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Coronary Angioplasty (Radial Access coronary) Angioplasty - Radial Access
Brainiac Breakdown
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5/20/2025
The buildup of plaque in an artery wall of the heart, blocking the flow of blood could cause you to undergo a coronary angioplasty procedure. The steps of the procedure, done to improve the blood flow in an artery, are depicted.
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00:00
A coronary angioplasty procedure is also known as percutaneous coronary intervention.
00:11
The procedure is done on blood vessels called coronary arteries.
00:16
They supply your heart muscle with oxygen.
00:21
The goal is to restore blood flow if a substance called plaque has significantly narrowed these
00:27
vessels.
00:30
To begin the procedure, the doctor will numb the skin in your wrist.
00:35
A needle will be placed through your skin and into your radial artery.
00:39
Next, a flexible guide wire will be passed through the needle into your artery.
00:45
Then the needle will be withdrawn.
00:48
It will be exchanged for a small, flexible tube called a sheath.
00:53
This permits access into your artery.
00:56
You may feel pressure when the doctor inserts the sheath, but you will not feel it moving
01:01
inside your artery.
01:03
Next, the guide wire will be advanced up to your heart.
01:09
A flexible tube called a catheter will be advanced over the wire to your coronary arteries.
01:16
The progress of the procedure will be checked with an x-ray device called a fluoroscope.
01:21
At this point, your doctor will remove the guide wire.
01:24
Then, the doctor will move the tip of the catheter just inside the coronary artery to be examined.
01:31
A special dye will be injected into the artery.
01:35
This allows your doctor to view it better with a fluoroscope.
01:38
The dye will make any blockages in the artery stand out.
01:43
If a significant blockage is found, your doctor will insert a guide wire into the artery.
01:49
A balloon on the tip of the catheter will be moved along the wire to the blockage.
01:55
When the balloon inflates, it will expand the artery and improve the blood flow.
02:01
You may feel some chest discomfort while this is happening.
02:05
After this, your doctor will deflate and remove the balloon.
02:13
A wire mesh tube called a stent may be placed in the treated area.
02:17
The stent helps keep the coronary artery open.
02:21
Another doctor will choose the proper size stent, which is compressed over a balloon.
02:28
The stent will be moved into the artery over the same guide wire.
02:31
When the balloon is inflated, the stent will expand and lock into place.
02:38
After the balloon catheter is taken out, the stent will stay in place to hold the artery
02:42
open.
02:45
At the end of the procedure, the guide wire will be removed.
02:49
To find out more about coronary artery angioplasty, talk to your health care provider.
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