The actions of PCI ( Percutneous Coronary Intervention )

In the beginning, the act of percutaneous trans Iuminal angioplasty is only performed on one blood vessels only, now it has grown more rapidly both because of the experience, equipment, especially stents and supporting drugs. In patients with stable coronary heart disease with suitable coronary anatomy. PCI ( Percutneous Coronary Intervention ) can be performed on one or more blood vessels (multi-vessel) with a good (successful PCI). The risk of death by this action ranged from 0.3 to 1%. The action of PCI ( Percutneous Coronary Intervention ) in patients with stable heart disease compared with the coroner medical drugs, does not increase survival and this is different as compared with CABG ( Coronary Artery Bypass Surgery).

 Elective stent implantation and drug-eluting stents (DES)

Stenting can reduce restenosis and repeat PCI ( Percutneous Coronary Intervention ) compared with balloon angioplasty actions. There is now available  stents coated drug (drug-eluting stent = DES) as serolimus, paclitaxel and others. Compared with bare-metal stents, the use of DES may reduce restonesis. Ravel studies showed restenosis can be reduced to 0%.

 Direct stenting (without stent implantation with balloon predilatasi first) is a feasible action in patients with coronary artery stenosis that is certain single lesions, without angulation or severe turtoasitas. Direct action stenting can reduce the time action / ischemic time, reduce radiation, the use of contrast, reducing costs.