Angioplasty in Mumbai
Angioplasty in Mumbai is performed by Dr. Kiran Narang at his cath lab in Andheri East. With 1,500+ angioplasty procedures behind him, including emergency primary PCI for heart attack patients, multi-vessel disease, and bifurcation lesions, Dr. Narang places drug-eluting and bioresorbable stents using a radial-first approach where possible. Most patients walk out within 24 to 48 hours of admission.
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Looking for an experienced angioplasty specialist in Mumbai? Book a consultation with Dr. Kiran Narang for a clear, transparent assessment.
Angioplasty Procedures Performed
Diagnostic Coronary Angiograms
Years in Interventional Cardiology
Emergency Primary PCI Availability
Meet Dr. Kiran Narang – Angioplasty Specialist in Mumbai
Dr. Kiran Narang is an angioplasty specialist in Mumbai with over 12 years in clinical practice and more than 8 years dedicated to interventional cardiology. His procedure log includes 5,000+ diagnostic coronary angiograms and 1,500+ angioplasties, covering everything from a single short blockage in the LAD to multi-vessel, calcified, and bifurcation lesions that need IVUS-guided stenting or rotational atherectomy.
He consults at his clinic in Vasant Oasis, Marol, Andheri East, where the cath lab is set up for radial-first access. The procedure plan is finalised after seeing the angiogram, not before. If the lesion is genuinely treatable with optimised medication, that conversation happens first.
What is Angioplasty?
Angioplasty, also called percutaneous coronary intervention (PCI), is a non-surgical procedure that opens narrowed or blocked coronary arteries. A thin catheter is passed from the wrist or groin into the affected artery, a balloon is inflated at the blockage to push the plaque outwards, and a stent (a small metal mesh scaffold) is placed to keep the artery open.
Unlike bypass surgery, angioplasty does not require opening the chest. There is no large incision, no general anaesthesia in most cases, and recovery takes days rather than weeks. The trade-off is that not every blockage is suitable for stenting; left main disease, diffuse triple-vessel disease, and certain calcified anatomies still do better with CABG. The right answer depends on the angiogram, not on the patient’s preference for “no surgery”.
When is Angioplasty Needed?
Angioplasty is recommended in these clinical situations:
Heart attack (STEMI).
Emergency primary PCI within 90 minutes of arrival is the gold-standard treatment.
Unstable angina or NSTEMI.
Chest pain at rest or with minimal exertion, with positive troponins or ECG changes.
Stable angina not controlled by medication.
When optimal medical therapy fails to relieve symptoms or limits daily activity.
Significant blockage on angiography.
Usually 70% or more in a major epicardial vessel, or 50% or more in the left main.
Positive stress test with high-risk features.
Large area of ischemia on stress echo, nuclear scan, or stress MRI.
Post-cardiac arrest.
When the underlying cause is a culprit coronary lesion.
Symptoms & Heart Conditions That May Require Angioplasty
Most patients arrive after one of these warning signs:
Chest pain or tightness
on exertion that eases with rest (classic angina)
Sudden, severe chest pain
lasting more than 15 minutes, often with sweating and nausea (heart attack)
Pain radiating
to the left arm, jaw, neck, or upper back
Breathlessness
on climbing stairs or walking on a flat surface
Reduced exercise tolerance
compared to a few months ago
Fatigue and indigestion-like discomfort
(more common in women and diabetics)
Post-prandial angina
(chest tightness or discomfort that appears 30 to 60 minutes after a heavy meal, often dismissed as indigestion)
Gastritis-like symptoms
(heartburn or burning in the upper abdomen that does not respond to antacids and tends to worsen with exertion)
The underlying conditions usually involved:
Coronary artery disease (CAD)
from plaque buildup
Acute coronary syndrome (ACS)
covering STEMI, NSTEMI, and unstable angina
Multi-vessel disease
affecting two or more major coronary arteries
In-stent restenosis
(narrowing inside a previously placed stent)
Diagnostic workup usually includes an ECG, blood tests for troponin, a 2D echocardiogram to assess heart function, and a stress test if the situation is not acute.
A coronary angiogram is the definitive test. It shows exactly which arteries are blocked, by how much, and whether stenting, bypass, or medication alone is the right next step.
Chest pain that you keep dismissing? A 30-minute consultation can rule out a serious cause.
Types of Angioplasty & Stents Available
Dr. Narang offers the full range of angioplasty techniques and stent options:
Balloon Angioplasty (POBA)
Plain balloon dilatation without stenting. Used rarely on its own now, mostly as a preparatory step before stent deployment or for treating very small vessels.
Drug-Eluting Stent (DES)
The standard of care today. The stent is coated with a medication that prevents scar tissue from blocking the artery again. Restenosis rates with modern second and third-generation DES are under 5% at one year.
Bioresorbable Vascular Scaffold (BVS)
A stent that dissolves over two to three years, leaving the artery free of permanent metal. Used in selected younger patients with suitable anatomy.
Drug-Coated Balloon (DCB)
Useful for in-stent restenosis and small-vessel disease where placing another layer of metal is undesirable.
Rotational Atherectomy (Rotablator)
A diamond-tipped burr that grinds down calcified plaque before the stent can be placed. Used for heavily calcified arteries that a balloon alone cannot cross or expand.
Orbital Atherectomy
A newer calcium-modification tool that uses an eccentrically mounted, diamond-coated crown to sand down plaque through orbital motion. Unlike the rotablator, blood continues to flow past the crown during ablation, which is gentler on the artery. Useful in moderate to severely calcified lesions where the rotablator may be too aggressive.
Intravascular Lithotripsy (Shockwave)
Sound-wave pulses that fracture calcium in the arterial wall, allowing the stent to expand fully. A newer option for calcified lesions.
IVUS and OCT-Guided Stenting
Intravascular ultrasound or optical coherence tomography is used to size the vessel accurately and confirm full stent expansion. Improves long-term outcomes in complex cases.
How is Angioplasty Performed?
Angioplasty is done in a cath lab, not an operating theatre. The sequence:
Step 1: Pre-procedure check.
ECG, blood tests, kidney function, and an echocardiogram are reviewed. Blood-thinning medications are adjusted as needed.
Step 2: Local anaesthesia.
The wrist (radial artery) or groin (femoral artery) is numbed. Patients stay awake. Light sedation is added if requested.
Step 3: Catheter access.
A thin sheath is placed in the artery, and catheters are guided up to the coronary arteries under live X-ray. Contrast dye is injected to outline the blockages.
Step 4: Crossing the lesion.
A fine guidewire is passed through the blockage. For calcified or chronically blocked arteries, rotablation or shockwave may be used first.
Step 5: Balloon and stent deployment.
A balloon is inflated at the blockage. The stent (pre-mounted on a balloon) is then positioned and deployed, locking the artery open.
Step 6: Final imaging.
A final angiogram, often with IVUS or OCT, confirms the stent is fully expanded with no residual narrowing or edge problems.
A single-vessel stent typically takes 30 to 60 minutes. Complex multi-vessel or CTO cases can run 90 minutes to 3 hours.
Benefits of Angioplasty for Heart Blockages
What angioplasty does well for the right patient:
Immediate relief from angina chest pain in most stable cases
In heart attack patients, restoring blood flow within 90 minutes saves heart muscle that would otherwise die
Avoids open-chest surgery, general anaesthesia, and a ventilator in most cases
Hospital stay of 24 to 48 hours, against 5 to 7 days for bypass
Return to office work in 7 to 10 days, against 6 to 8 weeks for bypass
Modern drug-eluting stents have restenosis rates under 5% at one year
Radial access (wrist) eliminates the groin haematoma risk and allows same-day walking
What angioplasty does not do: it does not cure coronary artery disease. The underlying process that caused the blockage (cholesterol deposits, inflammation, smoking, diabetes) continues unless lifestyle and medications are addressed. A stent fixes one segment of one artery; the rest of the cardiovascular system still needs long-term care.
Recovery After Angioplasty
Most patients are discharged within 24 to 48 hours. The radial (wrist) approach allows quicker mobilisation than the femoral (groin) route.
First 6 hours:
Bed rest, monitoring of heart rhythm and blood pressure. If the wrist was used, the band stays on for 2 to 4 hours. If the groin was used, lying flat for 4 to 6 hours.
Day 1 to 2:
Mobilisation, repeat ECG, and discharge planning. Most patients go home the next morning.
Week 1:
Light activity at home. No driving. No lifting more than 5 kg with the wrist that was accessed.
Week 2 to 4:
Gradual return to normal activity. Office work usually resumes in 7 to 10 days.
Week 4 to 6:
Full physical activity including exercise. A supervised cardiac rehab programme is recommended.
Already had an angiogram elsewhere and need a second opinion before stenting? Bring your reports for a 30-minute review.
Life After Angioplasty – Recovery & Heart Care
A stent buys time. What patients do with that time is what decides long-term outcomes.
Medication
Dual antiplatelet therapy (aspirin plus clopidogrel, ticagrelor, or prasugrel) is mandatory for 6 to 12 months, then aspirin is usually continued lifelong. A high-intensity statin is started at discharge regardless of the cholesterol number, because statins stabilise plaque, not just lower LDL.
Risk Factor Control
Blood pressure target under 130/80, LDL cholesterol under 55 mg/dL after a stent, HbA1c under 7% if diabetic. These numbers are not optional. The single best predictor of being stent-free five years later is hitting these targets, not the brand of stent placed.
Lifestyle
Smoking cessation is the single most impactful change a patient can make. Mediterranean-style diet, 150 minutes of moderate exercise per week, weight in normal range, and stress management round out the picture. Cardiac rehab programmes accelerate recovery and lower repeat-event rates.
Follow-up
Reviews at 1 month, 3 months, 6 months, and then annually. Stress tests are not done routinely if asymptomatic; they are repeated if symptoms return. An echocardiogram is repeated at 3 to 6 months if left ventricular function was reduced at the time of the procedure.
Why Choose Dr. Kiran Narang for Angioplasty in Mumbai?
What patients tend to value most:
Volume-Backed Expertise
1,500+ angioplasty procedures personally performed, alongside related interventional cases including pacemaker insertion and complex coronary intervention. Volume matters in interventional cardiology, particularly for unusual anatomy where decisions are made in real time on the table.
Same Cardiologist From Angiogram to Follow-up
The doctor who reviews your reports is the same one who does the angiogram, places the stent, and sees you at follow-up. No handovers between operators mid-treatment.
Radial-First, Same-Day Mobilisation
Wrist access where suitable, which means no groin haematoma, no overnight bed rest with a sandbag, and same-day walking. Femoral access is used only when the radial route is unsuitable.
24x7 Emergency PCI Availability
Heart attacks do not respect office hours. Primary PCI within 90 minutes of arrival is what saves heart muscle, and the team is set up for round-the-clock activation.
Angioplasty Cost in Mumbai
Angioplasty cost in Mumbai depends on the number of vessels treated, the type and number of stents, and the complexity of the lesion.
Single-vessel angioplasty with one DES:
₹1,80,000 to ₹3,50,000
Double-vessel angioplasty:
₹3,00,000 to ₹5,50,000
Triple-vessel or complex multi-vessel:
₹4,50,000 to ₹8,00,000
Primary PCI for heart attack:
₹2,50,000 to ₹4,50,000
PCI with rotablation or shockwave:
₹4,00,000 to ₹8,50,000
Bioresorbable scaffold:
₹3,50,000 to ₹5,00,000 per device
These ranges cover the procedure, stent(s), hospital stay of 1 to 2 days, cath lab use, and standard post-procedure medications. Pre-procedure tests and follow-up consultations are billed separately. Most major stent brands (Abbott Xience, Boston Scientific Synergy, Medtronic Resolute, Meril BioMime) are available; the choice is made based on lesion characteristics, not commercial preference.
Insurance covers angioplasty under cashless or reimbursement arrangements with virtually all insurers, including the major TPAs. Pre-authorisation paperwork is handled by the team. For a personalised cost estimate based on your reports, get in touch through drkirannarang.com or call the clinic directly.
Patient Testimonials
FAQs
Q. Is angioplasty a major surgery?
No. It is a minimally invasive procedure done under local anaesthesia through a small puncture in the wrist or groin. There is no chest incision.
Q. How long does an angioplasty procedure take?
30 to 60 minutes for a single-vessel case. Complex multi-vessel or chronic total occlusion cases can take 90 minutes to 3 hours.
Q. Can angioplasty be done as a day-care procedure?
Yes, in selected elective cases using radial access. Most patients still stay overnight for observation, with discharge the next morning.
Q. How long does a stent last?
A modern drug-eluting stent is permanent. With proper medication and risk-factor control, the stented segment usually stays open lifelong, with restenosis under 5% at one year.
Q. How do I book an angioplasty consultation with Dr. Kiran Narang?
Call +91 99674 82300 to fix an appointment at the Andheri East clinic. Same-week slots are usually available for non-emergency consultations.