Coronary Artery Angioplasty ( Radial Access)

Coronary Artery Angioplasty ( Radial Access)

Coronary Artery Angioplasty ( Radial Access)

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#CoronaryArteryAngioplasty #PercutaneousCoronaryIntervention #BalloonAngioplasty

MEDICAL ANIMATION TRANSCRIPT: A coronary angioplasty procedure is also known as percutaneous coronary intervention. The procedure is done on blood vessels called coronary arteries. They supply your heart muscle with oxygen. The goal is to restore blood flow if a substance called plaque has significantly narrowed these vessels. To begin the procedure the doctor will numb the skin in your wrist. A needle will be placed through your skin and into your radial artery. Next, a flexible guidewire will be passed through the needle into your artery. Then the needle will be withdrawn. It will be exchanged for a small flexible tube called a sheath. This permits access into your artery. You may feel pressure when the doctor inserts the sheath. But you will not feel it moving inside your artery. Next, the guidewire will be advanced up to your heart. A flexible tube called a catheter will be advanced over the wire to your coronary arteries. The progress of the procedure will be checked with an x-ray device called a fluoroscope. At this point, your doctor will remove the guidewire. Then, the doctor will move the tip of the catheter just inside the coronary artery to be examined. A special dye will be injected into the artery. This allows your doctor to view it better with the fluoroscope. The dye will make any blockages in the artery stand out. If a significant blockage is found, your doctor will insert a guidewire into the artery. A balloon on the tip of the catheter will be moved along the wire to the blockage. When the balloon inflates, it will expand the artery and improve the blood flow. You may feel some chest discomfort while this is happening. After this, your doctor will deflate and remove the balloon. A wire mesh tube called a stent may be placed in the treated area. The stent helps keep the coronary artery open. Your doctor will choose the proper sized stent, which is compressed over a balloon. The stent will be moved into the artery over the same guidewire. When the balloon is inflated, the stent will expand and lock into place. After the balloon catheter is taken out the stent will stay in place to hold the artery open. At the end of the procedure, the guidewire will be removed. To find out more about coronary artery angioplasty, talk to your healthcare provider.

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Content

0.24 -> this animation is brought to you by the
2 -> smart image base
3.199 -> a subscription website where you can
4.96 -> download thousands of medical
6.64 -> images and videos to use in lectures
9.28 -> courses
9.84 -> presentations professional training and
12.08 -> more for more information
13.92 -> click on the link in the description
20.48 -> a coronary angioplasty procedure is also
23.279 -> known as
23.92 -> percutaneous coronary intervention
27.039 -> the procedure is done on blood vessels
29.359 -> called coronary arteries
32.079 -> they supply your heart muscle with
33.76 -> oxygen
37.36 -> the goal is to restore blood flow if a
40.16 -> substance
40.96 -> called plaque has significantly narrowed
43.44 -> these vessels
46.079 -> to begin the procedure the doctor will
48.239 -> numb the skin
49.2 -> in your wrist a needle will be placed
52.239 -> through your skin
53.12 -> and into your radial artery next a
56.48 -> flexible guide wire will be
58 -> passed through the needle into your
59.52 -> artery then
61.28 -> the needle will be withdrawn it will be
64.72 -> exchanged for a small
66.08 -> flexible tube called a sheath this
69.04 -> permits access into your artery
72.4 -> you may feel pressure when the doctor
74.159 -> inserts the sheath
75.52 -> but you will not feel it moving inside
77.6 -> your artery
80.4 -> next the guide wire will be advanced up
82.479 -> to your heart
84.799 -> a flexible tube called a catheter will
87.52 -> be advanced over the wire to your
89.36 -> coronary arteries
92.079 -> the progress of the procedure will be
93.84 -> checked with an x-ray device
95.36 -> called a fluoroscope at this point your
98.4 -> doctor will remove the guidewire
101.119 -> then the doctor will move the tip of the
103.2 -> catheter just inside the coronary artery
105.92 -> to be examined
107.6 -> a special dye will be injected into the
109.68 -> artery this allows your doctor to view
112.079 -> it better with the fluoroscope
114.079 -> the dye will make any blockages in the
116 -> artery stand out
118.479 -> if a significant blockage is found your
120.96 -> doctor will insert a guide wire into the
122.88 -> artery
125.28 -> a balloon on the tip of the catheter
127.2 -> will be moved along the wire to the
129.039 -> blockage
131.2 -> when the balloon inflates it will expand
133.68 -> the artery
134.48 -> and improve the blood flow you may feel
137.28 -> some chest discomfort while this is
139.04 -> happening
141.04 -> after this your doctor will deflate and
143.36 -> remove the balloon
148.8 -> a wire mesh tube called a stent may be
151.519 -> placed in the treated area
153.44 -> the stent helps keep the coronary artery
155.599 -> open
157.2 -> your doctor will choose the proper size
159.2 -> stent which is compressed over a balloon
163.599 -> the stent will be moved into the artery
165.519 -> over the same guidewire
167.2 -> when the balloon is inflated the stent
169.28 -> will expand
170.239 -> and lock into place
173.76 -> after the balloon catheter is taken out
175.92 -> the stent will stay in place to hold the
178.08 -> artery open
180.64 -> at the end of the procedure the guide
182.319 -> wire will be removed
185.2 -> to find out more about coronary artery
187.36 -> angioplasty talk to your health care
189.72 -> provider

Source: https://www.youtube.com/watch?v=bzasYRhmOWg