Angioplasty: Preparation, recovery, long-term care.

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Angioplasty is the minimum invasive surgical procedure used to open the blood vessels traveling in the heart.Also called percutaneous coronary angioplasty (PTCA) or percutaneous coronary intervention (PCI), the procedure is often performed after episode of chest pain or heart attack and generally includes the placement of the stent .

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What is angioplasty?

Angioplasty is a catheterization procedure ,What opens the arteries, the material blocked or narrowed called the raid.

Surgery includes the passage of a long and thin tube, called catheter through an atherosclerotic flask , which causes the blockade.Then, the deflated globe attached to the catheter inflates to open the narrow wall of the artery.Stantanova expandable mesh tube in the form of tubular devices placed, if necessary, and is left behind as a ‘forest’ to help keep the wall of the artery and keep it open.

Angioplasty is carried out in the catheterization laboratory of hospital catheterization and, in emergency care, patients can be given high on the same day as the procedure.In some cases, this may require permanence during the night. Angioplasty is generally planned by the procedure, although it can be used as an emergency treatment during a heart attack .

Contraindications

Angioplasty may not be correct for all patients with multiple locks, block in certain places or Complete occlusion artery may need a coronary bypass.

The procedure is also contraindicated for people with a certain bleeding and coagulation disorder, and those who can be allergic to contrast dye.

Potential risks

Like any procedure that It requires the introduction of a catheter into a blood vessel, angioplasty entails some risks,Including: / P>

  • Damage to the blood vessel, used for the procedure
  • bleeding
  • thrombosis infection (blood clots)

Other complications that can occur during angioplasty,They include damage to the body, supplied with the treatment of the blood vessel (including a heart attack, renal damage or stroke) and cardiac arrhythmias.

The purpose of angioplasty

Building a dental plaque in the arteries, known as atherosclezdered to a coronary artery disease (CAD) .From left to unprocessed, it can cause pain in chronic chest (angina), heart attack or stroke.

Medical care providers can diagnose atherosclerosis and CAD using visualization analysis, such as echocardiography .Ct) scan , magnetic resonance tomography (MRI), EMISY POSITRON (PET) tomography or angiography .

soft cases, as a rule, processed by the statins of and the cardiovascular and healthy lifestyle of changes at the lower level of cholesterol.

The most severe cases of atherosclerosis require surgery, and angioplasty is the most common procedure used to treat obstructed arteries and improve the flow of Blood in the heart.In fact, this is one of the most common procedures carried out in the United States each year.

Angioplasty is not the correct atherosclerosis; It only eliminates related locks.

Angioplasty is quite effective to reduce the symptoms of stable angina and is often used in the treatment of coronary artery diseases in people who have Sharpeful coronary syndrome (ACS).

In ACS, the acute blocking of the coronary artery occurs due to a tear board, which formed a clutch inside the artery. When this happens, the heart attack is very likely if only the artery is not open.Angioplasty and stent can help during an event of this type to improve the results in the general heart.

Other surgical options for the treatment of atherosclerosis include the vaccination of the coronary artery (CABG) and the endarterectomy of Cannovaya .

How to cook

Before having angioplasty, your health care provider meets the full history of disease and physical examination.The chest x-ray will also be carried out, the electrocardiogram.

When evaluating the corresponding course of treatment for your condition, your cardiologist can perform the angiogram procedure , which uses a contrast dye and an x-ray to visualize the arterial lock.This test is used to determine if one or more stents may be required.

If angioplasty is carried out as an urgent procedure during a sharp or imminent heart attack, an angiogram will be performed in combination with angioplasty as a process.

Talk to your health care provider about potential risks and benefits for you personally, as well as other potential treatment options.

Angioplasty is performed in the heart catheterization laboratory, located in the hospital. Planned procedures are usually asked to reach the hospital a few hours before the scheduled time of the procedure.

What to use

You must change to the hospital for the procedure, so we have what is easy to take off better .

You will not be allowed to use jewelry during the procedure, and you must leave any cost at home.

Food and Beverages

You must stop eating and drinking up to eight hours before the procedure. If your angioplasty is planned, follow the appropriate instructions provided by your health care provider.

If the operation is an emergency, the professional will talk about how to go through and decide when it is safe enough,To continue rejecting

Tell your doctor about all recipes and preparations Excessive and additives.Some medications can interfere with sedation, change their heart rate and frequency of blood pressure or cause blood coagulation problems during an operation, since it deals with blood diluents .

If your procedure is predicted in advance, your health care provider will give you a guide for what you may need to stop taking before The operation, and when.

What to take

Be ready to spend at least one night at the hospital. Prepare what you need the night before your procedure, especially if you have an early start time.

Be sure to pack your insurance documents and identification along with personal needs and comfort objects.

You can not be allowed to administer an emission of hospitals, so you should be organized in advance so that someone will bring you to the hospital and send you home again.

Changes pre-op lifestyle

Before angioplasty, Your health care provider, it probably recommends that you start after> low cholesterol diet and avoid drinking alcohol.

Yes Like a Fumador, Care Four-six weeks before the operation and stay without smoking for four weeks after that,Significantly reduces your risk of complications and improves heart health in long-term failure

What to have the day of surgery

Day or two to your procedureScheduled, you will be notified when you reach an object to register and provide additional instructions. In the hospital, it is too early to give yourself an additional time to park and navigate through an object.

Before the procedure

After the hospital, you will be sent to the room to change to the hospital dress.At this time, you will be asked to update and see your illness of the disease, to answer questions about the last time you ate or drank, and go through a brief medical exam.

therefore, it will be taken to the catheterization laboratory, where the procedure will be carried out. The room will create surgical equipment and computers that will help the surgeon find and treat the blockages.The room can be cold, but there will be blankets to keep you warm.

You will be connected to IV and these soft medications and sedatives to help you relax.

During the procedure

Angioplasty you are not sleeping. The procedure is not painful, and the incision will not be achieved.

The procedure can take 30 minutes to three hours, depending on the number of blockages that should be processed, and any complication that may occur.

After anesthesia entered into force, surgical personnel will sterilize the skin where the catheter will be inserted with a shoulder artery in hand, radial artery on the wrist, or femoral artery in groin .Rayon can also be covered with a sheet similar to a cell.

After numbness of the area, the health provider will insert the needle into the artery. Using the same orifice, then they will enter the catheter.Live x-rays help guide the surgeon in the heart, in which the contrast dye will be entered to highlight the lock.

To open a blocked artery, your health care provider will insert another catheter with a released chalk and, if necessary, stent.After the catheter reaches the lock, the balloon inflates to compress the dental plate on the wall of the artery.

The balloon turns off, and are placed on the stents. Your health care provider will determine the type of stent for use: either a bare metal stent or a drug from stent which is a metallic grid covered slowly -Medicine released to avoid narrowing of the artery again. Different types of medicinal stents are covered with various medications. / P>

After the end of angioplasty, the surgeon will quickly remove the catheter and use a special device for Close the artery.

After the procedure

After completing the operation, it will move to the recovery room and continue with a Cardiac monitor.After the sedatives wear out halfway to the house, it will be transferred to the ordinary hospital room and will be allowed there again.

As a general rule, planned angioplastic procedures do not require a night stay at the hospital, but in some cases you may have to stay for additional observation.If your procedure has been done as an emergency due to a heart attack or another heart event, it is likely that you will need to remain in the hospital within a few days for monitoring and recovery.

When downloading, you will be sent home with the recovery instructions that must be followed closely.

Recovery

Restoration of angioplasty usually quickly.Maybe you are experiencing some discomfort and bruises in the insertion of the catheter site, which should gradually improve in a few days.

According to the general state of health before the procedure, many people can drive and return to work during the week. The next purpose is generally scheduled for two to four weeks after angioplasty.

Healing

In the first days after the procedure, observe the site inserts for bleeding, edema, redness, Pain or drainage and for any change of color in the limb used for the procedure.

Refrain from lifting heavy objects and follow any other restriction established by your health care provider.

looking for immediate medical attention

thrombosis,A serious condition associated with blood clots on the stent site can occur in the first week after the failure of the procedure can lead to a sudden catastrophic event a heart attack or stroke.Call 911,If you experience:

  • chest pain
  • Lack of breath
  • Sudden vertigo or weakness
  • were speech popular
  • weakness on one side of the face or body
  • pain in the extremities accompanied by theirskin, rotating pale, blue or cold

Medications

Then angioplasty will need to breaking drug blood (for example, plavix ),To avoid the formation of a blood clot at the site of angioplasty. Wash the health care provider will give you a recipe before it is downloaded, and instructions for side effects to explore.If you are experiencing any, we will definitely discuss them in your previous appointment (if not before). You can also designate medications for medications for the treatment of joint conditions, such as hypertension, high cholesterol and diabetes.

Rehabilitation of the heart

Your cardiologist can recommend a “cardiac rehabilitation rehabilitation.The objective of cardiac rehabilitation is to help you restore strength, develop healthy food and habits for exercise and prevent deterioration.

Cardiac rehabilitation consists of an individual exercise plan developed by a cardiac physiotherapist.The research programs that participate in the heart rehabilitation program reduce the risk of future cardiac problems and the death of heart disease.

Long-term care

Progressive atherosclerosis Disease, associated with diet and other lifestyle factors.With the blocked arteries that the result of the extension of the dental plaque can be treated with angioplasty, the operation does not eliminate atherosclerosis.

If there are no affiliated lifestyle changes, the RAID will continue to accumulate in the arteries and cause additional locks that can lead to a heart attack.

can slow down the progression of atherosclerosis and reduce the risk of future cardiac events with the following positive lifestyle changes:

  • quit crowcing
  • Follow the low cholesterol
  • reduces the pressureHigh arterial
  • Control of blood sugar,If you have diabetes
  • below the cholesterol level
  • Healthy weight support
  • Get regular exercise

The supplier Medical care can help you directly administer these important risk factors.For example, a nutritionist can teach you to follow the appropriate diet; Smoking programs can help you quit smoking.

Word of the Meds information received

Placement of angioplasty and stent -This is a relatively safe and effective procedure for rapid facilitation of the obstructed artery, facilitates pain in constant chest and improves the results of a heart attack.However, angioplasty applies only to individual blockages and is a temporary gang on the biggest problem of atherosclerosis.In addition to drugs, changes in lifestyle can be a long way to improve heart health and reduce the risk of more severe cardiac events and premature death.

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