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Before the Procedure

During the 2 weeks before surgery:

• Tell your doctor what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
• Tell your doctor if you are allergic to seafood, if you have had a bad reaction to contrast material (dye) or iodine in the past, or if you are or could be pregnant.
• Tell your doctor if you are taking sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis).
• Tell your doctor if you have been drinking a lot of alcohol, more than 1 or 2 drinks a day.
• Two weeks before surgery you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), and other drugs like these.
• Ask your doctor which drugs you should still take on the day of your surgery.
• If you smoke, you must stop. Ask your doctor or nurse for help.
• Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.

Do NOT drink anything after midnight the night before your surgery, including water.

On the day of your surgery:

• Take your drugs your doctor told you to take with a small sip of water.
• Your doctor or nurse will tell you when to arrive at the hospital.

After the Procedure

The average hospital stay for this procedure is 2 days or less. Some people may not even have to stay overnight in the hospital. You should be able to walk around within 6 - 8 hours after the procedure.

Outlook (Prognosis)

Angioplasty improves artery blood flow for most people. However, results will depend on where your blockage was, the size of your blood vessel, and how much of a blockage you may have in your other arteries.

Having angioplasty may make open bypass surgery unnecessary. If it does not help, your surgeon may need to do open bypass surgery, or even amputation.

Angioplasty does not cure the cause of the blockage in your arteries. Your arteries may become narrow again. Follow your heart-healthy diet, exercise, stop smoking (if you smoke), and reduce your stress to help lower your chances of having a blocked artery again. Your health care provider may prescribe medicine to help lower your cholesterol.

Alternative Names

Percutaneous transluminal angioplasty - peripheral artery; PTA - peripheral artery; Angioplasty - peripheral arteries

References

Creager MA and Libby P. Peripheral arterial disease. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Libby: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Saunders; 2007:chap 57.

Eisenhauer AC, White CJ. Endovascular treatment of noncoronary obstructive vascular disease. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 59.

Update Date: 1/25/2011

Updated by: Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.