What Types of Interventional Procedures Are Used in Angioplasty?

There are several types of interventional procedures which your doctor may use when performing angioplasty including:


A small metal mesh tube that acts as a scaffold to provide support inside your coronary artery. A balloon catheter, placed over a guide wire, is used to insert the stent into the narrowed coronary artery. Once in place, the balloon tip is inflated and the stent expands to the size of the artery and holds it open. The balloon is then deflated and removed while the stent stays in place permanently. Over a several-week period, your artery heals around the stent. Stents are commonly placed during interventional procedures such as angioplasty to help keep the coronary artery open. Some stents contain medicine and are designed to reduce the risk of reblockage (restenosis). 


With rotablation, a special catheter, with a diamond-coated, acorn-shaped tip is guided to the point of narrowing in your coronary artery. The tip spins around at a high speed and grinds away the plaque on your artery walls. The microscopic particles are washed away in your blood stream and filtered out by your liver and spleen. This process is repeated as needed to allow for better blood flow. This procedure is rarely used today because balloon angioplasty and stenting have much better results and are technically easier for the cardiologist to perform.

Balloon angioplasty

In a balloon angioplasty procedure, a specially designed catheter with a small balloon tip is guided to the point of narrowing in the artery.  Once in place, the balloon is inflated to compress plaque against the artery wall and stretch the artery open to increase blood flow to the heart.

Cutting Balloon

A cutting balloon catheter has a special balloon tip with small blades.  The blades are activated when the balloon is inflated. The small blades score the plaque, then the balloon compresses the plaque against the artery wall.


The catheter used in this atherectomy has a hollow cylinder on the tip with an open window on one side and a balloon on the other. When the catheter is inserted into the narrowed artery, the balloon is inflated, pushing the window against the plaque. A blade (cutter) within the cylinder rotates and shaves off any plaque that protruded into the window. The shavings are caught in a chamber within the catheter and removed. This process, although rarely used toda is repeated as needed to allow for better blood flow. 

Staying Healthy in Wharton, NJ

Wharton, NJ has a lot of natural and affordable options for cardio activities, such as hiking through Hugh Force Canal Park or Irondale Mountain Trails.  Beautiful Hurd Park is full of cherry blossom trees, a footbridge, and lovely ground to walk or bike.  Cool off with a superfood packed acai bowl or smoothie at Acai Express.