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Percutaneous Coronary Intervention with Drug Eluting Stent versus Coronary Artery Bypass Surgery in Armenia: A CostEffectiveness Study Master of Public Health Integrating Experience Project Professional
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How to fill out percutaneous coronary intervention with:

01
Gather necessary information: Collect the patient's medical history, including any previous interventions or surgeries related to the coronary arteries. This will help guide the decision-making process during the procedure.
02
Pre-procedural preparation: Ensure that the patient has been adequately prepared for the procedure, such as discontinuation of certain medications or fasting if required. This may also involve obtaining informed consent from the patient or their designated representative.
03
Intra-procedural steps: During the percutaneous coronary intervention (PCI) procedure, the following steps are typically involved:
3.1
Access site selection: Determine the optimal site for arterial access, which is commonly the femoral artery, although the radial artery may also be used.
3.2
Catheter insertion: Insert a catheter into the selected artery and advance it towards the coronary arteries using fluoroscopic guidance.
3.3
Coronary angiography: Inject a contrast agent through the catheter to visualize the coronary arteries. This allows for the identification of any stenosis or blockages.
3.4
Balloon angioplasty: If significant stenosis is observed, inflate a small balloon at the tip of the catheter to widen the narrowed area in the coronary artery, thus improving blood flow.
3.5
Stent placement: In some cases, a stent (a small mesh tube) may be deployed within the blocked segment to provide support and maintain vessel patency. The stent is typically expanded using a balloon catheter.
3.6
Post-dilation and optimization: After stent deployment, perform additional balloon inflations to ensure proper stent expansion and optimize the final result.
3.7
Closure and recovery: Once the procedure is completed, remove the catheter and apply pressure at the access site to prevent bleeding. The patient is then taken to a recovery area for close monitoring.
04
Post-procedural care: After the PCI, the patient will generally be monitored for a certain period to ensure stability and address any potential complications. Medications, such as antiplatelet therapy, may be prescribed to prevent stent-related complications.

Who needs percutaneous coronary intervention with:

01
Individuals with coronary artery disease (CAD): Those who have significant blockages or stenosis in their coronary arteries may require PCI to improve blood flow to the heart muscle.
02
Patients with symptoms of angina: If a person experiences chest pain or other symptoms due to reduced blood supply to the heart, PCI may be recommended to alleviate symptoms and improve overall quality of life.
03
Acute coronary syndrome (ACS) patients: In cases of unstable angina or myocardial infarction (heart attack), PCI is often performed urgently to restore blood flow to the affected coronary artery and prevent further damage to the heart muscle.
Please note that the need for PCI is determined on a case-by-case basis, and the final decision is made by a qualified healthcare professional after careful consideration of the individual patient's condition and risk factors.
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Percutaneous coronary intervention (PCI) is performed with a thin tube (catheter) that is inserted into a blood vessel to open up narrowed or blocked coronary arteries.
Healthcare providers who perform PCI procedures are required to document and file the intervention.
The PCI documentation includes details such as the patient's medical history, procedure performed, equipment used, and post-procedural care instructions.
The purpose of PCI is to improve blood flow to the heart muscles by opening up blockages in the coronary arteries, which can help reduce symptoms of chest pain and lower the risk of heart attacks.
Information such as the patient's name, date of birth, medical history, procedure details, and any complications or follow-up care must be reported on PCI documentation.
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