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What is an angioplasty (PCI) procedure?
Percutaneous
Coronary Intervention (PCI) is a specialized procedure to
open up a coronary artery which is narrowed due to plaque
build-up. A fine tube, or catheter, is threaded from the artery
in the groin, up to the site of the blockage in the heart.
The balloon-tip of the catheter is inflated to press the plaque
back against the wall of the artery. When the catheter is
removed, the artery remains open wider than before, allowing
more blood and oxygen to get to the heart muscle.
In some cases, a tiny wire coil, or stent, is inserted with
the catheter to help stabilize the newly opened area of plaque.
Stents are not necessary for all patients and the Cardiologist
makes the decision during the procedure.
Who performs an angioplasty procedure?
Specialized Cardiologists perform PCI procedures. They receive
extensive training in both General Cardiology and Invasive
Cardiology (performing angiograms and angioplasties). Cardiac
surgeons are trained differently, for surgical procedures,
and do not perform PCI.
Where does the angioplasty procedure take place?
t is performed in the Cardiac Catheterization Lab, a specialized
case room with advanced imaging technology.
How long does an angioplasty procedure usually take?
The average PCI takes approximately one hour to perform,
followed by a recovery phase of 12-16 hours. Most patients
remain in hospital overnight and go home the following day.
How does an angioplasty procedure treat heart disease?
PCI does not treat heart disease, which is a chronic disease
process related to genetics, lifestyle, diet and other factors.
However, it effectively treats the symptoms which result from
the narrowing of arteries such as extreme fatigue, chest pain
and shortness of breath. Patients usually are able to resume
their regular activities quickly following their PCI procedure,
then follow-up with their physicians to ensure that they control
the underlying factors which contributed to their disease
process.
When is cardiac surgery recommended over angioplasty?
A number of patients cannot be effectively treated with PCI
and require long-term medications or a coronary bypass operation.
This could be due to the extensive nature of their disease
or the location of a single narrowing in an artery. Also,
some patients have other medical conditions which could make
surgery a better option.
Before the service became available here, how many
people from Northwestern Ontario left the region to receive
angioplasty?
Over 400 patients from across the Northwest were referred
to other centres for PCI procedures.
Where are cardiac patients cared for, and how many
beds will be available for PCI patients?
Cardiac patients receive their care in our Cardiology beds
on 2C, or our Coronary Care Unit (CCU) beds. TBRHSC will add
six beds to 2C to accommodate most PCI patients, while CCU
will care for those who have been admitted with more serious
problems.
How many new Cardiologists are expected to join the
Cardiology Program?
The number of Cardiologists at TBRHSC will double from four
to eight during the implementation of the Program.
What does Stand-Alone Angioplasty mean?
Stand-alone Angioplasty means that the service is provided
in Centres without Cardiac surgery. In these cases, Centres
must make arrangements for surgical backup within a short
time-frame and reasonable distance.

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