What is percutaneous transluminal coronary angioplasty (ptca)?

Heart vessel therapy. Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners.
Hydraulic Expansion. Of the blood vessel, usually an artery, using pressures ranging from ~50 to 250 times usual BP in an artery. Per cutaneous=across/through skin (via needle, no open surgical wound), coronary=heart, angio=blood (actually blood vessel), plasty=physical change /remolding of tissue wall enclosing the blood via hydraulic inflation. Done to treat symptoms, does not reverse disease yet complicates disease.

Related Questions

Is the percutaneous transluminal coronary angioplasty a risky thing to do?

In good hands, no. Ptca has become very routine, and is now routinely done in centers without cardiac suregry back-up as was formerly recommended. However, like any complex procedure, results are much better in the hands of experienced cardiologists working at high-volume centers. Read more...
Some risk exists. It is generally safe but not without some risk. Bleeding complications happen about 1 in 200 times which rarely requires blood transfusion, damage to artery requiring surgical repair also rarely happens. Risk of the artery being opened closing completely requiring emergency bypass may happen 1 in 100 times but is becoming less and less frequent with advanced stents.Death from procedure is rare. Read more...

Does it hurt to get a percutaneous transluminal coronary angioplasty done?

Not usually. A ptca, the procedure where a baloon is inserted in an artery to dilate it is done with anesthesia so during the procedure itself, pain should be almost non-existent, but certainly possible. After the procedure, the majority of patients have some pain, but it is tolerable and/or treatable. Persistent pain should always be evaluated by the trearting physician. Read more...
Not really. A needle is placed in a large artery in your groin or a small artery in your wrist. Most of the common side effects of pain and discomfort ar related to the cath site above. Read more...

Is there any pain involved in a percutaneous transluminal coronary angioplasty?

A little. There is some discomfort in the location where the catheter is inserted (groin, arm, or wrist), but the skin is locally anesthetized to minimize this. There is discomfort when the dilating balloon is inflated, but you are sedated to minimize this and it's always <60 seconds. Otherwise, it doesn't hurt. Most people who have been through it will tell you it's really not bad. Read more...
Sedation helps! There is some pain like a small needle stick and burning sensation when local anesthesia is injected around the artery. There may be some chest pain for the few seconds when the balloon is inflated. There may be momentary pinching type pain when artery is closed or some discomfort when pressure is applied on the artery. Some people with arthritis have back or joint pain from lying on the table. Read more...

After a percutaneous coronary intervention (ptca), hard and painful hiccups started. What could be the cause, and which doctor could help?

The cardiologist. Be sure no cardiac puncture or pericardial bleeding irritating the nerve to the diaphragm, or other cardiac irritation, or infarction which can rarely be related to hiccups. Read more...
Diaphragm. Hiccups are related to the diaphragm, the big muscle separating your lungs from the abdomen. I can't think of a reason why a PTCA would induce it since it should not have touched the nerves innervating the diaphragm. The internet is full of advice on how to stop hiccups but none has been scientifically proven. Try holding your breath and quickly drink 8 or more oz of water water . Read more...

What are the risk factors of a 58 years female patient who survived from massive heart attack (ami) followed by angioplasty (ptca) and cardiac arrest?

AMI. Those questions need to be asked of the patient's physicians. In general what you describe suggests serious damage was likely done during the heart attack, but that can't be known from here. The state of the coronary bed and the myocardial function likewise. Best to discuss with the physician(s) who know this patient best rather than generalize. Read more...