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Recovery is longer after a heart attack."},"complication_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Any complication within 30 days, mostly access-site bleeding or bruising; death, stroke or heart attack about 1-2%."},"contraindications":["Anatomy unsuitable for PCI, e.g. left main disease favoring bypass","Severe bleeding disorder or no antiplatelet tolerance (relative)","Severe contrast allergy not manageable (relative)","Significant renal impairment, infection, or uncontrolled bleeding (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Elective, uncomplicated coronary PCI; same-day discharge is common after radial access, and some patients stay one night for observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Walking and light activity resume sooner. Strenuous exercise depends on access site and cardiologist. Cardiac rehabilitation often recommended."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Symptom relief is usually immediate; stent healing and stable benefit take weeks, longer after myocardial infarction."},"fly_home_after_days":{"min":2,"max":5,"unit":"days","qualifier":"Elective uncomplicated PCI; depends on access site healing, cardiologist clearance and stability after observation. Longer after heart attack."},"follow_up_visits":[{"purpose":"wound_check","requirement":"conditional","after":{"min":5,"max":14,"unit":"days","qualifier":"Access-site check, usually only if there are concerns."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Cardiology review of symptoms, medications and risk-factor control."}}],"indications":["Acute coronary syndromes, including ST-elevation myocardial infarction","Stable angina despite medication, with significant stenosis","Significant coronary artery narrowing with documented ischemia"],"main_risks":["Bleeding or hematoma at the access site","Vascular injury or pseudoaneurysm","Contrast-associated kidney injury","Coronary dissection or vessel perforation","Stent thrombosis","In-stent restenosis","Heart attack, arrhythmia, stroke, rarely death","Allergic reaction to contrast or medications","Radiation exposure"],"pain":"Usually little pain. Puncture-site discomfort is brief, and there may be mild chest pressure during balloon inflation. Mild soreness or bruising at the access site may last a few days.","preparation":["Cardiology assessment, ECG and blood tests including kidney function","Cardiologist reviews allergies, especially contrast, and medications","Fast for several hours beforehand","Informed consent and post-procedure antiplatelet plan","Arrange transport and an adult companion for same-day discharge"],"recovery_timeline":[{"phase":"Immediate observation","description":"Access site, heart rhythm and blood pressure are monitored for several hours.","restrictions":["Keep the access limb still as directed","Remain in bed for the period specified by the team"]},{"phase":"First week","description":"Gradual return to light daily activities. Access site checked for bruising or swelling. Antiplatelet medication started or continued.","restrictions":["Avoid heavy lifting and strain with access limb","Avoid driving until cleared"]},{"phase":"Weeks 1-2","description":"Return to normal activity and work if uncomplicated. Cardiac rehabilitation and risk-factor control begin or continue.","restrictions":["Do not stop antiplatelet therapy without cardiologist advice"]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after elective, uncomplicated PCI; it is longer after myocardial infarction."},"result_longevity":"Stent keeps the artery open long term; most restenosis occurs within 6-12 months. Disease can progress elsewhere, so lifelong medication and risk-factor control are needed.","revision_rate_pct":{"min":5,"max":12,"unit":"percent","qualifier":"Repeat revascularization of the treated lesion within 1-5 years, mostly restenosis; lower with drug-eluting stents."},"scars":"No surgical scar. There is a small puncture site at the wrist or groin, which may leave a tiny mark or temporary bruising.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typical elective coronary PCI is a single procedure; staged PCI of several lesions is sometimes planned separately."},"stages":[{"code":"pci_procedure","label":"Coronary balloon angioplasty, usually with stent placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Describes a single-session elective coronary angioplasty. Peripheral or venous angioplasty has different protocols."},"success":{"metric":"Procedural success: stenosis opened with no major cardiac event","value":95,"unit":"percent","horizon":"In hospital, at discharge","population":"Adults with significant coronary stenosis undergoing elective stent PCI","evidence_status":"proven"},"techniques":[{"name":"Coronary balloon angioplasty with drug-eluting stent (PCI)","suits_whom":"Most patients with significant coronary stenosis suitable for percutaneous treatment.","recovery":"Usually same-day or next-day discharge, with return to usual activity within days to about 2 weeks if uncomplicated."},{"name":"Plain balloon angioplasty (without stent) or drug-coated balloon","suits_whom":"Selected lesions, such as in-stent restenosis or small vessels, or when a stent is unsuitable.","recovery":"Similar to stent PCI; the antiplatelet regimen may differ."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Procedure time for elective single-vessel coronary PCI; complex multivessel or calcified lesions take longer. Excludes preparation and post-procedure observation."},"initial_assessment_documents":["Coronary angiography report and images","Latest ECG","Echocardiogram report","Stress test report","List of blood thinners","Recent cardiology discharge summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session PCI; stay 2-5 days including pre-procedure tests and observation, with follow-up done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for 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