Advancements in Interventional Techniques of Percutaneous Transluminal Coronary Angioplasty (PTCA) in Acute Myocardial Infraction

R. Joy
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Abstract

Andreas Gruentzig is the father of interventional cardiology performed the first PTCA procedure in Zurich, Switzerland (1977). Later, the developments of angioplasty were done by interventional radiologist Charles Dotter. Percutaneous Transluminal Coronary Angioplasty (PTCA) is a primary procedure used in the field of interventional cardiology to treat blocked or stenosed coronary arteries. The blockages occur because of the lipid –rich plaque within the arteries causing diminished blood flow to the myocardium. In acute myocardial infarction, there is plaque rupture with platelet aggregation, and acute thrombus formation, which results in a sudden occlusion of coronary artery. The patient present with acute chest heaviness, diaphoresis, and nausea, urgent PTCA is required to save the life of the patient in order to limit the myocardial damage.
急性心肌梗死经皮腔内冠状动脉成形术(PTCA)介入技术进展
Andreas Gruentzig是介入心脏病学之父,他于1977年在瑞士苏黎世实施了第一例PTCA手术。后来,介入放射科医生查尔斯·波特发展了血管成形术。经皮腔内冠状动脉成形术(PTCA)是介入心脏病学领域用于治疗冠状动脉阻塞或狭窄的主要手术。动脉内富含脂质的斑块导致流向心肌的血流量减少,从而导致血管阻塞。急性心肌梗死时,斑块破裂伴血小板聚集,急性血栓形成,导致冠状动脉突然闭塞。当患者出现急性胸重、出汗、恶心时,需要紧急PTCA以挽救患者的生命,以限制心肌损害。
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