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    Coronary Angioplasty

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    drnareshkumar3281
    This document summarizes the procedure for percutaneous transluminal coronary angioplasty (PTCA). PTCA is used to treat conditions like angina, heart attack, or arrhythmia by opening blocked coronary arteries. It involves inserting a catheter through the femoral artery to the blocked artery where a balloon is inflated to open the blockage. Sometimes a stent is placed. Risks include infection, damage to the artery, or the blockage reoccurring. After the procedure, the patient must rest, take medications, and make lifestyle changes to prevent future blockages.

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    Coronary Angioplasty

    Uploaded by

    drnareshkumar3281
    101 views3 pages
    This document summarizes the procedure for percutaneous transluminal coronary angioplasty (PTCA). PTCA is used to treat conditions like angina, heart attack, or arrhythmia by opening blocked coronary arteries. It involves inserting a catheter through the femoral artery to the blocked artery where a balloon is inflated to open the blockage. Sometimes a stent is placed. Risks include infection, damage to the artery, or the blockage reoccurring. After the procedure, the patient must rest, take medications, and make lifestyle changes to prevent future blockages.

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    This document summarizes the procedure for percutaneous transluminal coronary angioplasty (PTCA). PTCA is used to treat conditions like angina, heart attack, or arrhythmia by opening blocked coronary arteries. It involves inserting a catheter through the femoral artery to the blocked artery where a balloon is inflated to open the blockage. Sometimes a stent is placed. Risks include infection, damage to the artery, or the blockage reoccurring. After the procedure, the patient must rest, take medications, and make lifestyle changes to prevent future blockages.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    101 views3 pages

    Coronary Angioplasty

    Uploaded by

    drnareshkumar3281
    This document summarizes the procedure for percutaneous transluminal coronary angioplasty (PTCA). PTCA is used to treat conditions like angina, heart attack, or arrhythmia by opening blocked coronary arteries. It involves inserting a catheter through the femoral artery to the blocked artery where a balloon is inflated to open the blockage. Sometimes a stent is placed. Risks include infection, damage to the artery, or the blockage reoccurring. After the procedure, the patient must rest, take medications, and make lifestyle changes to prevent future blockages.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    CORONARY ANGIOPLASTY

    PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY

    REASON FOR VISIT:

    • Stable angina
    • Unstable angina
    • Dyspnea
    • Arrhythmia
    • Syncope
    • Acute myocardial infarction

    RISK ASSESSMENT

    • Old age
    • Hyper tension
    • Diabetes
    • Kidney diseases
    • Allergy to medication
    • Allergy to imaging dye
    • Allergy to anesthesia

    PREPARATION OF THE PATIENT:

    • Blood tests
    • Urine tests
    • Chest x-ray
    • ECG
    • Ambulatory ECG
    • 2D-Echo
    • Angiogram
    • IVUS
    • Optical coherence tomography
    • Plaque thermography
    • Intracoronary Doppler study
    • Antibiotics are to be given to the Patients with diseases of the
    heart valves
    • Blood thinning medications were given
    • Nothing is taken by mouth
    • Part was prepared
    ANESTHESIA:
    Local anesthesia

    POSITION OF THE PATIENT:

    Supine position

    THE PROCEDURE

    • Right /left thigh was prepared for introduction of the angioplasty


    equipment
    • Local anesthesia was given at the site of the incision where
    femoral artery was punctures
    • Femoral artery was punctured through skin to expose the site of
    entry.
    • A sheath was placed at the site of puncture
    • The guidewire/catheter was introduced
    • Fluoroscopy was used to monitor small injections of contrast
    media used to visualize the path through the vessel.
    • The fluoroscopy system will then superimpose subsequent
    images
    • The catheter passed along the femoral artery to aorta
    • The catheter then passed to the coronary artery
    • The catheter was reached the area of stenosis
    • The balloon was inflated at the site of stenosis in size and
    duration
    • Rotational/ directional/ transluminal extraction atherectomy was
    done
    • Stent was placed at the site of stenosis
    • The procedure was verified by using fluoroscopy and contrast
    media to produce an angiogram / by using intravascular
    ultrasound / both
    • All equipment was withdrawn from the femoral vessel
    • The puncture site was repaired with sutures
    • Antiseptic dressing was done

    AFTER PROCEDURE:

    • Patient B.P, heart rate, ECG was monitored


    • Post operative angiogram was taken

    DURATION
    ________hrs
    POSTOPERATIVE CARE

    • Stay flat in bed without bending the legs so that the artery can
    heal from the insertion of the catheter.
    • A blood thinner was given to the patient intravenously for the
    first few hours after the procedure to prevent clotting.
    • Take heart medication as prescribed
    • Take antibiotics as prescribed
    • Don’t do strenuous exercise

    COMPLICATIONS

    • Infection at the site of puncture


    • Local trauma to the vessel wall
    • Coronary artery dissection
    • Thrombus formation,
    • Superimposed coronary vasospasm
    • Coronary perforation or rupture
    • Restenosis

    INSTRUCTIONS

    • Quit smoking
    • Maintain a healthy weight by watching portion sizes and
    exercising is important
    • Participate in an exercise program
    • Eat many fruits, vegetables, grains, and non-fat or low-fat dairy
    products, and reduce fats to less than 30% of all calories.
    • A diet low in cholesterol and vitamin K (to prevent interference
    with the anticoagulant medication) may be recommended

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