Primary Coronary Angioplasty
Percutaneous coronary intervention (PCI) is a treatment to open a blocked artery. Arteries are the blood vessels that carry oxygen-rich blood through your body. You may need a PCI if you have a buildup of a fatty, waxy substance (plaque) in your arteries. Or you may have a PCI to clear blockages after a heart attack. Another name for a PCI is coronary angioplasty.
A percutaneous coronary intervention (PCI) is a minimally invasive procedure to open blocked coronary (heart) arteries. An older name for PCI is coronary angioplasty with stenting or angioplasty for short.
Usually, your interventional cardiologist then places a small, permanent tube (stent) to keep the artery open long term. The stent usually contains medication that releases directly into your artery (drug-eluting stent) to reduce the risk of re-narrowing within the stent.
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Symptoms
All heart treatments have some symptoms. Symptoms of a PCI procedure may include:
- Bleeding or infection at the catheter insertion site.
- Blood clots in the heart stent.
- Re-narrowing in the artery.
- Stroke.
- Bleeding or discharge at the catheter insertion site.
- Chest pain (angina).
- Chills or a fever.
- Coolness or numbness where the doctor inserted the catheter.
- Dizziness or fainting (syncope).
- Shortness of breath (dyspnea).
- Swelling or pain that doesn’t go away.
Percutaneous coronary intervention is generally a safe procedure with a low risk of complications. When providers perform a PCI using a drug-eluting stent, the likelihood that the artery will close again is less than 5%.
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