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Primary Percutaneous Coronary Intervention in Chennai

Primary Percutaneous Coronary Intervention in Chennai
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Primary Percutaneous Coronary Intervention or PCI is a surgical treatment to open a blocked artery. Arteries are nothing but the blood vessels that aid in carrying oxygen-rich blood through your body. 

A patient may have to undergo a Primary Percutaneous Coronary Intervention in Chennai if he/she has a build-up of a fatty, waxy substance (plaque) in their arteries. On the other hand, some may require a PCI or Percutaneous Coronary Intervention  procedure to clear blockages after a heart attack. The other name for a PCI is coronary angioplasty.

What is a Primary Percutaneous Coronary Intervention ?

A Primary Percutaneous Coronary Intervention  (PCI) is a minimally invasive surgical procedure which helps to open blocked coronary (heart) arteries in the heart patients.  The Percutaneous Coronary Intervention  procedure uses a small balloon to reopen a blocked artery in order to increase the blood flow.

Usually, your interventional cardiologist will place a small, permanent tube (stent) keeping the artery open for a long term. The stent usually contains medication to release directly into the artery (drug-eluting stent) to reduce the re-narrowing risk within the stent during the Primary Percutaneous Coronary Intervention in Chennai.

Who Can Have a Percutaneous Coronary Intervention ?

A patient may require a Primary Percutaneous Coronary Intervention  to remove build-ups of a thick, fatty substance or the plaque from your arteries. Plaque usually builds up and hardens in the arteries (atherosclerosis).

This can increase the risk of cardiovascular disease blocking the blood flow through the heart. This in turn does not allow your heart to pump blood efficiently, and there can be a possibility of chest pain (angina).

Primary Percutaneous Coronary Intervention in Chennai are also used by the healthcare providers to treat heart attacks because it quickly opens blood vessels, and can help minimize heart damage.

Types of Percutaneous Coronary Intervention 

  1. Transradial Interventions – It is a recommended technique of PCI associated with lower bleeding and vascular complications in acute coronary syndrome.
  2. CHIP Procedures – These types of Percutaneous Coronary Intervention  provide temporary support to the heart to assist in moving blood through the body.
  3. Primary Angioplasty – It is a special case of direct or immediate angioplasty to restore the blood flow to the blocked artery.
  4. Post Bypass Angioplasty – This Primary Percutaneous Coronary Intervention in Chennai is performed one step higher than angioplasty by restoring the blood flow to more than one heart artery.
  5. Ultralow Contrast Angioplasty – These types of Percutaneous Coronary Intervention  are performed on patients with advanced chronic kidney diseases engaging guide catheter and advanced guidewire in the coronary artery without using contrast.
  6. Bifurcation Stenting – It is a standard strategy of treatment which treats the narrowing of the major coronary artery and aids in helping the sufficient flow of blood to your heart.
  7. Left Main Stenting – These types of Percutaneous Coronary Intervention is a strong alternative for coronary artery bypass surgery in selected patients to aid in supplying blood to the left side of the heart muscle.
  8. Chronic Total Occlusions – This Primary Percutaneous Coronary Intervention in Chennai treats the partial or complete blockage of the blood vessel and also increases the flow of oxygen-rich blood to downstream vital tissues like the brain, heart or extremities.
  9. Metallic Stents Vs Bioresorbable Scaffolds – It is more effective in preventing the restenosis in dissolving sutures and allows the artery to flex and pulse naturally. 
  10. Intracoronary Physiology – FFR, IFR, RFR – It provides a more precise assessment of the lesions to avoid unnecessary stenting. It is a key cornerstone of Primary Percutaneous Coronary Intervention in Chennai.
  11. Intracoronary Imaging – Intravascular ultrasound – This is used as a catheter-based diagnostic procedure to view the inside of a coronary artery to provide a real-time view or to the target location.
  12. Rotational Athrectomy/ Rotablator – This Primary Percutaneous Coronary Intervention in Chennai is performed as an endovascular procedure using forward advancement of a rotating abrasive burr to ablate atherosclerotic plaque.
  13. Complex and Advanced Angioplasty – It is an advanced Percutaneous Coronary Intervention procedure used to open blocked coronary arteries caused by coronary artery disease and also aids in restoring blood flow to the heart muscle without any open-heart surgery. 

Treatment of  Primary Percutaneous Coronary Intervention Procedure

Before the Procedure:

The healthcare provider will give specific instructions to prepare for a Primary Percutaneous Coronary Intervention in Chennai. In a non-emergency situation, the patient will be asked not to eat nor drink for several hours before the surgery.

If you are used to taking blood-thinning medications (anticoagulants), you should stop taking them temporarily because these medicines can increase the bleeding risks during the surgical procedure. 

During the Procedure:

An interventional cardiologist will usually perform the PCI. The patient will receive a sedative (anaesthesia) to make them remain calm and relaxed. He/ she will be awake but can’t feel anything during the Percutaneous Coronary Intervention  procedure.

During a Primary Percutaneous Coronary Intervention in Chennai, the cardiologist will:

  1. Insert a sheath (a small hollow tube) through a blood vessel in the patient’s arm or at the top of the thigh.
  2. This guides a small, hollow tube (catheter) through this sheath and to the heart.
  3. A contrast dye is injected and X-rays are used to view the catheter in real time.
  4. It opens the blocked artery by inflating a balloon which is attached at the tip of the catheter.
  5. The interventional cardiologist will place a stent, if needed, to keep the artery open.
  6. Then, the catheter will be removed and the insertion site is closed with a compression bandage (arm), collagen plug (thigh) and a small stitch (thigh).

The Primary Percutaneous Coronary Intervention in Chennai, usually lasts between 30 minutes and two hours depending on several factors, including the extent of plaque build-up.

After the Procedure:

The patient will have to stay in the recovery area for several hours after a PCI. They may have bruising or soreness where the doctor inserted the catheter but after observation, he/she will be asked to return home the same day or stay in the hospital overnight.

Pros and Cons of Percutaneous Coronary Intervention  Procedure

The PCI can improve blood flow in the heart. Besides that, the Primary Percutaneous Coronary Intervention in Chennai can reduce the symptoms of a blocked artery, such as: chest pain and (dyspnoea) shortness of breath.

The complications or risks of PCI may include: infection or bleeding at the catheter insertion site, re-narrowing in the artery, blood clots in the heart stent, and stroke.

As a whole, this Primary Percutaneous Coronary Intervention in Chennai is generally a safe procedure with a low risk of complications. When the health care providers perform a Percutaneous Coronary Intervention  in Chennai using a drug-eluting stent, the likelihood that the artery will close again can be less than 5%.

Recovery Time 

Usually, the patient who has undergone the Primary Percutaneous Coronary Intervention in Chennai can resume their usual activities within a week. If you have a job requiring physical activity or heavy lifting, you ought to wait longer to return to work. During the recovery time, your cardiologist may prescribe blood-thinning medicines to lower the risk of blood clots.

Conclusion

If you are in need to undergo Primary Percutaneous Coronary Intervention in Chennai, MK Heart Clinic can be the right choice because the cardiologists and surgeons here have a vast experience in dealing with the most complicated coronary artery bypass surgery, besides all types of valvular heart diseases, paediatric and adult heart surgery, adult and paediatric heart transplantation with success rates comparable to the international standards. 

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