PERCUTANEOUS CORONARY INTERVENTION (PCI) VS CORONARY ARTERY BYPASS GRAFTING (CABG)

Promed Hospital | September 23, 2015

4 min. read

Percutaneous Coronary Intervention (PCI) refers to minimally invasive procedures that are used to open clogged coronary arteries. The treatment restores blood flow and improves the common symptoms of blocked arteries, including shortness of breath and chest pain.

In this procedure, the doctor reaches the blood vessels through a small incision in the arm or upper leg. A catheter is inserted through an artery that leads to the heart. Through the catheter, a stent is placed inside to open up the blocked blood vessels in the heart that have shrunk due to plaque buildup.

Benefits of Percutaneous Coronary Intervention (PCI)

1. Less invasive

2. No scar marks

3. Shorter duration of hospitalization

4. Less recovery time

5. Easily repeatable procedure

Conditions Treated by Percutaneous Coronary Intervention (PCI)

1. Obstructive Coronary Artery Diseases

2. Unstable Angina

3. Acute Myocardial Infarction

4. Multivessel Coronary Artery Disease

5. Myocardial Ischemia

6. Dementia

7. High Stroke Risk

8. Severe Pulmonary Disease

9. Acute Coronary Syndrome

What to Expect Before the Procedure?

Before the procedure, you may be given a sedative that will relax you.

Doctors will use electrodes to monitor your heart and a pulse oximeter will be clipped on a finger to check the oxygen levels in your blood.

What to Expect Before the Procedure?

1. In most cases, PCIs are conducted on sedated patients.

2. The patient will have to lie on their back on a procedure table, where the local anesthesia will be injected into the catheter site.

3. Once the anesthesia starts showing its effects, the catheter will be inserted into the blood vessels.

4. Once the catheter reaches the heart, the dye is released which helps in identifying the narrowed blood vessels.

5. When the narrow vessels are located, the catheter will be advanced to activate a special tip.

6. The patient may experience a certain chest discomfort during this time, but the doctor will assess them carefully.

7. Once the procedure is finished, the catheter will be withdrawn.

what to expect after the procedure?

1. The patient will be sent to a recovery room for observation.

2. The doctor will advise the patient to rest for 2 to 6 hours depending upon the severity of them.

3. Pain medication will be provided for discomfort.

4. The patient will have to consume water and fluids to remove the dye from their body.

5. The patient may be suggested an overnight stay in the hospital.

Coronary Artery Bypass Grafting (CABG)

A procedure used to treat Coronary Artery Diseases, which is the narrowing of coronary arteries. This is caused due to the build-up of fatty materials within the artery walls. This narrows the interiors of the arteries, therefore, limiting the supply of blood to the heart.

Coronary Artery Bypass Grafting, also known as CABG, is done to improve the oxygen-rich blood flow to the heart. It is required when the arteries that supply blood are narrowed or blocked. This treatment may also lower the risk of complications for people with obstructive coronary artery diseases.

conditions treated by coronary artery bypass grafting (cabg)

1. Angina

2. Coronary Artery Disease

Diagnosis for the Treatment

To ensure you’re eligible for the treatment, the cardiologist will do a physical examination involving thorough checking of your lungs, heart, and pulse. Your doctor will inquire about the symptoms you have and their severity. Symptoms may include chest pain, shortness of breath, etc.

Following tests may also be conducted:

1. EKG

2. Stress Test

3. Echocardiogram

4. Angiogram

Cath Lab @Promed Hospital

Our catheterization lab (cath lab) is equipped with the latest state-of-the-art Philips Azurion Clarity 7C12 with flexvision and emits ultra low-level X-ray doses.

Some of the Procedures That are Performed in Our Cath Lab:

1. Coronary Angiography

2. Angioplasties

3. Complex Angioplasties

4. Insertion of Pacemakers and defibrillators

5. Intravascular Ultrasound

6. Peripheral Vascular Interventions

7. Automatic Implantable Cardioverter Defibrillators (AICD)

8. Intra Atrial Septal Defect (ASD)

9. Ventricular Septal Defect (VSD)

10. Coarctation Stenting

11. Balloon Mitral Valvotomy (BMV/PTMC)

12. Aortic Valvuloplasties

13. Transcatheter Aortic Valve Implantation (TAVI) & Peripheral Angioplasties

14. Patent Ductus Arteriosus

Due to the complexity of the heart’s structure and its various functions, our heart often needs expert care depending on the nature and extent of heart-related conditions.

Our team of board-certified cardiologists and specialty-trained nurses, and radiology technologists are committed to working cooperatively with patients and their families. We provide specialized, individualized care to patients requiring cardiac services.