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Percutaneous Coronary Intervention PCI in Broadway

Emergency Percutaneous Coronary Intervention PCI

Percutaneous Coronary Intervention Procedure in Broadway

Emergency Percutaneous Coronary Intervention (PCI), also known as coronary angioplasty, is a minimally invasive procedure to address coronary artery disease caused by angina or heart attacks. At Manipal Hospitals, Broadway, our cardiac team possesses tremendous experience and significant expertise in performing PCI procedures, prioritising the safety and comfort of every patient. 

  • Pre-procedure: sedative or anaesthesia, local or general, will be administered with the help of an IV line inserted in your arm. Moreover, electrodes will be placed on your heart, alongside a pulse oximeter on your finger or ear to monitor blood oxygen levels. Imaging scans, such as fluoroscopy, are used to locate the blocked artery and guide the catheter. 

  • During the procedure: A sheath is inserted through the arm or groyne region to provide access to blood vessels. A guiding catheter and percutaneous transluminal coronary angioplasty (PTCA) wire are then inserted through the sheath to reach the blocked artery. Once there, the specialist inflates and deflates the balloon several times to compress the plaque and widen the artery, restoring blood flow. If needed, a stent is placed to help the artery stay open. 

  • Post-procedure: The balloon is removed, and the site is closed with a bandage or a stitch. The patient is then transferred to the recovery room to monitor any post-procedural complications. 

Consult our cardiologists if you need a Percutaneous Coronary Intervention Procedure in Broadway.

This is a non-surgical procedure that is used to treat coronary arteries for stenosis. It is a combination of angioplasty & stenting that widens narrowed and blocked coronary arteries

FAQ's

Our specialists will review your symptoms and medical history, along with imaging scans, to see if you need an Emergency Percutaneous Coronary Intervention. Typical indications that may require you to undergo the procedure include:

  • Acute ST-elevation myocardial infarction (STEMI) and Non-ST-Elevation Myocardial Infarction (NSTEMI)

  • Stable and unstable angina

  • Atherosclerosis

  • Symptoms such as irregular cardiac rhythm or fainting

  • Critical coronary artery stenosis

  • Abnormal results from High-risk stress test

The duration of the procedure depends on the complexity and number of blood vessels treated. For an uncomplicated, single blockage, the procedure might take as little as half an hour, while in some cases, it may take up to 3 hours. Our specialists will give you an estimate of the time it may take for the procedure to be completed. 
 

Potential risks or complications that may occur during Emergency Percutaneous Coronary Intervention (PCI) include:

  • Contrast allergy or nephropathy

  • Bleeding or pseudoaneurysm around the access site

  • Renarrowing of the artery

  • Formation of blood clots

  • Stroke

  • Acute myocardial infarction

  • Systemic bleeding

  • Cardiac tamponade

  • Death (higher in high-risk cases)

Complications such as acute myocardial infarction, systemic bleeding, and high-risk death occur very rarely, and complications generally do not manifest when the procedure is performed by experienced surgeons. 
 

Risk factors that contribute to increased complications for Percutaneous Coronary Intervention (PCI) procedure include:

  • Individuals over the age of 65

  • Female sex

  • Kidney dysfunction

  • Diabetes

  • Heart conditions, such as systolic heart diseases and those with extensive coronary artery disease

  • Low body mass index (BMI) patients have a higher risk of inpatient bleeding complications

Recovery periods vary for different patients and are based on factors such as age, cardiac health, the number of blood vessels treated, and overall health. Patients can start resuming usual activities within a week, although, you may have to wait longer if you need to perform any physical work or exercises that are strenuous. The need for cardiac rehabilitation also varies among individuals. Our specialists will determine if you need rehabilitation and also address post-procedural instructions. 
 

After the procedure, you will be shifted to the recovery room for further observation. The need to stay in the hospital after the procedure depends on the complexity of the procedure performed. Some patients are kept overnight in the hospital for monitoring, while others are discharged on the same day based on your assessment. You may experience bruising or tenderness around the catheter insertion site, which is common. Specialists will address your pain or discomfort, if any, and will prescribe pain management medications. 
 

General follow-up care instructions you need to follow after Emergency Percutaneous Coronary Intervention (PCI) include:

  • Consuming a healthy diet consisting of vitamins, minerals, dietary fibre, and antioxidants, such as meat, fish, healthy fats, and low-fat dairy. It is also essential to drink a lot of water and refrain from soft drinks.

  • Performing proper exercise, and avoiding rigorous or strenuous physical work or exercise until your specialist suggests.

  • Attending regular follow-ups, and cardiac rehabilitation programmes

  • Abstaining from smoking or drinking

  • Alleviating anxiety or stress

  • In the case where the catheter is inserted in the groyne region, abstain from sexual activity for 2 to 5 days. 

Yes, you can shower after an Emergency Percutaneous Coronary Intervention (PCI), although you may have to wait for the first 24 to 48 hours. Moreover, you should avoid bathing or swimming for the first week post-procedure. Our specialist will inform you regarding the guidance and precautions you have to take while showering.
 

You should seek immediate medical attention if you exhibit either or a combination of the following symptoms listed below after an Emergency Percutaneous Coronary Intervention (PCI):

  • Excessive bleeding or discharge at the catheter site

  • Chest pain

  • High temperatures or chills

  • Swelling or redness

  • Coughing up blood or coloured mucus

  • Shortness of breath

  • Dizziness

  • Numbness around the catheter site

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