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Atherectomy/Angioplasty of Noncoronary Vessel

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by Polsdorfer R

(Nonsurgical Revascularization of Noncoronary Vessel)

 

Reasons for Procedure

Most often, these procedures are done when an artery is narrowed by atherosclerosis, and there is no improvement with exercise or medication treatment. Also if the artery is too narrow, blood is no longer able to pass through. The body part then suffers from lack of oxygen, also called ischemia. This can cause different symptoms, depending on the part of the body that is not getting enough oxygen.
 

What to Expect

Prior to Procedure

You will be thoroughly evaluated before deciding on the best procedure. This may involve contrast x-rays, ultrasound, or computerized scans to identify the area of concern. You will be asked not to eat or drink anything for several hours before the procedure.
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.

Anesthesia

You will most likely be sedated, but not put to sleep. A local anesthetic will numb the site where the device will be inserted.

Immediately After Procedure

You will be moved to another room to recover. Recovery time is minimal.

How Long Will It Take?

Between 30 minutes and two hours

How Much Will It Hurt?

Some minor discomfort may accompany the procedure.

Average Hospital Stay

This procedure is done in a hospital setting. You may need to stay overnight. You may be kept longer if complications arise.

Post-procedure Care

At the hospital:
  • You will need to lie flat for a period of time if the groin was used as an entry site.
  • You may need to have pressure applied to the entry site to control bleeding.
  • If you notice any swelling, bleeding, black and blue marks, or pain where the catheter was inserted, tell the nurse.
  • You will be encouraged to drink a lot of fluids to flush the contrast material from your system.
  • There will be a bandage over the puncture site. You may be prescribed a blood thinner, such as aspirin. Certain strenuous activities will be limited. Other activities, including exercise and fluid intake, may be encouraged. Your doctor will want to see you several days or weeks later.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
  • Washing their hands
  • Wearing gloves or masks
  • Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
  • Washing your hands often and reminding visitors and healthcare providers to do the same
  • Reminding your healthcare providers to wear gloves or masks
  • Not allowing others to touch your incisions
 

RESOURCES

Angioplasty.org
http://www.ptca.org

Society for Vascular Surgery
http://www.vascularweb.org

 

CANADIAN RESOURCES

Heart and Stroke Foundation of Canada
http://www.heartandstroke.ca

Public Health Agency of Canada
http://www.phac-aspc.gc.ca

 

References


Bettmann MA, et al. Carotid stenting and angioplasty: a statement for healthcare professionals from the Councils on Cardiovascular Radiology, Stroke, Cardio-Thoracic and Vascular Surgery, Epidemiology, and Prevention, and Clinical Cardiology, American Heart Association. Circulation. 1998;97:121-123.


Angioplasty and vascular stenting. Society of Interventional Radiology website. Available at: http://www.radiologyinfo.org/content/interventional/angioplasty.htm. Updated March 7, 2013. Accessed August 21, 2014.


6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

 

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