Cardiac catheterization or coronary angioplasty full name followed by PTCA (transluminal coronary angioplasty Percutaneus) or PCI (Percutaneus Coronary Intervention) is actually a procedure to dilate the coronary arteries are narrowed or blocked.
Narrowing or blockage in blood vessels that can cause a heart attack in addition, will also cause angina (chest pain) and other diseases associated with the heart.
Narrowing or blockage of blood vessels is actually the result of many years the process of chronic inflammation of coronary arteries, namely the formation of deposits in blood vessels called atherosclerotic plaque.
This process initially runs quietly, does not cause clinical symptoms, so that someone will not feel what's going on inside the walls of blood vessels.
Heart attack or angina is the culmination of a long journey of plaque buildup. If there is a risk factor for coronary heart disease, such as smoking, obesity, lack of activity, or no family history, then the buildup of fatty plaques that evolve more rapidly.
Installation procedure
PTCA or PCI procedures performed by injecting an anesthetic into the base of the arm or groin. After that, the doctor inserts a small, flexible tube (catheter) as a guide to the inside of the leg or arm. Assisted image on the monitor, the physician guides the catheter into the blocked or narrowed arteries in the heart.
Furthermore, a narrower second catheter with a balloon or stent on a catheter inserted through the first ends. When the tip of the catheter reaches the blockage in the coronary artery, the balloon and then blown to widen the narrowed part.
Stent or artery rings mounted in metal tubes made of a fabric of small-that will work as a crutch to keep blood vessels open. It is hoped this could be a permanent dilation.
Mayo Clinic mentioned in the book overall stent procedure or balonisasi lasted for 30 minutes to two hours.
Specialist Doctors Diponegoro University, Dr. Andreas Arie Setiawan, SPPD explain mounting ring (ring) is usually done because there is a blockage or a crust in the flow of blood that carries oxygen and nourishment to the heart.
"The heart muscle if you do not get food and oxygen supply can be threatened to stop. Therefore it is necessary to set the ring (pertutaning intervention) such as inserting the IV of the wrist or the thigh to the heart," he said.
Installation of the ring he carried out if the blockage has reduced the ability of the blood circulation to the heart as much as 70 percent, leaving only 30 percent. If it still remains more than 40 percent simply by taking the drug alone.
"If there are two places that clogged it will be installed two rings in both places are clogged," he said.
Meanwhile, a cardiologist who else to explain that if a blockage or narrowing in the left front of the 60% it will disrupt the flow of blood. If it happens on the right then it will disrupt 20%. If the rear would disrupt 20%.
"If there is a hole in the artery it will weaken. Therefore the ability to know how the rest of the circulating blood to the heart. If the cavities 40%, then 60% clogged and should be pairs of the ring and to increase to 80%. If it is less 20%, then it should be by pass surgery, "he explained separately.
He also explains that the fat embolism obstruction can walk to the other parts to form emboli that may clog the brain that lead to stroke. Strokes that occur can cause permanent paralysis.
"The ability to think will depend on the blocked area in the brain. If sections 1, 2 and 3 will be paralyzed unable to move. If the back then could not see. If the front of the causes can not think. If the left side then it can not hear and moving, "he said.
Meanwhile, Specialist Doctors Faculty of Medicine, University of Indonesia Ari Fahrial Sham added that this action is not action for the inspection and operation of this act no longer need care and can be active.
"After the patient was able to direct action business as usual and there are no restrictions on the activities of a moderate or even severe," continued Dr. Ari.
Dr. Ari re-asserted, the action bukanlan cardiac catheterization surgery. Because the heart aterisasi followed by mounting ring (stent) in the coronary arteries is a routine activity in major hospitals in Jakarta and major cities
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