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![Coronary artery balloon angioplasty - Series](http://ssl.adam.com/graphics/images/en/19001.jpg)
![Indication](http://ssl.adam.com/graphics/images/en/19002.jpg)
![Procedure, part 1](http://ssl.adam.com/graphics/images/en/19003.jpg)
![Procedure, part 2](http://ssl.adam.com/graphics/images/en/19004.jpg)
![Procedure, part 3](http://ssl.adam.com/graphics/images/en/19005.jpg)
![Procedure, part 4](http://ssl.adam.com/graphics/images/en/19006.jpg)
![Procedure, part 5](http://ssl.adam.com/graphics/images/en/19007.jpg)
![Aftercare, part 1](http://ssl.adam.com/graphics/images/en/19008.jpg)
![Aftercare, part 2](http://ssl.adam.com/graphics/images/en/19009.jpg)
Coronary artery balloon angioplasty - series
Coronary artery balloon angioplasty - Series
The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary artery supplies the left heart.
Coronary artery balloon angioplasty - series
Coronary artery balloon angioplasty - Series
The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary arter...
Coronary artery balloon angioplasty - series
Indication
Fat and cholesterol accumulates on the inside of arteries (atherosclerosis). The small arteries of the heart muscle (the coronary arteries) can be narrowed or blocked by this accumulation. If the narrowing is small, percutaneous transluminal coronary angioplasty, or PTCA for short, may be the course for treatment. PTCA is a minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle. The indications for PTCA are:
- Persistent chest pain (angina)
- Blockage of only one or two coronary arteries
Coronary artery balloon angioplasty - series
Indication
Fat and cholesterol accumulates on the inside of arteries (atherosclerosis). The small arteries of the heart muscle (the coronary arteries) can be na...
Coronary artery balloon angioplasty - series
Procedure, part 1
While the patient is awake and pain-free (local anesthesia), a catheter is inserted into an artery at the top of the leg (the femoral artery). The procedure begins with the doctor injecting some local anesthesia into the groin area and putting a needle into the femoral artery (the blood vessel that runs from the heart down the leg). Once the needle is inserted, a guide wire is placed through the needle, into the blood vessel. Following this step, the guide wire is left in the blood vessel and the needle is removed. A large needle called an introducer is then placed over the guide wire and the guide wire is removed.
Coronary artery balloon angioplasty - series
Procedure, part 1
While the patient is awake and pain-free (local anesthesia), a catheter is inserted into an artery at the top of the leg (the femoral artery). The pr...
Coronary artery balloon angioplasty - series
Procedure, part 2
Next, a diagnostic catheter, which is a long narrow tube, is advanced through the introducer over a .035 inch (.0889 cm) guidewire, into the blood vessel. This catheter is then guided to the aorta and the guidewire is removed. Once the catheter is placed in the opening or ostium of one of the coronary arteries, the doctor injects dye and takes a series of X-rays (film of the images).
Coronary artery balloon angioplasty - series
Procedure, part 2
Next, a diagnostic catheter, which is a long narrow tube, is advanced through the introducer over a .035 inch (.0889 cm) guidewire, into the blood ve...
Coronary artery balloon angioplasty - series
Procedure, part 3
The first catheter is exchanged out over the guidewire for a guiding catheter and the guidewire is removed. A smaller guidewire is advanced across the blocked section of the coronary artery and a balloon-tipped tube is positioned so the balloon part of the tube is beside the blockage. The balloon is then inflated for a few seconds to compress the blockage against the artery wall. Then the balloon is deflated. The doctor may repeat this a few times, each time pumping up the balloon a little more to widen the passage for the blood to flow through. This treatment may be repeated at each blocked site in the coronary arteries.
Coronary artery balloon angioplasty - series
Procedure, part 3
The first catheter is exchanged out over the guidewire for a guiding catheter and the guidewire is removed. A smaller guidewire is advanced across th...
Coronary artery balloon angioplasty - series
Procedure, part 4
A device called a stent may be placed. A stent is a latticed, metal scaffold that is placed within the coronary artery to keep the vessel open.
Coronary artery balloon angioplasty - series
Procedure, part 4
A device called a stent may be placed. A stent is a latticed, metal scaffold that is placed within the coronary artery to keep the vessel open.
Coronary artery balloon angioplasty - series
Procedure, part 5
Once the catheter has been positioned at the coronary artery origin, contrast media is injected and a series of X-rays (film) are taken to check for any change in the arteries. Following this, the catheter is removed and the procedure is completed.
Coronary artery balloon angioplasty - series
Procedure, part 5
Once the catheter has been positioned at the coronary artery origin, contrast media is injected and a series of X-rays (film) are taken to check for ...
Coronary artery balloon angioplasty - series
Aftercare, part 1
This procedure can greatly improve the blood flow through the coronary arteries and to the heart tissue in about 90% of patients and may eliminate the need for coronary artery bypass surgery. The outcome is relief from chest pain symptoms and an improved exercise capacity. In 2 out of 3 cases, the procedure is considered successful with complete elimination of the narrowing or blockage.
This procedure treats the condition but does not eliminate the cause and recurrences happen in 1 out of 3 to 5 cases. Patients should consider diet, exercise, and stress reduction measures. If adequate widening of the narrowing is not accomplished, heart surgery (coronary artery bypass graft surgery, also called a CABG) may be recommended.
Coronary artery balloon angioplasty - series
Aftercare, part 1
This procedure can greatly improve the blood flow through the coronary arteries and to the heart tissue in about 90% of patients and may eliminate th...
Coronary artery balloon angioplasty - series
Aftercare, part 2
Immediately after the procedure, a ten-pound (5 kg) sandbag may be placed over the femoral artery puncture site in the leg and remain there for 6 hours. This is done to help the artery heal.
Coronary artery balloon angioplasty - series
Aftercare, part 2
Immediately after the procedure, a ten-pound (5 kg) sandbag may be placed over the femoral artery puncture site in the leg and remain there for 6 hou...
Review Date: 1/1/2023
Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary artery supplies the left heart.
Fat and cholesterol accumulates on the inside of arteries (atherosclerosis). The small arteries of the heart muscle (the coronary arteries) can be narrowed or blocked by this accumulation. If the narrowing is small, percutaneous transluminal coronary angioplasty, or PTCA for short, may be the course for treatment. PTCA is a minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle. The indications for PTCA are:
- Persistent chest pain (angina)
- Blockage of only one or two coronary arteries
While the patient is awake and pain-free (local anesthesia), a catheter is inserted into an artery at the top of the leg (the femoral artery). The procedure begins with the doctor injecting some local anesthesia into the groin area and putting a needle into the femoral artery (the blood vessel that runs from the heart down the leg). Once the needle is inserted, a guide wire is placed through the needle, into the blood vessel. Following this step, the guide wire is left in the blood vessel and the needle is removed. A large needle called an introducer is then placed over the guide wire and the guide wire is removed.
Next, a diagnostic catheter, which is a long narrow tube, is advanced through the introducer over a .035 inch (.0889 cm) guidewire, into the blood vessel. This catheter is then guided to the aorta and the guidewire is removed. Once the catheter is placed in the opening or ostium of one of the coronary arteries, the doctor injects dye and takes a series of X-rays (film of the images).
The first catheter is exchanged out over the guidewire for a guiding catheter and the guidewire is removed. A smaller guidewire is advanced across the blocked section of the coronary artery and a balloon-tipped tube is positioned so the balloon part of the tube is beside the blockage. The balloon is then inflated for a few seconds to compress the blockage against the artery wall. Then the balloon is deflated. The doctor may repeat this a few times, each time pumping up the balloon a little more to widen the passage for the blood to flow through. This treatment may be repeated at each blocked site in the coronary arteries.
A device called a stent may be placed. A stent is a latticed, metal scaffold that is placed within the coronary artery to keep the vessel open.
Once the catheter has been positioned at the coronary artery origin, contrast media is injected and a series of X-rays (film) are taken to check for any change in the arteries. Following this, the catheter is removed and the procedure is completed.
This procedure can greatly improve the blood flow through the coronary arteries and to the heart tissue in about 90% of patients and may eliminate the need for coronary artery bypass surgery. The outcome is relief from chest pain symptoms and an improved exercise capacity. In 2 out of 3 cases, the procedure is considered successful with complete elimination of the narrowing or blockage.
This procedure treats the condition but does not eliminate the cause and recurrences happen in 1 out of 3 to 5 cases. Patients should consider diet, exercise, and stress reduction measures. If adequate widening of the narrowing is not accomplished, heart surgery (coronary artery bypass graft surgery, also called a CABG) may be recommended.
Immediately after the procedure, a ten-pound (5 kg) sandbag may be placed over the femoral artery puncture site in the leg and remain there for 6 hours. This is done to help the artery heal.
![<strong>Coronary artery balloon angioplasty - Series</strong><p>The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary artery supplies the left heart.</p> Coronary artery balloon angioplasty - Series](http://ssl.adam.com/graphics/images/en/19001.jpg)
![<strong>Indication</strong><p>Fat and cholesterol accumulates on the inside of arteries (atherosclerosis). The small arteries of the heart muscle (the coronary arteries) can be narrowed or blocked by this accumulation. If the narrowing is small, percutaneous transluminal coronary angioplasty, or PTCA for short, may be the course for treatment. PTCA is a minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle. The indications for PTCA are:Persistent chest pain (angina)Blockage of only one or two coronary arteries </p> Indication](http://ssl.adam.com/graphics/images/en/19002.jpg)
![<strong>Procedure, part 1</strong><p>While the patient is awake and pain-free (local anesthesia), a catheter is inserted into an artery at the top of the leg (the femoral artery). The procedure begins with the doctor injecting some local anesthesia into the groin area and putting a needle into the femoral artery (the blood vessel that runs from the heart down the leg). Once the needle is inserted, a guide wire is placed through the needle, into the blood vessel. Following this step, the guide wire is left in the blood vessel and the needle is removed. A large needle called an introducer is then placed over the guide wire and the guide wire is removed.</p> Procedure, part 1](http://ssl.adam.com/graphics/images/en/19003.jpg)
![<strong>Procedure, part 2</strong><p>Next, a diagnostic catheter, which is a long narrow tube, is advanced through the introducer over a .035 inch (.0889 cm) guidewire, into the blood vessel. This catheter is then guided to the aorta and the guidewire is removed. Once the catheter is placed in the opening or ostium of one of the coronary arteries, the doctor injects dye and takes a series of X-rays (film of the images). </p> Procedure, part 2](http://ssl.adam.com/graphics/images/en/19004.jpg)
![<strong>Procedure, part 3</strong><p>The first catheter is exchanged out over the guidewire for a guiding catheter and the guidewire is removed. A smaller guidewire is advanced across the blocked section of the coronary artery and a balloon-tipped tube is positioned so the balloon part of the tube is beside the blockage. The balloon is then inflated for a few seconds to compress the blockage against the artery wall. Then the balloon is deflated. The doctor may repeat this a few times, each time pumping up the balloon a little more to widen the passage for the blood to flow through. This treatment may be repeated at each blocked site in the coronary arteries.</p> Procedure, part 3](http://ssl.adam.com/graphics/images/en/19005.jpg)
![<strong>Procedure, part 4</strong><p>A device called a stent may be placed. A stent is a latticed, metal scaffold that is placed within the coronary artery to keep the vessel open.</p> Procedure, part 4](http://ssl.adam.com/graphics/images/en/19006.jpg)
![<strong>Procedure, part 5</strong><p>Once the catheter has been positioned at the coronary artery origin, contrast media is injected and a series of X-rays (film) are taken to check for any change in the arteries. Following this, the catheter is removed and the procedure is completed.</p> Procedure, part 5](http://ssl.adam.com/graphics/images/en/19007.jpg)
![<strong>Aftercare, part 1</strong><p>This procedure can greatly improve the blood flow through the coronary arteries and to the heart tissue in about 90% of patients and may eliminate the need for coronary artery bypass surgery. The outcome is relief from chest pain symptoms and an improved exercise capacity. In 2 out of 3 cases, the procedure is considered successful with complete elimination of the narrowing or blockage. This procedure treats the condition but does not eliminate the cause and recurrences happen in 1 out of 3 to 5 cases. Patients should consider diet, exercise, and stress reduction measures. If adequate widening of the narrowing is not accomplished, heart surgery (coronary artery bypass graft surgery, also called a CABG) may be recommended.</p> Aftercare, part 1](http://ssl.adam.com/graphics/images/en/19008.jpg)
![<strong>Aftercare, part 2</strong><p>Immediately after the procedure, a ten-pound (5 kg) sandbag may be placed over the femoral artery puncture site in the leg and remain there for 6 hours. This is done to help the artery heal.</p> Aftercare, part 2](http://ssl.adam.com/graphics/images/en/19009.jpg)
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- Pelvic laparoscopy
- Pemphigus vulgaris - lesion...
- Pemphigus vulgaris on the back
- Peripartum cardiomyopathy
- Peritoneal and ovarian canc...
- Pitting edema on the leg
- Plantar fascia
- Plantar fasciitis
- Plantar wart
- Plaque buildup in arteries
- Pleural cavity
- Pneumococci organism
- Pneumonia
- Post myocardial infarction ...
- Posterior heart arteries
- Prevention of cystitis
- Prevention of heart disease
- Progressive build-up of pla...
- Prostate cancer
- Prostate cancer
- Prostate gland
- PSA blood test
- Psoriasis - guttate on the ...
- Psoriasis - guttate on the cheek
- Psoriasis on the knuckles
- Ptosis - drooping of the eyelid
- Pulmonary embolus
- Pulmonary mass - side view ...
- Pulmonary nodule - front vi...
- Pulmonary nodule, solitary ...
- Pyogenic abscess
- Quitting smoking
- Radial pulse
- Rectal biopsy
- Rectal cancer - x-ray
- Rectal prolapse
- Red blood cells - elliptocytosis
- Red blood cells - multiple ...
- Red blood cells - normal
- Red blood cells - sickle an...
- Red blood cells - sickle cells
- Red blood cells - spherocytosis
- Red blood cells, sickle cell
- Red blood cells, target cells
- Red blood cells, tear-drop shape
- Renal biopsy
- Respiratory cilia
- Respiratory system
- Reticulocytes
- Retina
- Retina
- Retrocalcaneal bursitis
- Rheumatoid arthritis
- Rheumatoid arthritis
- Rheumatoid arthritis
- Ribs and lung anatomy
- Right atrial myxoma
- Right cerebral hemisphere -...
- Ringworm, tinea capitis - c...
- Role of the vagus nerve in ...
- Rosacea
- Rotator cuff muscles
- Sarcoid, stage II - chest x-ray
- Sarcoid, stage IV - chest x-ray
- Schatzki ring - x-ray
- Sciatic nerve
- Sciatic nerve damage
- Scoliosis
- Secondhand smoke and lung cancer
- Sense of sight
- Sentinel node biopsy
- Shin splints
- Shingles
- Shoulder joint inflammation
- Side view of the eye (cut s...
- Sigmoid colon cancer - x-ray
- Sinuses
- Sinusitis
- Skeletal spine
- Skeleton
- Skin cancer - close-up of l...
- Skin cancer - close-up of l...
- Skin cancer - malignant melanoma
- Skin cancer - melanoma supe...
- Skin cancer - raised multi-...
- Skin cancer - squamous cell...
- Skin cancer, basal cell car...
- Skin cancer, basal cell car...
- Skin cancer, basal cell car...
- Skin cancer, basal cell car...
- Skin cancer, close-up of le...
- Skin cancer, melanoma - fla...
- Skin cancer, melanoma - rai...
- Skin cancer, melanoma on th...
- Skin cancer, squamous cell ...
- Skin layers
- Skin lesion aspiration
- Skin lumps
- Skin tag
- Skin turgor
- Sleep patterns in the young...
- Slit-lamp exam
- Small cell carcinoma
- Small intestine
- Smoking hazards
- Smoking hazards
- Sources of fiber
- Spinal stenosis
- Spinal stenosis
- Spine supporting structures
- Spirometry
- Spleen and liver metastases...
- Sprained ankle
- Squamous cell cancer
- Squamous cell carcinoma
- Squamous cell carcinoma - i...
- St. John's Wort
- Stable angina
- Stages of cancer
- Starchy foods
- Stomach
- Stomach and stomach lining
- Stomach cancer, x-ray
- Stomach disease or trauma
- Stomach ulcer, x-ray
- Stopping bleeding with a to...
- Stopping bleeding with dire...
- Stopping bleeding with pres...
- Stress and anxiety
- Stress incontinence
- Stress incontinence
- Stroke
- Structure of the colon
- Stye
- Subdural hematoma
- Substantia nigra and Parkin...
- Subungual wart
- Sulfonylureas drug
- Superficial anterior muscles
- Swollen glands
- Swollen gums
- Swollen lymph nodes in the groin
- Swollen lymph nodes under arm
- Taking your carotid pulse
- Tendinitis
- Tendon vs. ligament
- Tendonitis
- The large intestine
- The structure of a joint
- Thiazolidinediones
- Thigh stretch
- Throat anatomy
- Thrombus
- Thyroid cancer - CT scan
- Thyroid cancer - CT scan
- Thyroid enlargement - scintiscan
- Thyroid function test
- Thyroid gland
- Tissue types
- Tobacco and cancer
- Tobacco and chemicals
- Tobacco and vascular disease
- Tobacco health risks
- Tongue
- Tooth anatomy
- Torn rotator cuff
- Transient Ischemic attack (TIA)
- Triceps stretch
- Trichotillomania - top of t...
- Tuberculosis, advanced - ch...
- Tympanic membrane
- Type I diabetes
- Ulcer emergencies
- Ulcerative colitis
- Untreated hypertension
- Upper gastrointestinal system
- Uterus
- Varicose veins
- Venous blood clot
- Venous insufficiency
- Ventricles of the brain
- Ventricular tachycardia
- Vertebra, cervical (neck)
- Vertebra, lumbar (low back)
- Vertebra, thoracic (mid back)
- Vertebral column
- Vertigo
- Visual acuity test
- Visual field test
- Vitamin D benefit
- Vitamin D deficit
- Vitamin D source
- Volvulus - x-ray
- Walking for health
- Warming up and cooling down
- Wart
- Wart (close-up)
- Wart (verruca) with a cutan...
- Warts - flat on the cheek a...
- Warts, multiple - on hands
- Wax blockage in the ear
- White nail syndrome
- Wrist splint
- X-ray
- X-ray
- Yellow nail syndrome
- Yellow nails
- Yoga
Presentations
- Abdominal exploration - series
- Arterial bypass leg - series
- Biliary obstruction - series
- Blepharoplasty - series
- Bone fracture repair - series
- Bone-marrow transplant - series
- Breast lump removal - series
- Breast reconstruction - series
- Carotid artery surgery - series
- Cataract surgery - series
- Chest tube insertion - series
- Colon cancer - series
- Colon diverticula - series
- Colostomy - series
- Complete blood count - series
- Corneal transplant - series
- Coronary artery balloon ang...
- Craniotomy - series
- Eardrum repair - series
- Facelift - series
- Forehead lift - series
- Gallbladder removal - Series
- Gastrectomy - series
- GI bleeding - series
- Heart bypass surgery - series
- Heart transplant - series
- Heart valve surgery - series
- Hemorrhoid surgery - series
- Hiatal hernia repair - series
- Hip joint replacement - series
- Inflammatory bowel disease ...
- Inguinal hernia repair - series
- Kidney removal (nephrectomy...
- Kidney transplant - series
- Knee arthroscopy - series
- Knee joint replacement - series
- Large bowel resection - series
- Liver transplant - series
- Lumbar spinal surgery - series
- Lung transplant - series
- Mastectomy - series
- Mastoidectomy - series
- Metered dose inhaler use - ...
- Microdiskectomy - series
- Monitoring blood glucose - ...
- Nebulizer use - series
- Pancreas transplant - series
- Partial knee replacement - ...
- Peak flow meter use - Series
- Prostatectomy - Series
- Pulmonary lobectomy - series
- Rectal prolapse repair - series
- Retinal detachment repair ...
- Shoulder separation - series
- Skin smoothing surgery - series
- Small bowel resection - series
- Spacer use - Series
- Spinal fusion - series
- Stroke - series
- Transurethral resection of ...
- Venous thrombosis - series
- Ventriculoperitoneal shunt ...