Percutaneous Coronary Intervention
About This Procedure
Percutaneous coronary intervention (PCI) is a procedure to reopen a blocked coronary artery. Fat and harmful cholesterol can get stuck in the coronary arteries and prevent smooth blood flow throughout the body.
A coronary angioplasty is a less invasive surgery that utilises a surgical balloon or stent to maintain a steady blood flow. Patients require coronary intervention when plaque which is waxy fat, builds inside the arteries and solidifies. Plaque building up and hardening within the restricted space of the arteries is a condition referred to as atherosclerosis. The accumulation of fat in the arteries increases the risk of heart disease and reduces the steady flow of blood throughout the heart. The poor flow of blood causes chest pain that can become difficult to manage. Percutaneous coronary intervention is a common form of treatment for a sudden heart attack. This is because the procedure is done to open the blood vessels quickly to speed up blood flow.
How the Procedure Works
A calming sedative helps keep you relaxed throughout the procedure. While conscious, you will not feel anything during the coronary angioplasty. First, Dr Hassen passes a sheath, a tube, into the blood vessel in the arm or upper thigh. Then, he guides a catheter via the sheath to the heart. Next, he injects a contrast agent using x-ray imaging to see where the catheter is. Next, a balloon at the edge of the catheter is inflated to widen the blocked artery. If a stent is needed to keep the artery open, Dr Hassen will place one there. Finally, he removes the catheter and seals the site using a compression bandage if the incision was made on the arm or stitches and a collagen plug if it was made on the thigh. Percutaneous coronary intervention enhances blood flow and treats chest pain and shortness of breath, typical symptoms of a blocked coronary artery that needs to be treated immediately.
Frequently Asked Questions
Is a stent meant to stay in the artery?
Yes, a stent maintains a regular flow of blood through the once-blocked arteries.
Can the artery narrow again?
Yes, however, the stent releases a type of medication into the artery to prevent re-narrowing.
How long does it take?
A coronary angioplasty is expected to last between thirty minutes to two hours, depending on what needs to be done.
Important Information
All procedures are performed by experienced, fellowship-certified cardiologists using state-of-the-art equipment. Please discuss any concerns or medical conditions with Dr Hassen during your consultation.
Schedule This Procedure
Contact our team to schedule your procedure and discuss preparation requirements.
Book ConsultationPreparation Tips
- Follow all pre-procedure instructions
- Arrange transportation if needed
- Bring your medical history
- Discuss medications with your doctor
Related Conditions
Coronary Artery Disease
Coronary artery disease is plaque build-up in the coronary arteries, the arteries that supply blood to the heart and its coverings. Plaque is predominately fat from saturated products and choline - a nutrient traced in red meat, dairy and eggs.
Irregular Heartbeat (Arrhythmia)
An irregular heartbeat is what many doctors refer to as arrhythmia. Arrhythmia is inconsistent beating or fluttering of the heart muscle.
Heart Failure
Heart failure is a term to describe the heart's poor ability to pump blood efficiently. Heart failure is mainly due to the weakening of the heart muscle.
Valvular Heart Disease
Valvular heart disease arises from damage to the heart's valves. The heart consists of four valves that maintain the steady flow of blood.
Congenital Heart Disease
Congenital heart disease is an abnormality affecting the heart which is present at birth. This congenital abnormality can affect the heart's valves, walls and blood vessels.
Medical Conditions Affecting the Heart
Heart disease refers to a collection of heart-related disorders affecting the performance of the heart muscle. Coronary artery disease is the most common medical condition affecting people worldwide. A high fat and cholesterol diet contributes to the development of coronary artery disease when the coronary arteries begin to narrow and restrict the flow of blood.
Related Procedures
Coronary Angiogram
A coronary angiogram utilises x-ray imaging to view the heart's blood vessels in detail. The test is designed to check for obstructions in the coronary arteries, limiting blood flow to the heart.
Echocardiogram
An echocardiogram is a detailed scan used to analyse the heart and blood vessels. An ultrasound probe emits high-powered sound waves that produce echoes as the sound waves bounce against parts of the body.
Transoesophageal Echocardiogram
A transoesophageal echocardiogram is a test used to assess the heart's structure and function. Similar to a small microphone, a transducer emits high-powered ultrasound waves that penetrate the skin, bodily tissues and heart muscle.
Electrical Cardioversion
Electrical cardioversion is a quick and efficient procedure that corrects the irregular rhythm of the heart. A machine and adhesive patches (electrodes) deliver low-dose shock energy to the chest to control an abnormal heart rhythm such as atrial flutter.
Pacemaker Implants
A pacemaker is a 20-50g device inserted in the chest to correct a very slow heartbeat. The pacemaker emits electrical impulses that control the heart, preventing an irregular heartbeat.