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Home » Services » ACI Cath Lab » Interventional Cardiology » Angioplasty and Stenting

Coronary Angioplasty and Stenting – Percutaneous Coronary Intervention 

Percutaneous coronary intervention (PCI), also referred to as coronary angioplasty and stenting, has changed the way cardiac disease is treated over the last few decades. Prior to PCI, Coronary Artery Bypass Graft (CABG) surgery was the only way to treat cardiac disease. CABG, however, is an invasive surgery using general anaesthesia and has a relatively long recovery period. In modern medicine in developed countries, PCI is three to four times more commonly performed compared to CABG in the treatment of heart disease.

PCI is used to open narrowed arteries in the blood vessels feeding the heart. If left untreated, these narrowed arteries can cause a complete blockage of the blood supply to the heart, resulting in a heart attack, which may prove to be fatal. Narrowed arteries are usually identified by first doing an X-ray coronary angiogram so that the exact location and severity of the narrowing can be seen.

Like the X-ray angiogram, the PCI procedure uses thin catheters inserted through a small puncture site into an artery in the leg or arm and guided by X-ray images to the blood vessels of the heart. A small inflatable balloon is guided through these catheters to the blockages in the arteries. Once in position, the balloon is then inflated to re-open the blockages in the artery. The balloon is then deflated and removed. In many instances, a thin metal sleeve called a stent is then inserted into the re-opened vessel, to ensure that it remains open while it heals.

The use of stents has led to the high success rates of modern PCI. Stent technology is continuously evolving; with several generations of improvement. They are usually coated with medication to prevent excessive scarring after PCI, and the drug itself has been improved over the years. ACI Cath Labs, uses the most advanced FDA approved drug eluting stents from the top manufacturers in the world.

ACI prides itself in stocking the widest variety of the most modern supplies for PCI. This applies not only to stents, but also to balloons, guidewires, catheters and many niche devices for specific purposes. We now boast of the largest inventory of Interventional Cardiology supplies. We are committed to keeping abreast of the latest technological advances and adopting the best medical practices. In this way we have been able to provide the most advanced heart care available worldwide right here in Trinidad. Our success and reputation speak for itself.

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