Percutaneous Transluminal Coronary Angioplasty (PTCA) at Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj


About The Procedure
Percutaneous coronary intervention (PCI/PTCA), also known as coronary angioplasty, is a nonsurgical technique for treating narrowed/blocked coronary arteries which supply blood to the heart muscle. PTCA involves inserting a tiny balloon or stent across the narrowed part to widen the affected artery and restore blood flow to the heart muscle without requiring an open-heart surgery.


About PTCAClinical Outcomes
PTCA outcome indicators provide measures of overall success of the surgery and patient’s post-procedure clinical condition. These parameters are globally accepted evidence-based scientific criteria to indicate quality of procedure and patient’s health status. Fortis hospitals measure the following outcomes parameters for PTCA, and our performance consistently matches the global benchmarks set by best-in-class hospitals.

Percutaneous Transluminal Coronary Angioplasty (PTCA)

View Previous Year Data
Parameter Outcome Benchmarks
Emergency CABG for failed procedure
Emergency cardiac revascularisation (restore blood flow to part of the heart) surgery like CABG may be required to correct an emergency complication of PTCA such as abrupt closure of a vessel, perforation and injury to vessels.
0% 1.2%*
Vascular complication at puncture site requiring intervention (beyond simple compression)
Emergency cardiac revascularisation (restore blood flow to part of the heart) surgery like CABG may be required to correct an emergency complication of PTCA such as abrupt closure of a vessel, perforation and injury to vessels.
0% 1.1%*
Acute vessel occlusion requiring emergency re-intervention
Sudden narrowing of the blood vessel which requires urgent repeat/additional procedure to restore the blood supply
 0% --
Post procedure neurological stroke
A Brain stroke occurring after PTCA due to reduced blood flow to a brain part
 0.35% 0.284%**
Post procedure Renal failure requiring hemodialysis
Acute renal (kidney) failure is a rare but known complication resulting from acute kidney injury, more so in pre-existing renal failure patients, and may require dialysis
 1.05% --
Any Bleeding event requiring Transfusion / intervention (within 72 hrs.)
In a few cases, acute bleeding may occur after PTCA from the puncture site and evidence shows 4% of such incidences may require blood transfusion
 1.74% 4.0 % *
Delayed vascular complication at puncture site
Vascular complications which may include occlusions at insertion site, peripheral embolization, tear and injury to blood vessels, bulging of the arterial wall and/or AV fistulas, may occur at a later period after procedure, even after discharge
 0% --
Readmission with acute Myocardial Infarction within 30 days
A heart attack occurring immediately or within 30 days after PTCA. It is a predictor for long term disability and death
 0% --
Mortality during same hospital admission
Though rare, both sudden cardiac death and death at a later stage my occur depending on a number of factors including Patient history of heart attack, multi-vessel disease, advanced age, complex lesions, Location of the blockage in the coronary artery
 4.53% 1.7%*

References:               
*US National Registry Data 2013                    
**Cleveland Clinic Outcomes Report 2014

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