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Item ID: tp0013   Source ID: 2

Description: Our customizable tear sheet pads feature detailed content approved by URAC's Health Web Site Accreditation Program combined with educational medical illustrations. Tear sheets are proven, inexpensive handouts that facilitate informed consent and improve patient compliance while functioning as a valuable branding and contact information tool.

Product Specifications:... More

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Our customizable tear sheet pads feature detailed content approved by URAC's Health Web Site Accreditation Program combined with educational medical illustrations. Tear sheets are proven, inexpensive handouts that facilitate informed consent and improve patient compliance while functioning as a valuable branding and contact information tool.

Product Specifications: 8.5 x 11 inches, 50 tear sheets, two-sided information (full color front side, one-color back side), printed on heavy white stock, sturdy cardboard back, detailed medical illustrations in color and continuous tone, space available for overprinting of contact information (additional charge may apply).

This tear sheet pad contains the following information:

The insertion of a catheter carrying a balloon through an artery in the groin or arm, and into a blocked artery in the heart. The balloon is quickly inflated and deflated in order to open the artery to blood flow.

Reasons for Procedure To open a blocked artery in the heart and allow more normal blood flow through that artery.

What to Expect Prior to Procedure Your doctor will likely do the following: โ€ข Blood tests, especially if you are taking certain medications (high blood pressure pills, blood thinners, heart medications) โ€ข Chest x-ray โ€ข Electrocardiogram (ECG, EKG) โ€“ a test that records the heart's activity by measuring electrical currents through the heart muscle

Risk Factors for Complications During the Procedure โ€ข Angina
โ€ข Obesity โ€ข Age: 60 or older โ€ข Allergies to medications, shellfish, or x-ray dye โ€ข Bleeding disorder
โ€ข Diabetes โ€ข Hardening of blood vessels โ€ข Kidney disease โ€ข Recent heart attack โ€ข Recent pneumonia โ€ข Smoking

What to Expect

Prior to Procedure: In the days leading up to your procedure: โ€ข Arrange for a ride to and from the procedure โ€ข Arrange for help at home after returning from the hospital โ€ข The night before, eat a light meal and do not eat or drink anything after midnight โ€ข You may be asked to shower the morning of your procedure, and you may be given special antibacterial soap to use

During Procedure: โ€ข Anesthesia โ€ข Fluoroscopy / X-rays โ€ข Heart rhythm monitoring โ€ข IV fluids โ€ข Possibly the blood thinner heparin, to decrease the risk of blood clots โ€ข Sedation

Anesthesia: Local anesthetic to the area of the groin or arm where the catheter will be inserted

Description of the Procedure: The area of the groin or arm where the catheter will be inserted is shaved, cleaned, and numbed with local anesthetic. The doctor inserts a needle into the artery, and a wire is passed through the needle. The wire is guided through the arterial system until it reaches the blocked artery in the heart. Next, a soft, flexible catheter tube is slipped over the wire and threaded up to the blockage.

This procedure is monitored using a continuous x-ray image called fluoroscopy. Dye can be injected through the catheter into the arteries of the heart, to better visualize the arteries and the blockages. Once the blockage is reached, a small balloon at the tip of the catheter is rapidly inflated and deflated, stretching the artery open. The deflated balloon, catheter, and wire are then removed, and a bandage is placed over the groin or arm area. Depending on the size and location of the blockage, your doctor may insert a small mesh tube (stent) in the newly opened area to prevent the artery from narrowing in the future.

After Procedure: If the catheter was inserted through your groin, you will need to lie flat on your back, keeping your leg still for about six hours after the procedure. You may have a sandbag placed over the area in your groin where the catheter was inserted to put pressure on the artery and prevent bleeding. If the catheter was inserted in your arm, you will be required to keep your arm straight using an arm board.

How Long Will It Take? Between 30 minutes and 3 hours

Will It Hurt? The local anesthetic should adequately numb the area where the catheter is inserted, so the entry site shouldn't be painful. However, you may feel a burning sensation when the area is anesthetized, and may feel pressure when the catheters are manipulated. Some people have a flushing feeling or nausea when the dye is injected. You may feel some chest pain during inflation of the balloon.

Possible Complications: โ€ข Stroke โ€ข Allergic reaction to x-ray dye โ€ข Bleeding at the point of the catheter insertion โ€ข Blood clots may form and travel through your arteries, causing stroke, heart attack, kidney damage, breathing difficulties, damage to an arm or leg, or intestinal damage โ€ข Heart arrhythmia (abnormal heart beats) โ€ข Heart attack โ€ข Infection โ€ข Perforation of the artery in the heart, requiring immediate emergency bypass surgery โ€ข Spasm of the artery

Postoperative Care: To lower your risk of recurrent blockages in your coronary arteries and further heart disease, make lifestyle changes, including eating a healthier diet, exercising regularly, and managing stress. To minimize pain and soreness, you can place ice at the insertion area for 15-20 minutes each hour, for the first two days. After this time, switch to a heating pad or hot water bottle. You may be sent home on blood thinning therapy, either aspirin or another medication, such as warfarin. You may need to undergo periodic stress tests to monitor for any early-on recurrent blockages.

Outcome: Your artery should be considerably more open, allowing better blood flow to feed the heart muscle. This may mean that you'll no longer have chest pain that you previously experienced, or it may mean that your tolerance for exercise will increase. Sometimes, however, the procedure isn't successful, or the artery narrows again, in which case you may require repeat angioplasty or coronary artery bypass graft surgery.

Call Your Doctor If Any of the Following Occurs: โ€ข Chest pain โ€ข Cough, shortness of breath, chest pain, or severe nausea or vomiting โ€ข Redness, swelling, increasing pain, excessive bleeding, or discharge from the insertion site in the groin or arm โ€ข Signs of infection, including fever and/or chills โ€ข Your arm or leg becomes painful, blue, cold, numb, tingly, swollen, or increasingly bruised

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