CORONARY

ANGIOPLASTY

Margy P. Paredes
Caballero

01180021022

Practice III
 DATA
Date Friday 19 March 2021 Patient Carmen Emilio Sanchez Vaca
Institution Clínica Chicamocha CC 13214581
Surgery Boris Eduardo Vesga Date of birth 03-07-1943
Surgical inst Yasbleidi Caballero Weight 98 kg
Size 163 cm
RH O+
VIH -
Hep B -
COVID 19 -
 ANATOMY

The arteries serve to transport blood from the heart to the periphery of the body or the lungs. There are
elastic-type arteries (eg, the aorta, arteries close to the heart) and muscular-type (most arteries, eg, brachial
and femoral arteries). The diminishing arteries lead the blood to the arterioles and, finally, to the blood
capillaries, where the exchange of nutrients and gases takes place between the blood and the tissues.
https://www.elsevier.com/__data/assets/image/0004/792976/infografia_Sobotta-T1.jpg
 PATOLOGY

CORONARY ARTERIOSCLEROSIS.
It is a condition in which plaque builds up
inside the arteries. Plaque is a sticky
substance made up of fat, cholesterol,
calcium, and other substances found in
the blood. Over time, this plaque hardens
and narrows the arteries. That limits the
flow of oxygen-rich blood.

https://okdiario.com/img/vida-sana/2017/07/17/arterioesclerosis-1024x576.jpg
 SURGICAL OBJECTIVE

It is a procedure in which a small

balloon catheter is inserted into a
blocked blood vessel to help widen it
and improve blood flow to the heart.

https://www.redaccionmedica.com/images/enfermedades/angioplastia-coronaria-y-stents.jpg
 CHECK LIST
Hemodynamics clothing package
Guide 035X150
Femoral puncture needle
Saline solution
Lidocaine
Heparin
Angioplasty kit (guide introducer - rotator - hemostatic valve - 3-way stopcock - pressure syringe)
Contrast medium
 SURGICAL TECHNIQUE
Introduction of the left catheter to perform the left
Femoral infiltration (lidocaine - 10cc syringe). coronary revision.
Puncture (angioplasty kit). Introduction of the right catheter to perform the right
coronary revision.
Guide 035X150; standard.
Angioplasty (stend catheter)
6fr femoral introducer; green.
Heparin.
Removal of the dilator.
Inflate the balloon (pressure syringe)
Introduction of the aortogram catheter.
Angioplasty
Injector that increases pressure and volume
(contrast medium). Guide Step
Catheter removal. Pressure extension (syringe - saline)Bleed the
pressure line.
 SURGICAL TECHNIQUE

Ball placement.
Pressure line connection.
Balloon insufflation and stent fixation.
Guide retreat.
Cleaning.
Healing.

https://contenidos.bupasalud.com/sites/default/files/imagecache/VidaBupa690/vidabupa/Angioplastia.jpg
 REFERENCES

Sistema cardiovascular, anatomía general: arterias y venas.

https://www.elsevier.com/es-es/connect/medicina/sistema-cardiovascular-anatomia-general-arterias-venas
Arterioesclerosis. https://medlineplus.gov/spanish/atherosclerosis.html
Angioplastia coronaria y colocación de estents.
https://www.mayoclinic.org/es-es/tests-procedures/coronary-angioplasty/about/pac-20384761