, exercise, tobacco cessation and managing cardiovascular risk factors. Antiplatelet medication should not be stopped without medical advice.
Many patients return to their usual activities after recovery, depending on their underlying heart condition and overall health. Long-term health depends on factors such as medication adherence, lifestyle changes, control of cardiovascular risk factors and regular follow-up.
Coverage depends on the patient's health insurance policy, the terms of coverage and the circumstances of treatment. Waiting periods, exclusions, co-payments and other conditions may apply. Patients should confirm the details with their insurer and the hospital before planned admission, where possible.
