What is Poba procedure?

What is Poba procedure?

Percutaneous Old Balloon Angioplasty (POBA) is accepted worldwide for the treatment of obstructive coronary artery disease because this technique is safe, and quick and the patient may return to work earlier than with bypass surgery (particularly elderly patients).

What does Poba stand for?

POBA

What is a Rotablation procedure?

This is a procedure which attempts to “bore out” a narrowing in a coronary artery which might not otherwise respond to stenting. The test involves the insertion of a long thin catheter into an artery in the groin or wrist under local anaesthetic.

What is the procedure for balloon angioplasty?

A specially designed catheter with a tiny balloon is carefully guided through the artery to the blockage, then inflated to widen the opening and increase blood flow to the heart. A stent is often placed during the procedure, to keep the artery open after the balloon is deflated and removed.

What is a PAMI?

Primary Angioplasty in Acute Myocardial Infarction (PAMI)

What is the success rate of stents?

Another study found the chance of being alive after drug-eluting heart stent surgery is about 99 percent after one year. One study found that the risk of developing a serious bleeding problem, while on blood-thinning medication and aspirin after heart stent surgery, is about 3 percent over an 18 month period.

What is the difference between ballooning and stent?

Balloon angioplasty is a minimally invasive cardiac catheterization procedure used to open narrow and blocked arteries. Heart stents are tiny lattice-shaped metal tubes that serve as scaffolding to keep the artery open.

When to use POBA instead of a stent?

It will continue to have an important role in many situations. 1.In patients with multivessel disease while the proximal lesion deserve a stent , POBA is preferred in distal lesions to reduce the overall metal load . 2.POBA has a major role to play in Primary PCI .We need to realise dying myocardium does not demand for stents.

Are there any cardiologists who believe in Poba?

Unfortunately advocates of POBA (Plain old balloon angioplasty) are considered to be un-scientiifc cardiologists or even carry a risk of labeled as quacks. But please remember . . . POBA is alive and doing well too , in spite of the serious threat it faces from the current generation interventionists .

Can a STEMI patient be assisted by POBA?

Here POBA is the only choice , may be assisted by thrombus aspiration. Stenting may be delayed or even avoided in many STEMI patients. . We know there is huge STEMI population with pure thrombus with no atherosclerosis.

Why is POBA important in the treatment of multivessel disease?

POBA is alive and doing well too , in spite of the serious threat it faces from the current generation interventionists . It will continue to have an important role in many situations. 1.In patients with multivessel disease while the proximal lesion deserve a stent , POBA is preferred in distal lesions to reduce the overall metal load .