(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
- Blood tests
- Images of your bodily structures. This can be done with:
- Talk to your doctor about your current medications. Certain medications may need to be stopped before the procedure.
- You should take aspirin before and during the procedure. Your doctor may also prescribe a blood thinner 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.
- 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.
- 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 medications 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.
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 September 15, 2014.
Smith SC, Dove JT, Jacobs AK, et al. ACC/AHA guidelines of percutaneous coronary interventions. J Am Coll Cardiol. 2001;37:2215.
What is percutaneous coronary intervention? National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/angioplasty/. Updated August 28, 2014. Accessed September 15, 2014.
- Reviewer: Michael J. Fucci, DO
- Review Date: 08/2014 -
- Update Date: 09/15/2014 -