A patient-centered approach
Know when you can perform PCI (and when you can’t). In this chapter, you’ll review the crucial factors that you’ll need to consider when deciding whether to perform PCI.
- A patient-centered approach intro
- Deciding who should have percutaneous coronary intervention
- Considering patient-specific factors
- Administering periprocedural medications
- Obtaining patient consent
- Considering vascular access sites
- A patient-centered approach quiz
Getting back to basics
In this chapter, you’ll refresh your knowledge of coronary anatomy, learn how to choose the best angiographic view, and learn to assess lesion severity and characteristics.
- Getting back to basics intro
- Reviewing coronary anatomy
- Identifying lesion severity
- Diagnosing special lesion types
- Making a plan
- Getting back to basics quiz
Basic tools of the trade
Review the equipment used in performing a PCI. From selecting a guide catheter to choosing your coronary stent, this chapter will cover the essential kit needed to perform PCI.
- Basic tools of the trade intro
- Selecting a guide catheter
- Selecting a guidewire
- Selecting a balloon
- Choosing a coronary stent
- Using miscellaneous kit
- Basic tools of the trade quiz
Performing percutaneous coronary intervention
It’s showtime! This chapter will help you master the PCI procedure, guiding you step-by-step through the process so you can learn to perform a PCI yourself.
- Performing percutaneous coronary intervention intro
- Obtaining femoral artery access
- Accessing the radial artery
- Troubleshooting radial access
- Seating the guide catheter
- Wiring the lesion
- Loading a balloon and pre-dilatation
- Selecting a stent
- Positioning a stent
- Deploying a stent and post-dilatation
- Assessing success
- Removing arterial sheaths safely
- Performing percutaneous coronary intervention quiz
Assessing intermediate lesions
Figure out your next steps. Here, you’ll learn how to assess lesion significance using physiological measurements when it is unclear if there is a problem with coronary flow.
- Assessing intermediate lesions intro
- Defining an intermediate lesion
- Using a pressure wire
- Performing a pressure wire study
- Assessing intermediate lesions quiz
Complex lesions
Some lesions will leave you scratching your head. This chapter covers more challenging situations like bifurcations, left main stem disease, calcified lesions, and vein graft PCI.
- Complex lesions intro
- Dealing with branches and bends
- Performing provisional stenting and T and protrusion
- Utilizing the proximal optimization technique and kissing balloons
- Employing dedicated bifurcation techniques
- Managing calclfied vessels
- Evaluating left main stem disease
- Defining and treating a coronary chronic total occlusion (CTO)
- Complex lesions quiz
Common procedural complications
What do you do when things go pear-shaped? In this chapter, you’ll cover the immediate intracoronary complications of PCI and how to deal with them.
- Common procedural complications intro
- Recognizing and treating acute no-reflow
- Managing acute side branch occlusion
- Classifying and managing coronary dissection
- Classifying and managing coronary perforation
- Dealing with stent loss
- Managing arterial access complications
- Using the miscellaneous kit
- Common procedural complications quiz
Post-procedure monitoring
In this final chapter, you’ll look at post-procedural care, hemostasis, identifying major post-PCI complications, and monitoring patients' ongoing medical treatment.
- Post-procedure monitoring intro
- Caring for patients post-intervention
- Treating post-intervention hypotension
- Evaluating for visual or neurologic complications
- Discharging patients on the appropriate medical therapy
- Post-procedure monitoring quiz
- Percutanteous Coronary Intervention (PCI) Essentials outro