Advanced STEMI Treatment at Medical City Plano

The cardiologists and heart specialists at Medical City Plano offer a variety of leading-edge cardiovascular treatments, customized for each patient’s unique needs. Transradial procedure or radial approach is a cardiac catheterization procedure performed in select patients through the wrist blood vessel called the radial artery. This procedure has several advantages over the standard cardiac catheterization procedure, which is most often performed through the femoral blood vessel (artery) in the groin.

During a ST-elevation Myocardial Infarction (STEMI) (a type of heart attack), time is of the essence. A STEMI occurs when a clot interrupts blood flow to the heart. Medical City Plano consistently beats the national standardSTEMI time or “Door-to-Balloon,” the time taken from arrival to the Emergency Department to the opening of the artery. In 2014 our average time from the ED door to opening the blockage was 45 minutes. Medical City Plano has worked with local EMS services and has been able to consistently improve EMS arrival to Balloon to be under the 90 minute national benchmark. The message we are communicating is to call 911 for any symptom of chest pain or neck pain.

STEMIs are treated with balloon angioplasty and stent procedures. Balloon angioplasty requires the insertion of a catheter into the patient’s artery and threading it through to the heart. Patients generally receive anticoagulants to dissolve the clot, along with balloon angioplasty. Because of the anticoagulants, it’s important to control patient bleeding. In a radial approach STEMI, inserting the catheter into the radial artery via the wrist tends to cause less bleeding than groin insertion, an important benefit of this procedure. Additionally, the procedure offers patients the ability to begin walking sooner (earlier ambulation) and return to daily living activities.

Patients who suffer a STEMI need immediate care in the Emergency Department. STEMIs are identified in the field by local EMTs or by an ER healthcare team. Once the “Code STEMI” is activated, a multidisciplinary team is alerted and immediately goes to work to unblock the blood vessel responsible for the heart attack in less than 90 minutes — the national standard of “Door-to-Balloon” or STEMI times — saving heart muscle and preventing heart failure and death.

Medical City Plano offers state-of-the art technology and innovative specialized cardiovascular procedures in Collin County.