Percutaneous coronary intervention (PCI) is the name for procedures to open a
blocked coronary artery. The two most common are coronary
angioplasty and coronary stent placement.
A PCI is a way to
open a blocked coronary artery before, during, or after a heart attack. It gets
blood flowing to your heart. And it can help prevent heart problems by
widening an artery that has been narrowed by fatty buildup (plaque). This also may be called balloon angioplasty.
Before a PCI, a doctor does a test to find blocked arteries. The test is called
cardiac catheterization. The doctor puts a tiny tube called a catheter into an
artery in your groin or arm. The doctor moves the catheter through the artery
to your heart. Then he or she puts a dye into the catheter. This makes your heart's
arteries show up on a screen so the doctor can see any blockages. The test also
can measure the pressure inside your heart's chambers.
If you have
a blocked artery, the doctor may do an angioplasty or a coronary stent procedure. In an angioplasty, the doctor uses a catheter
with a tiny balloon at the tip. He or she puts it into the blocked area and
inflates it. The balloon presses the plaque against the walls of the artery.
This makes more room for blood to flow. In most cases, the doctor then puts a
stent in the artery. A stent is a small, wire-mesh tube that presses against
the walls of the artery. The stent is left in the artery to keep the artery
open. This helps blood flow. It also may keep small pieces of plaque from
breaking off and causing a heart attack.
PCI is done in a cardiac
catheterization laboratory ("cath lab"). It is done by a heart specialist called a
cardiologist. The whole procedure may take 1½ to 3 hours.
on a table under a large X-ray machine. You will get medicine through an IV in
one of your veins. It helps you relax and not feel pain. You will be awake during
the procedure. But you may not be able to remember much about it.
The doctor will inject some medicine into your arm or groin to numb the
skin. You will feel a small needle stick. It's like having a blood test. You may
feel some pressure when the doctor puts in the catheter. But you will not feel
The doctor will look at X-ray pictures on a monitor (like a
TV set) to move the catheter to your heart. You may feel warm or flushed for a
short time when the doctor injects dye into your artery. The doctor then will
inflate a tiny balloon at the end of the catheter. The balloon is
inflated for a brief time. Then it is deflated and removed. The
doctor also may use the catheter to put a stent in the artery.
The catheter will be
removed. A nurse or doctor may press on a bandage on the opening. This prevents bleeding.
After the test, you will be taken to a room where the catheter site and your
heart rate, blood pressure, and temperature will be checked several times. If the catheter was put in your groin, you will need to lie still and keep
your leg straight for several hours. If the catheter was put in your arm, you may be able to sit up and get out of
bed right away. But you will need to keep your arm still for at least one hour. The average hospital stay is 1 to 2
days for most procedures. When you go home, you will get instructions from your doctor to help you recover well
and prevent problems.
Make sure to drink plenty of fluids (unless
your doctor tells you not to) for several hours after the test. This will help
flush the dye out of your body.
Your doctor will prescribe blood-thinning medicines. You will likely take aspirin plus another blood thinner. It is very important that you take these medicines exactly as directed. They help keep the coronary artery open and reduce your risk of a heart attack.
If you have this procedure, you will still need to make lifestyle changes like eating healthy, being active, and not smoking. This will give you the best chance for a longer, healthier life.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all
appointments, and call your doctor or nurse call line if you are having problems. It's also a good
idea to know your test results and keep a list of the medicines you
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Current as of:
March 29, 2016
Adam Husney, MD - Family Medicine
& Martin J. Gabica, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine
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