Percutaneous Coronary Interventions- Questions and Answers
3 views 0 purchase
Course
Pci
Institution
Pci
Percutaneous Coronary Interventions- Questions and Answers
What is PCI?
group of techniques capable to relieving coronary artery narrowing
Include PTCA and intracoronary stent implantation
Benefit of PCI vs thrombolytics
PCI treats underlying atherosclerotic lesion
Previous
Pla...
Percutaneous Coronary Interventions-
Questions and Answers
What is PCI? - answer group of techniques capable to relieving coronary artery
narrowing
Include PTCA and intracoronary stent implantation
Benefit of PCI vs thrombolytics - answer PCI treats underlying atherosclerotic lesion
the time from the patient's arrival in the emergency department to the time PCI is
performed is critical and should be - answer less than 60 minutes (time is muscle!).
door-to-balloon time
if PCI is not available within a 90 min time frame.. - answer Thrombolytics, oxygen,
NTG, analgesic & ASA while waiting
What assessment is imperative pre PCI procedure? - answer peripheral vascular
system
Used post op for evaluation
Include extremities color, sensation, temperature, capillary refill, and peripheral
perfusion using the grading scale common
Post op assessed q15min for 1st hour
Percutaneous Transluminal Coronary Angioplasty - PTCA What is this? - answer
used to open blocked coronary vessels and resolve ischemia with angina and for acute
MI.
also be used to open blocked CABGs (coronary artery bypass grafts).
-balloon-tipped catheter (sheath) inserted in femoral artery for a conduit of other
catheters that are threaded up thru aorta into coronary arteries
-Angiography with contrast used to identify location and extent of blockage
-Balloon tipped dilation cath positioned over lestion and inflated with high pressure for
several seconds "cracking" the atheroma.
Goal of PTCA - answer Improvement of blood flow and residual stenosis < 20%
Increase in artery's lumen
Difference of < 20 mmHg in BP from one side of lesion to the other
No arterial trauma
What are complications of PTCA? - answer Restenosis
Bleeding or hematoma
Lost or weakened pulse distal to sheath
Pseudoaneurysm and arteriovenous fistula
Retroperitoneal bleeding
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Pogba119. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
