What is included in preoperative care prior to performing percutaneous coronary intervention (PCI)?

Updated: Nov 27, 2019
  • Author: George A Stouffer, III, MD; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

PCI is performed on an elective as well as an urgent or emergency basis. Elective patients present to the hospital on the morning of the procedure at a scheduled time. A history is obtained and a physical examination performed. Basic blood tests (including a complete blood count [CBC], basic metabolic profile [BMP], and coagulation profile) and electrocardiography (ECG) are performed. Informed consent is obtained.

A full dose of aspirin (325 mg) is given on the day of procedure. If patients have had prior allergic reactions to contrast, prednisone is generally given for at least three doses beforehand. Some laboratories also use Benadryl, a histamine H1 blocker, or both. Patients with food allergies and asthma are also occasionally premedicated with steroids. Coronary angiography is performed with full sterile technique. Preprocedural antibiotic prophylaxis is not recommended.


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