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3011646-angioplasty-vs

3011646-angioplasty-vs

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Published by: pldhy2004 on Apr 16, 2011
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WESLEYAN UNIVERSITY – PHILIPPINES

CABANATUAN CITY

COLLEGE OF NURSING

ANGIOPLASTY
VS.

BYPASS
SURGERY

ANATOMY AND PHYSIOLOGY

.

ANGIOPLASTY .

or •Percutaneous Transluminal Coronary Angioplasty .•Percutaneous coronary intervention (PCI).

ATHEROSCLEROSIS .

Cardiac catheterization .

•An artery that is likely to be treated successfully with angioplasty whether or not stenting is also used. •Evidence of severely reduced blood flow (ischemia) to an area of heart muscle caused by one or more narrowed coronary arteries.Why It Is Done •Frequent or severe chest pain (angina) that is not responding to medication. •You are in good enough health to undergo the procedure .

•Balloon angioplasty .STENTS A small. expandable wire tube is often permanently inserted into the artery during angioplasty.

. •Keep the artery open after the balloon is deflated and removed. thereby improving blood flow.Stenting should: •Open up the artery and press the plaque against the artery's walls. •Seal any tears in the artery wall.

•Prevent the artery wall from collapsing or closing off again (restenosis). •Prevent small pieces of plaque from breaking off. which might cause a heart attack. .

Coronary angioplasty: Blockage in a coronary artery .

Coronary angioplasty: Step 1 .

Coronary angioplasty: Step 2 .

Coronary angioplasty: Step 3 .

Coronary angioplasty: Final .

.

.How Well It Works Angioplasty relieves chest pain and improves blood flow to the heart. another angioplasty or bypass surgery may be needed. If restenosis occurs.

Stents: •Coated stents •Intracoronary radiotherapy •Rotational atherectomy .

.

•Heart attack. Angioplasty may increase the risk of needing urgent bypass surgery. the repaired artery can renarrow (restenosis) and a repeat angioplasty may need to be performed. •Need for additional procedures. .RISKS: •Bleeding at the puncture site. •Sudden closure of the artery. In addition.

The risk of death is higher when more than one artery is involved. .•Reclosure of the grafted blood vessel (restenosis). •Death.

.

BYPASS .

coronary artery bypass graft -To improve the blood flow to the myocardial tissue .CABG.

.

.How is coronary bypass done? Surgeons take a segment of a healthy blood vessel from another part of the body and make a detour around the blocked part of the coronary artery. •An artery may be detached from the chest wall and the open end attached to the coronary artery below the blocked area.

One end is sewn onto the large artery leaving your heart -. •Either way. The other end of the vein is attached or "grafted" to the coronary artery below the blocked area.•A piece of a long vein in your leg may be taken. . blood can use this new path to flow freely to the heart muscle.the aorta.

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.

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NURSING CARE: •PRE-OP CARE •INTRA-OP CARE •POST-OP CARE .

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