Percutaneous Transluminal Renal Angioplasty

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What is Percutaneous Transluminal Renal Angioplasty (PTRA)?

Percutaneous Transluminal Renal Angioplasty (PTRA) is a minimally invasive medical procedure used to open blockages or narrowing/stenosis, in the arteries of the kidneys. This procedure is extremely useful for patients who have reduced blood supply to the kidneys, which increases the risk of high blood pressure or kidney failure. 

In PTRA, the narrowed artery is dilated using a thin tube (catheter) and a small balloon, so that blood flow can be normalized. In many cases, a stent is also placed in it, which prevents the artery from shrinking again.

PTRA_Dr Munish Dev

Why is this procedure performed?

PTRA is usually done to treat renal artery stenosis. Renal artery stenosis is a condition when the arteries that supply blood to the kidneys narrow due to atherosclerosis, plaque, or other causes. Problems that occur in this situation:

  • Persistent and uncontrolled high blood pressure
  • Decreased kidney function
  • Risk of kidney failure
  • Blood pressure not controlled by medication
  • Decrease in blood supply to both kidneys

Advantages of PTRA

  • Control of blood pressure – In many patients, the amount of medicines decreases.
  • Improves kidney function – Increasing blood flow makes the kidneys work better.
  • Reduction of symptoms – Headaches, fatigue, and swelling decreases.
  • Minimally invasive – no major operation needed, recovery in less time.
  • Long-term effect – Due to the stent, the artery remains open for a long time.

How is the procedure performed?

PTRA is a minimally invasive procedure, i.e. it does not require a major operation. It is usually performed in a cath lab and the patient is given local anesthesia (local sedation).

Consultation & Diagnosis

The process begins with medical evaluation, physical examination, and necessary tests like ECG or angiography to confirm artery blockage and decide if angioplasty is the best treatment option for you.

Balloon Inflation

Once positioned, a tiny balloon at the balloon catheter’s tip is inflated at the blockage site. This widens the artery by pressing plaque against the artery wall to restore blood flow.

Preparation

Before the procedure, you’ll change into a hospital gown, receive mild sedation, and an intravenous (IV) line will be placed for medications. The insertion site is cleaned and numbed.

procedure

Stent Placement

A small mesh tube called a stent is placed to keep the artery open. The stent remains permanently, ensuring proper blood circulation and reducing the chance of re-narrowing.

Inserting the Catheter

A thin, flexible catheter is inserted into an artery in the wrist or groin. Using X-ray imaging, the doctor carefully guides it toward the blocked renal artery.

Recovery & Monitoring

After angioplasty, you’ll be observed in a recovery area. Vital signs, heart rhythm, and insertion site are monitored to ensure safe recovery before hospital discharge.

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