What are the possible complications during and after PTCA procedure?
Possible risks associated with PTCA, atherectomy, and/or stent include, but are not limited to, the following: Bleeding at the catheter insertion site (usually the groin, but the arm may be used in certain circumstances) Blood clot or damage to the blood vessel at the insertion site.
When caring for a client after cardiac catheterization which nursing action is most important?
Patients should be kept lying flat for several hours after the procedure so that any serious bleeding can be avoided and that the artery can heal. It is advised that diagnostic catheterisation patients are kept on bed rest for four hours, and interventional catheterisation patients stay on bed rest for six hours.
What is the most serious complication of PTCA?
The most serious complication of percutaneous coronary intervention results when there is an abrupt closure of the dilated coronary artery within the first few hours after the procedure.
How long should you rest after stent placement?
If you had a planned (non-emergency) coronary angioplasty, you should be able to return to work after a week. However, if you’ve had an emergency angioplasty following a heart attack, it may be several weeks or months before you recover fully and are able to return to work.
What are complications of PTCA?
Possible complications include hematoma at the femoral artery insertion site, pseudoaneurysm of the femoral artery, infection of skin over femoral artery, embolism, stroke, kidney injury from contrast dye, hypersensitivity to dye, vessel rupture, coronary artery dissection, bleeding, vasospasm, thrombus formation, and …
What is the recovery time for heart catheterization?
Complete recovery takes a week or less. Keep the area where the catheter was inserted dry for 24 to 48 hours. If the catheter was inserted into your arm, recovery is often faster.
Who is a candidate for PTCA?
You have significant narrowing or blocking of only 1 or 2 coronary arteries. Your doctor may recommend heart bypass surgery (coronary artery bypass graft surgery) instead of angioplasty. You have had a heart attack. You are not feeling better despite medicines and lifestyle changes to reverse atherosclerosis.
How often should stents be checked?
As recommended in the National Disease Management Guidelines (6), patients with coronary heart disease and those who have undergone stent implantation should be followed up regularly (every three to six months) by their primary care physicians, independently of any additional visits that may be necessitated by …
When do you need a percutaneous angioplasty ( PTCA )?
Urgent PTCA is often required to limit myocardial damage. Percutaneous transluminal coronary angioplasty (PTCA) also called percutaneous coronary intervention (PCI) is a minimally invasive procedure to open blocked or stenosed coronary arteries allowing unobstructed blood flow to the myocardium.
What does PTCA stand for in medical category?
What is PTCA. PTCA short for percutaneous transluminal coronary angioplasty is also called coronary angioplasty, balloon angioplasty or percutaneous coronary intervention (PCI), is a minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle 1).
How does a PTCA open a blocked artery?
PTCA, or percutaneous transluminal coronary angioplasty, is a minimally invasive procedure that opens blocked coronary arteries to improve blood flow to the heart muscle. First, a local anesthesia numbs the groin area. Then, the doctor puts a needle into the femoral artery, the artery that runs down the leg.
Are there any risks associated with PTCA surgery?
Possible risks associated with PTCA, atherectomy, and/or stent include, but are not limited to, the following: Bleeding at the catheter insertion site (usually the groin, but the arm may be used in certain circumstances) restenosis (blockage in the blood vessels after PTA procedure) Rupture of the coronary artery, requiring open-heart surgery