What is post PCI?
Percutaneous Coronary Intervention (PCI, formerly known as angioplasty with stent) is a non-surgical procedure that uses a catheter (a thin flexible tube) to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by plaque buildup, a condition known as atherosclerosis.
What happens after a percutaneous coronary intervention?
After the procedure We’ll take you to a recovery room for several hours of observation. You’ll need to stay in bed for two to six hours, depending on your condition and the type of PCI you had. You may experience mild pain or an ache in your chest. If the discomfort is too much, we can give you pain medication.
What are the precautions after stent in heart?
Avoid strenuous exercise and lifting heavy objects for at least a day afterward. Ask your doctor or nurse about other restrictions in activity. Call your doctor’s office or hospital staff immediately if: The site where your catheter was inserted starts bleeding or swelling.
When can you drive after PCI?
After a stent or angioplasty (PCI) using the femoral artery (groin) route – please do not drive for 7 days. If you have had an urgent/emergency procedure for unstable angina or a heart attack, you will not be able to drive for a period of time; the duration of this will depend on the function of your heart.
When is CABG recommended?
The chief anatomical indications for CABG are the presence of triple-vessel disease, severe left main stem artery stenosis, or left main equivalent disease (ie, 70 percent or greater stenosis of left anterior descending and proximal left circumflex artery)—particularly if left ventricular function is impaired.
What should I watch for post PCI?
Monitor the patient’s 12-lead ECG for changes, and be alert for chest discomfort or pain, which may indicate in-stent restenosis. Also monitor for reperfusion injury (characterized by chest discomfort, pain, or arrhythmias such as premature ventricular contractions) and coronary artery spasm, which could cause angina.
Are there any resources for PCI complication management?
Unfortunately, few resources exist to train operators in PCI complication management. Uncertainty regarding complication management could contribute to the undertreatment of patients with high-complexity coronary disease.
What should the differential be for chest pain after PCI?
The correct answer is: C. Computed tomography (CT) pulmonary angiography. This patient presented with recurrent chest pain after percutaneous coronary intervention (PCI). Differential should include post-PCI complication (coronary dissection, stent thrombosis), de novo coronary thrombosis, pericarditis, or tamponade.
What makes a PCI a clinically successful procedure?
In the short term, a clinically successful PCI includes anatomic and procedural success with relief of signs and/or symptoms of myocardial ischemia after the patient recovers from the procedure.
What should I do with DAPT after PCI?
Perioperative Management of DAPT Post-PCI. For patients at low thrombotic and high hemorrhagic risk, they recommend continuing ASA, discontinuing P2Y12 receptor inhibitor, and resuming within 24-72 hours with a loading dose. For patients at intermediate thrombotic and high hemorrhagic risk, they suggest postponing elective surgery.