What is percutaneous coronary intervention?

percutaneous coronary intervention (PCI), also known as coronary angioplasty, is a non-surgical procedure used to treat obstructive coronary artery diseases, such as unstable angina, acute myocardial infarction (MI), and multivessel coronary artery disease (CAD).

This technique is used to open blocked heart arteries. Angioplasty is a procedure that involves inserting a thin balloon catheter into a clogged blood artery to assist expand it and enhancing blood flow to the heart

Indications

Indications for PCI include:
● Acute myocardial infarction with ST-elevation (STEMI)
● Acute coronary syndrome without ST elevation (NSTE-ACS)
● Unstable angina
● Anginal equivalents such as dyspnea, arrhythmia, or dizziness
● High-risk stress test findings
Another indication of PCI is the presence of objective evidence of a moderate to a large portion of viable myocardium or moderate to severe ischemia on noninvasive tests in an asymptomatic or slightly symptomatic patient.
Also, hemodynamically significant lesions in vessels serving viable myocardium (vessel diameter >1.5 mm) is a significant angiographic indication.

What are the types of percutaneous coronary intervention?

PCI procedures can be tailored to meet every patient’s needs. doctors choose the most appropriate technique for each individual. These techniques are:

Balloon angioplasty; the basic PCI method. A catheter with a small, foldable balloon on the tip is run into a blood vessel until it reaches the obstruction caused by plaque formation. The balloon is then inflated, compressing the plaque against the artery’s walls. The route is widened, and blood flow to the heart is restored. After that, the balloon is deflated and removed.

Angioplasty with stent; we usually insert a stent in the problem location as part of the balloon therapy to keep the artery open after the balloon is removed. A tiny wire is inserted into the blockage, and a balloon catheter with a stent is advanced to the blockage location over the wire. The stent expands when the balloon is inflated. The balloon is deflated and removed once the plaque is pushed against the arterial wall and the stent is in place. Most stents now include coatings that slowly release specific medications that prevent scar tissue from forming in the artery, guaranteeing better blood flow and lowering the need for future treatment.

Rotational atherectomy; doctors employ unique catheter-based equipment to drill out calcified plaque deposits in patients with very tough blockages.

Impella-supported PCI; a tiny device called the Impella heart pump can be temporarily inserted through the skin and into the heart to assist its pumping function during the procedure for patients at high risk of complications or with severe heart disease. Blood flow to vital organs is maintained as a result

What are the contraindications of PCI?

The following are relative angiographic contraindications:
Arteries with a diameter of less than 1.5 mm
Diffusely diseased saphenous vein grafts
The other coronary anatomy that is not amenable for PCI

What are the risks of a percutaneous coronary intervention procedure?

Although this is a less invasive procedure, it has some risks. The most common risks include:
Bleeding; a patient may have bleeding where the catheter was put in his leg or arm. It usually results in a bruise, although severe bleeding might occur and need a blood transfusion or surgical intervention.
Artery re-narrowing; in the case of using a drug-eluting stent combined with the angioplasty the treated artery has a slight chance of becoming blocked again.
When bare-metal stents are placed, the risk of re-narrowing the artery is increased.
Blood clotting; Even after the procedure, blood clots can develop within stents. These clots have the potential to block an artery, resulting in a heart attack. To lower the risk of clots forming in your stent, a patient should take aspirin along with clopidogrel, prasugrel, or another drug that helps prevent blood clots exactly as prescribed.

There are some rare risks of PCI, including heart attacks, coronary artery damage, kidney problems, abdominal heart rhythm, and strokes.

What can the patient expect?

Before the procedure

Anesthesiologist will give your patient a sedative to help him relax before the procedure. Patients are sedated but not asleep during most PCIs.

In areas where a catheter will be put, such as the groin or wrist, the hair may be removed.

An intravenous (IV) line is inserted, allowing doctors to quickly provide patients with drugs as necessary.

A pulse oximeter will be clipped on a finger or ear to check the oxygen level in the patient’s blood, and electrodes will be implanted on his body to monitor his heart.

During the procedure

Depending on the complexity, a PCI might take from one to three hours.

On a procedure table, a patient will be lying on his back. At the place where the catheter will be implanted, a local anesthetic will be administered.

When the catheter reaches the heart, a contrast dye will be administered, to allow doctors to view the restricted portion of the artery on an X-ray. The physicians will next conduct the PCI that is most suitable for this condition.

The catheter will be removed after the procedure is completed, and pressure will be administered to the insertion site to stop the bleeding. If the catheter was put via your groin, you must lie flat on your back for many hours with your leg straight. The patient’s arm will be lifted on cushions and held straight with a stabilizing board if the catheter was put in his arm.

After the procedure

The medical team will transport the patient to a recovery room where he will be monitored for many hours. Depending on his health and the type of PCI he had, he’ll need to be in bed for two to six hours.

he may feel a little aching or pain in his chest. doctors can offer him pain killers if his pain is too much.

To help flush the contrast dye from the patient’s body, doctors should advise him to drink much water and other fluids.

Some patients are admitted to the hospital for observation and then go back home the next day.

Patient care at home

After the procedure, the patient should follow some instructions to keep his heart healthy, they should:
Stop smoking
Follow a healthy diet
Exercise regularly
Maintain their cholesterol level
Control their blood glucose and blood pressure
Take their medications as prescribed

Resources

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Grants Submission

Please read carefully the below criteria to make sure that you are eligible for the GIS Valves 2024 Educational Grant

Please read carefully the below criteria to make sure that you are eligible for the GIS Valves 2024 Educational Grant

1- Subspecialty related to GIS Valves 2024

You can submit the Grant Request if you specialize in the following Subspecialties:

  • Cardiologists
  • Interventionists
  • Cardiovascular Surgeons
  • Chest Diseases Specialists
  • Cardiac Surgeons

2- Professional Approval

  • A recommendation letter must be signed, stamped and approved by the department head in the hospital/ university.
  • It should be directed to the Gulf Intervention Society “GIS”
  • Updated Resume “CV” is required

3- Attendance

To be eligible for reimbursement, 80% of the Program Hours must be attended.

4- Additional Requirements (Increase your opportunity by following these steps using the most active social media account(s))

  1. Follow our social media accounts (Instagram, Facebook, Twitter, LinkedIn).
  2. Engage with our content by liking, sharing our posts, and tagging us using the official hashtag #GIS2024.
  3. Ensure that your post is public.

5- What Grant offers

  • Full Free Registration
  • Reimbursement of Maximum specified amount as per your destination, which covers accommodation for two (2) nights and economy flight tickets. (Reimbursement form to be sent after the approval of your submission

 

GIS Educational Grant submission deadline: 15 April 2024

 



For Any Inquires please contact PCO In Charge
khaled.elsawy@icomgroup.org

 

Grants Submission

Please Read Carefully the Below Criteria to Make Sure that you are Eligible for the GIS Complications Cases Show 2024 Educational Grant

 

1. Subspecialty related to GIS Complications Cases Show 2024
You can submit the Grant Request if you specialize in the following specialties/subspecialties:
• Cardiology
• Interventional Cardiology
• Cardiovascular Surgery
• Chest Diseases

2. Professional Approval
Recommendation letter must be signed, stamped and approved by the department head in the hospital/ university/ institute

3. Attendance
80% of the Program Hours must be attended to be eligible to get the reimbursement

4. What Grant offers
• Full Free Registration
• Other covered elements to be determined based on the destination

5. Priority
• Submitting a case will be an added value for the grant selection.

 

GIS Educational Grant submission deadline: 1 February 2024

For Any Inquires please contact PCO In Charge
khaled.elsawy@icomgroup.org

 

Cases Submission

  • All Cases should be presented in a PowerPoint and to be written in clear English
  • All presenting authors should have proficiency in English, to be able to present and respond to questions.
  • Cases must be submitted via the online Cases submission site.
  • You must receive the approval of all co-authors before putting their names on the Presentation.
  • All Cases must be submitted to an appropriate category for review based on the scientific content of the Case.
  • Titles:
    • Case titles are limited to 10 words or less.
    • The title should be dynamic and conclusive, rather than descriptive.
    • In general, you should capitalize the first letter of each word unless it is a preposition or article.
    • Titles should not be bold.
  • Authors: One person must be identified as the presenting author. The order of the authors can be modified at any time prior to the case deadline.
  • Content of the case: The case should contain a brief statement of (but not as subheadings):

    Patients Name must be hide from the Presentation

Important dates

  • Submission deadline: 10, Feb 2024
  • Submissions received after this deadline will not be considered. Presenters are not permitted to modify their cases after this date for reviewing purposes.
  • Notification of cases acceptance: 15, Feb, 2024

Presenter agreement

All presenters must agree to the following conditions when submitting a Case:

  • Affirm that the work has not been published (in print or electronically) elsewhere prior to the meeting.
  • Agree that if the case is accepted, GIS has permission to publish the case in printed and/or electronic formats.

Presenter changes and withdrawal policy

If you are unable to attend the meeting and wish to name a substitute presenter, please use the following guidelines:

  • The Presenting Author is the only author that may request a presenter change.
  • Substitute presenter must NOT be presenting another case at the meeting.
  • Substitution requests must be made PRIOR to the meeting.
  • Substitution requests should be sent by the presenting author to the below email:
  • Withdrawal policy: If authors wish to withdraw their case/s, they are requested to send a letter via e-mail to the above-mentioned email

Financial assistance

  • Limited financial assistance is available for this conference in the form of Virtual / In Person Assistance
  • Availability will be indicated during the Cases submission process.

Fawaz Almutairi

Saudi Arabia

Fawaz Portrait GIS president

Title

President, Gulf Intervention Society

Interventional Cardiologists

National Guard Hospital

Riyadh, Saudi Arabia

Abdullah Shehab

United Arab Emirates

shehab portrait vice president GIS

Title

Vice President, Gulf Intervention Society

Professor of Cardiovascular Medicine

Chairman of Education, EMA 

Editor Chief New Emirates Medical Journal 

Alain, Abu Dhabi, UAE

Khalid Bin Thani

Bahrain

Title

Treasurer, Gulf Intervention Society

Head of Scientific Committee, GIS Conference

Consultant Interventional Cardiologist

Bahrain Specialist Hospital Manama, Bahrain
Khalid Bin Thani GIS

Mousa Akbar

Kuwait

Title

General Secretary, Gulf Intervention Society

Head of Cardiology Unit, Al Sabah Hospital

Kuwait City, Kuwait

mousa Akbar GIS