(Balloon Angioplasty; Percutaneous Transluminal Coronary Angioplasty [PTCA]; Percutaneous Coronary Revascularization )
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Reasons for Procedure
- Bleeding at the point of catheter insertion
- Damage to the walls of arteries, causing you to need more procedures or surgery
- Heart attack or abnormal heart beats called arrhythmia
- Allergic reaction to x-ray dye
- Blood clots
- Temporary kidney failure
What to Expect
Prior to Procedure
- Your doctor may need to test your bodily fluids. This can be done with blood tests.
- You may need heart pictures and function tests. This can be done with:
Talk to your doctor about your current medicines. Certain medicines may need to be stopped before the procedure, such as:
- Anti-inflammatory drugs (eg, ibuprofen) for up to one week before surgery
- Blood-thinning medicines such as warfarin (Coumadin)
- Metformin (Glucophage) or glyburide and metformin (Glucovance)
- You should take aspirin before and during the procedure. Your doctor may also prescribe clopidogrel (Plavix) before the procedure.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- Arrange for a ride to and from the procedure.
- Arrange for help at home after returning from the hospital.
Description of Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
You may be sent home on blood-thinning therapy. This may include one or more of the following:
- Prasugrel (Effient)
- Dabigatran etexilate (Pradaxa)
- Ice may help decrease discomfort at the insertion site. You may apply ice for 15-20 minutes each hour for the first few days.
- You can make lifestyle changes to lower your risk of complications of heart disease. These include eating a healthier diet, exercising regularly, and managing stress.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Your arm or leg becomes painful, blue, cold, numb, tingly, swollen, or increasingly bruised
- Nausea and/or vomiting
- Pain that you cannot control with the medicines you have been given
- Cough, shortness of breath, or chest pain
- Joint pain, fatigue, stiffness, rash, or other new symptoms
American Heart Association http://www.heart.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Heart and Stroke Foundation of Canada http://www.heartandstroke.com
American College of Cardiology Task Force. American College of Cardiology/Society for Cardiac Angiography and Interventions clinical expert consensus document on cardiac catheterization laboratory standards: a report of the American College of Cardiology Task Force on clinical expert consensus documents. J Am Coll Cardiol. 2001 Jun 15;37(8):2170-2214.
Angio-Seal VIP. St. Jude Medical Website. Available at: http://www.sjmprofessional.com/products/us/hemostasis-management/angio-seal-vip.aspx. Accessed February 7, 2013.
Baim D, Grossman W. Coronary Angioplasty, in Cardiac Catheterization, Angiography, and Intervention. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins;2000.
Bain S, Moheet AM, Rasmussen P. Which patients benefit from carotid stenting? What recent trials show. Cleve Clin J Med. 2008 Oct;75(10):714-20. Review.
Bravata DM, Gienger AL, McDonald KM, Sundaram V, Perez MV, Varghese R, Kapoor JR, Ardehali R, Owens DK, Hlatky MA.Systematic review: the comparative effectiveness of percutaneous coronary interventions and coronary artery bypass graft surgery. Ann Intern Med. 2007 Nov 20;147(10):703-16. Epub 2007 Oct 15. Review.
Chaer RA, Makaroun MS. Current indications for carotid angioplasty and stenting. Perspect Vasc Surg Endovasc Ther. 2008 Sep;20(3):239-44. Review.
Hochman J, Lamas GA, Buller CE, et al. Coronary intervention for persistent occlusion after myocardial infarction. N J Eng Med. 2006;355:2395-2407. Available at: http://content.nejm.org/cgi/content/abstract/NEJMoa066139. Accessed February 7, 2013.
Kasper DL, et al. Harrison's Principles of Internal Medicine. 16th ed. New York, NY: McGraw-Hill Professional;2004.
Smith SC, Dove JT, Jacobs AK, et al. ACC/AHA guidelines of percutaneous coronary interventions. J Am Coll Cardiol. 2001;37:2215.
Weaver WD. Heart Disease: A Textbook of Cardiovascular Medicine. 5th ed. Philadelphia, PA:WB Saunders; 1997.
What is coronary angioplasty? National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/angioplasty/. Updated February 1, 2012. Accessed February 7, 2013.
- Reviewer: Michael J. Fucci, DO
- Review Date: 09/2012 -
- Update Date: 02/07/2013 -