CORONARY INTERVENTIONS

Percutaneous coronary intervention (PCI) refers to a family of minimally invasive procedures used to open clogged coronary arteries (those that deliver blood to the heart). By restoring blood flow, the treatment can improve symptoms of blocked arteries, such as chest pain or shortness of breath. Dr. Ravi Prakash interventional cardiologists, who are highly skilled and experienced in using the latest techniques and devices, are able to use PCIs to fix the most complex coronary artery blockages, even chronic total occlusions. In a PCI, the doctor reaches a blocked vessel by making a small incision in the wrist or upper leg and then threading a catheter (a thin, flexible tube) through an artery that leads to the heart. The doctor uses X-ray images of the heart as a guide to locate the blockage or narrowed area and then uses the most appropriate PCI techniques to open the vessel. At Dr. Ravi Prakash, we offer a range of PCI procedures, tailoring them to meet individual needs and to optimize outcomes. All are performed in our cardiac catheterization labs, which are equipped with state-of-the-art technologies and equipment. This is the basic PCI procedure. A catheter with a tiny, folded balloon on its tip is threaded through a blood vessel until it reaches the site where plaque buildup is causing a blockage. At that point, the balloon is inflated to compress the plaque against the walls of the artery. This widens the passageway, restoring blood flow to the heart. The balloon is then deflated and removed. Generally, as part of the balloon treatment, we place a stent (a tiny mesh tube) in the problem area to keep the artery open after the balloon is removed. A small wire is advanced through the blockage, and a balloon catheter covered with a stent is advanced over the wire to the blockage site. Inflation of the balloon expands the stent. Once the plaque is compressed against the artery wall and the stent is in place, the balloon is deflated and withdrawn. Most stents now come with coatings that slowly release special drugs that prevent the growth of scar tissue in the artery, further ensuring good blood flow and reducing the need for future treatment.

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