Coronary interventions

Percutaneous Coronary Intervention (PCI) — Coronary Angioplasty & Stent Implantation

Reopening a blocked coronary artery through the wrist — no open-heart surgery required

You don't have to face this decision alone. At your consultation, Dr. Mansour explains every image and every option to you and your family in plain words — and stays with you until you're back to your life.

  • Consultation 1,000 EGP · pay at the clinic
  • Free follow-up visit within 14 days
  • Your reports stay private
Traveling from abroad for this procedure? See the international patient guide
Angioplasty & StentingMinimally invasive — no open-heart surgery
Dr. Mansour Farouk El-BehwashyConsultant Cardiologist & Cardiovascular SpecialistMScFEBFEBICFSCAI
Procedure time45–90 min
  • Procedure time45–90 min
  • AnesthesiaLocal anesthesia + sedation
  • Hospital stay1 night, typically
  • Full recoveryAbout a week

What the procedure is

Understand Angioplasty & Stenting — calmly, clearly, honestly

Percutaneous coronary intervention (PCI) — commonly known as angioplasty and stenting — treats a blocked coronary artery from the inside, without opening the chest. It's the standard, guideline-recommended treatment for a heart attack and for many cases of significant coronary artery disease found during catheterization.

Once the blockage is confirmed on live imaging, a balloon-tipped catheter is guided to the narrowed segment and inflated to compress the plaque against the artery wall. A stent is then expanded into place to hold the artery open — most stents used today are drug-eluting, releasing medication that helps prevent the artery from re-narrowing.

Why it may be recommended

What it can mean for you — and your peace of mind

  • 01

    Restores blood flow to the heart muscle quickly — critical during a heart attack

  • 02

    No chest incision, no general anesthesia in most cases

  • 03

    Typically a single-night hospital stay versus a week or more for open bypass surgery

  • 04

    Same-day symptom relief for many patients with angina

Who may need evaluation for it

Does any of this sound like you?

Tap whatever applies. It isn't a diagnosis — just a calm way to know whether it's time to talk to the doctor.

Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.

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Step by step

Your journey, with no surprises

Knowing what comes next takes away most of the fear. Here is what to expect before, during and after — explained to you again, in person, before anything is done.

Something here worrying you?

Ask the clinic — the team replies on WhatsApp.

1

Before

General preparation

  1. Bring every previous report you have — ECGs, echo results, stress tests, lab work and any catheterization CDs.
  2. Share a full list of your medications, especially blood thinners and diabetes medicines, and any allergy — including to contrast dye or iodine.
  3. Routine blood tests, such as kidney function and a blood count, are usually requested beforehand.
  4. You will usually be asked not to eat for a few hours before the procedure — follow the exact fasting instructions you are given.
  5. Plan for someone to accompany you and take you home afterwards.
  6. Never stop or change a medication on your own — any adjustment is decided by your doctor.

Your care team gives you instructions specific to your case — always follow those first.

2

On the day

What happens during the procedure

  1. Performed as an extension of diagnostic catheterization, once a treatable blockage is confirmed on imaging.
  2. A guidewire is passed across the narrowed segment of the artery.
  3. A balloon catheter is inflated at the blockage to compress the plaque and reopen the vessel.
  4. A stent is positioned and expanded to hold the artery open long-term.
  5. Blood flow is re-checked on live imaging before the catheter is withdrawn.
3

After

Recovery & follow-up

  1. Overnight monitoring is standard after stenting
  2. A short-term blood thinner regimen (dual antiplatelet therapy) is prescribed to protect the new stent — taking it exactly as directed matters
  3. Most patients resume light activity within days and normal routines within about a week
  4. A follow-up visit confirms healing and reviews your longer-term heart medication plan

Clinic features

Care that continues after your visit

  • Echo
  • ECG
  • Holter monitor
01

In-clinic Echo, ECG & Holter monitor

Echocardiography, ECG and Holter monitoring are done right at the clinic, so your tests and your consultation happen in one place.

14days

Free
02

FREE consultation within 14 days

After your examination, your follow-up consultation within 14 days is free of charge.

03

Continuous follow-up & answers

Questions after your visit or procedure? We keep following up with you and answering them along the way.

Honest about safety

Risks & considerations

Every medical procedure carries some risk, and you deserve the full picture. Dr. Mansour reviews your personal risk with you before you agree to anything.

  • Bruising or bleeding at the catheter access site
  • A small risk of the artery re-narrowing over time (restenosis), lower with modern drug-eluting stents
  • Rarely, a blood clot forming at the stent — why the prescribed blood thinners are taken exactly as directed
  • Dr. Mansour Farouk El-Behwashy discusses your individual risk profile before the procedure

This page is general information and does not replace a medical examination. Whether this — or any — procedure is appropriate for you is decided only after evaluation by the doctor.

Already advised?

Told you need this procedure? Get clarity before you decide.

Send your reports from your phone in a few minutes. Dr. Mansour's team reviews them before your visit, so your consultation at the Fifth Settlement clinic starts with answers — not from zero.

Upload Your Reports & Book Consultation

Private consultation · 1,000 EGP · Fifth Settlement, New Cairo

  1. 1Upload your reports
  2. 2The team reviews your case
  3. 3Your consultation, fully prepared

Your questions

Frequently asked questions

Still have a question on your mind?

Ask the clinic directly — no need to call. The team replies to you on WhatsApp.

Will I be awake during angioplasty and stenting?

Yes, in almost all cases. It's done under local anesthesia at the access site with light sedation to help you relax — general anesthesia is rarely needed.

How long do I need to take blood-thinning medication after a stent?

This is individualized based on your stent type and overall risk, and Dr. Mansour Farouk El-Behwashy sets the exact duration and follow-up schedule with you — it's typically several months to a year of dual antiplatelet therapy, followed by long-term single-agent therapy.

Is a stent a permanent fix, or can the artery block again?

A stent effectively treats the specific blockage it's placed in, and modern drug-eluting stents have a low rate of re-narrowing. Coronary artery disease itself is managed long-term with medication and lifestyle changes, since other segments of the arteries can still be affected over time.

Related procedures

Cardiac Catheterization

A thin catheter is guided to the heart through the wrist or groin to map the coronary arteries with live X-ray imaging — the test that confirms whether, and where, a blockage exists.

May be considered

When symptoms such as chest pain or breathlessness — or an abnormal ECG, stress test or CT scan — call for a definitive look at the coronary arteries.

Rotational Atherectomy & Complex PCI

Some blockages are too calcified, too long-standing, or too awkwardly positioned for standard angioplasty. Techniques like rotational atherectomy, intravascular lithotripsy, and CTO crossing let Dr. Mansour Farouk El-Behwashy treat these arteries through the same wrist-access approach, often avoiding open bypass surgery.

May be considered

When a blockage is heavily calcified or long-standing (CTO), or was described elsewhere as too complex for a standard stent.

Peace of mind starts with one step

Don't carry this worry alone. Let's look after your heart together.

Consultation 1,000 EGP at the Fifth Settlement clinic, New Cairo — paid at the clinic, with a free follow-up visit within 14 days.

Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.

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