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TECHNOLOGY WILL    Angioplasty
SAVE OUR MINDS AND   By: Matthew
                     Cotton
            BODIES
WHAT IS ANGIOPLAST Y

 Angioplasty is a medical
  technology used unblock blood
  vessels, most commonly the
  coronary artery.
 Angioplasty is an minimally
  invasive medical procedure
  that involves inserting a small
  wire with a balloon at the end
  into an blocked blood vessel.
  Inflation of the balloon opens
  up the blockage.
 Two types of angioplasty
  include balloon and balloon
  with a stent.
WHAT IS ANGIOPLAST Y USED FOR?


                   The most common use of
                    angioplasty is for
                    treatment of coronary
                    artery disease (CAD).
                   Less common uses would
                    include unblocking
                    arteries in the
                    abdomen, renal
                    system, neck and limbs.
                   Angioplasty is the most
                    common emergency
                    treatment for acute
                    myocardial infarctions
                    (heart attack).
HOW IS THIS A TECHNOLOGICAL
           ADVANCEMENT
 Angioplasty has become leading edge in treatment of patients
  experiencing a sudden heart attack.

 Angioplasty can be done within hours of the onset of a heart
  attack and will give the best prognosis.

 The surgery is minimal, patients will usually only end up with
  a small incision on their thigh.

 Patients can receive a stent in their blood vessel which will
  allow for increased structure of the vein or artery.
ALTERNATIVES TO ANGIOPLAST Y

  Coronary artery bypass
     grafting (CABG)           Heart Medication
 Involves open heart       Can only be used of
  surgery.                   heart attack is mild and
 Requires blood             caught early.
  vessels, usually taken    Can cause dangerous
  from the legs.             bleeding.
 Longer recovery           If it is not successful
                             angioplasty or CAGB
 More dangerous risks.      will still be required.
 May require patient to    Least harmful if
  be on long term            successful
  medication
DISEASES TREATED:
         CORONARY ARTERY DISEASE
 Atherosclerosis is a build up of plaque over time on the walls
  of the arteries of the heart, caused by increased blood
  cholesterol levels.

 Symptoms include: Chest pain that can radiate to arms and
  jaw (Angina) and Shortness of breath.

 Complications: Heart attack, Heart failure and arrhythmias.

 Causes: Sedentary life style, obesity, smoking, family
  history, high blood pressure and high cholesterol or blood
  sugar.
DISEASES TREATED CONT’D:
 ACUTE MYOCARDIAL INFARCTION (AMI)
 Acute myocardial infarction also known as a heart attack is
  when atherosclerotic build up in the arteries rupture and
  cause a blood clot to block the blood flow to the heart.

 Symptoms include: Chest pain that radiates to the arms and
  jaw, shortness of breath, sweating, nausea and
  vomiting, dizziness, weakness, rapid or irregular heart beat.

 Complications: arrhythmias, heart failure, valve problems and
  death.

 Causes: Heart disease, Coronary artery disease.
HOW ANGIOPLAST Y IS PREFORMED

 The surgeon will make a incision in the groin to a main artery
  after numbing the area and relaxing the patient with
  medication.
 A flexible wire will be inserted in the artery and fed up to the
  blockage in the heart. Live x -rays will show the surgeon where
  to go.
 The wire will be pushed through the blockage and a small
  balloon will be inflated to open up the blockage.
 A stent ( wire mesh) may be left in place to keep the artery
  open.
 The wire is removed.
 Blood flow is increased to the body when artery is opened.
 The incision will be closed and bleeding controlled.
 Patient will begin recovery.
WHAT IS A STENT

 The stent is a small
  tube made of a metal
  mesh.
 It is used to treat
  weak or narrowed
  blood vessels.
 Stents are permanent
  and implanted using
  angioplasty.
 Some stents are
  coated in a slow
  release medication
  that helps prevent
  arteries from
  becoming blocked.
PROS VS. CONS

             PROS                                CONS
 Fast treatment of a hear t          Patient may experience
  attack in a time dependent           intense pain at incision site
  moment.                              and during balloon inflation.
 If successful good long -term       May rupture ar ter y (rare).
  results.                            Stent may become dislodged.
 Safer than bypass graf ting         Patient may bleed excessively
 Cheaper than bypass surger y         at incision site.
 Patient recover s faster than by    Procedure may cause hear t
  alternatives                         attack while surger y is in
 Good Prognosis                       progress.
                                      Stent may need to be replaced
                                       in following years.
PATIENT OUTCOMES

This is a look at patient outcomes with angioplasty vs. bypass surgery. You
can see that angioplasty is always more successful.


                                                 Mortality After Bypass
                 Mortality After Angioplasty
                                                        Surgery
                     225,915 patients
                                                  357,885 patients

    Ages        30 Day         1 Year          30 Day       1 Year
                      %              %             %              %


    65-69            2.1            5.2            4.3           8.0
    70-74            3.0            7.3            5.7          10.9
    75-79            4.6           10.9            7.4          14.2
    >80              7.8           17.3           10.6          19.5
REFERENCES

 A Maziar Zafari, M. (2013, February 11). Myocardial Infarction .
  Retrieved from Medscape:
  http://emedicine.medscape.com/article/155919 -over view
 American Heart Association . (2012). What is a Stent? Retrieved
  from Answers by Heart: http://www.heart.org/idc/groups/heart -
  public/@wcm/@hcm/documents/downloadable/ucm_300452.pdf
 Dugdale, D. C. (2012, August 18). Angioplasty and stent
  placement - carotid ar ter y. Retrieved from Medline Plus:
  http://www.nlm.nih.gov/medlineplus/ency/article/002953.htm
 Latest Morbidity and Mor tality Statistics on Bypass Surger y and
  Angioplasty. (n.d.). Retrieved from The Noninvasive Heart Center:
  http://www.heartprotect.com/mortality -stats.shtml
 Mayoclinic. (2012, June 29). Coronar y ar ter y disease . Retrieved
  from Mayoclinic: http://www.mayoclinic.com/health/coronary -
  artery -disease/DS00064

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Angioplasty

  • 1. TECHNOLOGY WILL Angioplasty SAVE OUR MINDS AND By: Matthew Cotton BODIES
  • 2. WHAT IS ANGIOPLAST Y  Angioplasty is a medical technology used unblock blood vessels, most commonly the coronary artery.  Angioplasty is an minimally invasive medical procedure that involves inserting a small wire with a balloon at the end into an blocked blood vessel. Inflation of the balloon opens up the blockage.  Two types of angioplasty include balloon and balloon with a stent.
  • 3. WHAT IS ANGIOPLAST Y USED FOR?  The most common use of angioplasty is for treatment of coronary artery disease (CAD).  Less common uses would include unblocking arteries in the abdomen, renal system, neck and limbs.  Angioplasty is the most common emergency treatment for acute myocardial infarctions (heart attack).
  • 4. HOW IS THIS A TECHNOLOGICAL ADVANCEMENT  Angioplasty has become leading edge in treatment of patients experiencing a sudden heart attack.  Angioplasty can be done within hours of the onset of a heart attack and will give the best prognosis.  The surgery is minimal, patients will usually only end up with a small incision on their thigh.  Patients can receive a stent in their blood vessel which will allow for increased structure of the vein or artery.
  • 5. ALTERNATIVES TO ANGIOPLAST Y Coronary artery bypass grafting (CABG) Heart Medication  Involves open heart  Can only be used of surgery. heart attack is mild and  Requires blood caught early. vessels, usually taken  Can cause dangerous from the legs. bleeding.  Longer recovery  If it is not successful angioplasty or CAGB  More dangerous risks. will still be required.  May require patient to  Least harmful if be on long term successful medication
  • 6. DISEASES TREATED: CORONARY ARTERY DISEASE  Atherosclerosis is a build up of plaque over time on the walls of the arteries of the heart, caused by increased blood cholesterol levels.  Symptoms include: Chest pain that can radiate to arms and jaw (Angina) and Shortness of breath.  Complications: Heart attack, Heart failure and arrhythmias.  Causes: Sedentary life style, obesity, smoking, family history, high blood pressure and high cholesterol or blood sugar.
  • 7. DISEASES TREATED CONT’D: ACUTE MYOCARDIAL INFARCTION (AMI)  Acute myocardial infarction also known as a heart attack is when atherosclerotic build up in the arteries rupture and cause a blood clot to block the blood flow to the heart.  Symptoms include: Chest pain that radiates to the arms and jaw, shortness of breath, sweating, nausea and vomiting, dizziness, weakness, rapid or irregular heart beat.  Complications: arrhythmias, heart failure, valve problems and death.  Causes: Heart disease, Coronary artery disease.
  • 8. HOW ANGIOPLAST Y IS PREFORMED  The surgeon will make a incision in the groin to a main artery after numbing the area and relaxing the patient with medication.  A flexible wire will be inserted in the artery and fed up to the blockage in the heart. Live x -rays will show the surgeon where to go.  The wire will be pushed through the blockage and a small balloon will be inflated to open up the blockage.  A stent ( wire mesh) may be left in place to keep the artery open.  The wire is removed.  Blood flow is increased to the body when artery is opened.  The incision will be closed and bleeding controlled.  Patient will begin recovery.
  • 9. WHAT IS A STENT  The stent is a small tube made of a metal mesh.  It is used to treat weak or narrowed blood vessels.  Stents are permanent and implanted using angioplasty.  Some stents are coated in a slow release medication that helps prevent arteries from becoming blocked.
  • 10. PROS VS. CONS PROS CONS  Fast treatment of a hear t  Patient may experience attack in a time dependent intense pain at incision site moment. and during balloon inflation.  If successful good long -term  May rupture ar ter y (rare). results.  Stent may become dislodged.  Safer than bypass graf ting  Patient may bleed excessively  Cheaper than bypass surger y at incision site.  Patient recover s faster than by  Procedure may cause hear t alternatives attack while surger y is in  Good Prognosis progress.  Stent may need to be replaced in following years.
  • 11. PATIENT OUTCOMES This is a look at patient outcomes with angioplasty vs. bypass surgery. You can see that angioplasty is always more successful. Mortality After Bypass Mortality After Angioplasty Surgery 225,915 patients 357,885 patients Ages 30 Day 1 Year 30 Day 1 Year % % % % 65-69 2.1 5.2 4.3 8.0 70-74 3.0 7.3 5.7 10.9 75-79 4.6 10.9 7.4 14.2 >80 7.8 17.3 10.6 19.5
  • 12. REFERENCES  A Maziar Zafari, M. (2013, February 11). Myocardial Infarction . Retrieved from Medscape: http://emedicine.medscape.com/article/155919 -over view  American Heart Association . (2012). What is a Stent? Retrieved from Answers by Heart: http://www.heart.org/idc/groups/heart - public/@wcm/@hcm/documents/downloadable/ucm_300452.pdf  Dugdale, D. C. (2012, August 18). Angioplasty and stent placement - carotid ar ter y. Retrieved from Medline Plus: http://www.nlm.nih.gov/medlineplus/ency/article/002953.htm  Latest Morbidity and Mor tality Statistics on Bypass Surger y and Angioplasty. (n.d.). Retrieved from The Noninvasive Heart Center: http://www.heartprotect.com/mortality -stats.shtml  Mayoclinic. (2012, June 29). Coronar y ar ter y disease . Retrieved from Mayoclinic: http://www.mayoclinic.com/health/coronary - artery -disease/DS00064