Percutaneous coronary intervention
Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat narrowing (stenosis) of the coronary arteries of the heart found in coronary artery disease. After accessing the blood stream through the femoral or radial artery, the procedure uses coronary catheterization to visualise the blood vessels on X-ray imaging. After this, an interventional cardiologist can perform a coronary angioplasty, using a balloon catheter in which a deflated balloon is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as stents can be deployed to keep the blood vessel open. Various other procedures can also be performed.
In patients with acute coronary syndromes, PCI may be appropriate; guidelines and best practices are constantly evolving.
The risk of complications is higher in:
- People aged 65 and older
- People who have kidney disease or diabetes
- People who have poor pumping function in their hearts
- People who have extensive heart disease and blockages.
Other procedures done during a percutaneous coronary intervention include:
· Implantation of stents
· Rotational or laser atherectomy
· Brachytherapy (use of radioactive source to inhibit restenosis)
Cardiology research Journals like Clinical Cardiology and Cardiovascular Medicine (CCCM) provides a global open access platform to put forth the ongoing research, reviews articles related to Percutaneous coronary intervention.