Perioperative nursing care of 30 patients treated with percutaneous coronary rotational atherectomy

Abstract

Objective To discuss the importance and methods of nursing care in patients treated with coronary rotational atherectomy combined with percutaneous coronary intervention (PCI). Methods Totals of 30 patients treated with coronary rotational atherectomy from June 2012 to December 2013 were retrospectively analyzed. Results All of 30 patients had multi-vessel complex coronary artery lesions, and most of them had 1 to 2 vessels with chronic total occlusion companied with severe calcification which could be seen clearly under X ray. Rotational atherectomy was performed in the left anterior descending artery among 28 patients, and in the right coronary artery between 2 patients. Stents were placed through the calcified lesions post rotational atherectomy. Under intensive nursing care, 11 patients had different complications but without any death. Conclusions Rotational atherectomy is performed in patients with severe calcified coronary lesions, which always combined with complex lesions and hard to deal with. So it is reasonable that the procedure should be performed in big heart centers and by experienced doctors. Nurses in the lab should be familiar with the operation devices and have the experience in emergency events and complications. Intensive nursing care can ensure the safety and success of the operation. Key words: Coronary rotational atherectomy; Perioperative nursing; Nursing coordinate