This is a minimally invasive puncture hole technique performed from the groin or the arm. It is performed under local anaesthesia. It is done mostly when there are narrowing of the arteries preferably involving short distances.
It is mostly indicated when the artery is totally blocked and calcified (more common in diabetics) preventing the guide wire from entering the blocked artery.
It is commoner in Smokers, diabetics, hypertensive, people with increased cholesterol levels and those with renal disease.
It is commoner in obese people who lead a sedentary life continue to smoke and eat unhealthy foods.