Complex High-Risk PCI (CHIP PCI)

Complex High-Risk Percutaneous Coronary Intervention 

    Overview

    If you have complex coronary artery disease, you may think there are limited options to improve your symptoms or heart health. However, advanced techniques like Complex High-Risk Percutaneous Coronary Intervention (CHIP PCI) are transforming care for patients with challenging heart conditions.

    CHIP PCI is a specialized, minimally invasive procedure designed for patients with severe coronary artery disease who may be considered too high risk for traditional procedures or surgery. Whether you have been turned down for surgery or your condition has progressed, CHIP PCI may offer new hope for improving blood flow to your heart and enhancing your quality of life.

    What is CHIP PCI?

    CHIP PCI is an advanced form of percutaneous coronary intervention (PCI), also known as angioplasty, tailored for patients with complex heart disease. It is designed for individuals with:

    • Severely blocked arteries, including chronic total occlusions (CTOs).
    • Multiple blockages in different areas of the heart.
    • Calcified arteries that are difficult to treat with standard PCI.
    • Coexisting conditions, such as heart failure or reduced heart function, that increase procedural risks.

    Using specialized tools and techniques, CHIP PCI helps restore blood flow to the heart in situations where traditional PCI might not be effective or safe.

    During the procedure

    The procedure is performed in a cardiac catheterization lab by an interventional cardiologist with expertise in high-risk cases:

    1. Accessing the arteries: A small incision is made in a blood vessel in your wrist or groin, and a catheter is guided to your coronary arteries.
    2. Advanced tools: Depending on the complexity of your condition, advanced techniques like atherectomy (to remove plaque or calcium) or specialized stents may be used.
    3. Support devices: In some cases, devices such as an Impella heart pump may be used during the procedure to support heart function and reduce risks.

    The goal of CHIP PCI is to safely open blocked arteries, restore blood flow to the heart and reduce symptoms like chest pain or shortness of breath.

    How do I know if CHIP PCI is right for me?

    CHIP PCI may be right for you if you have:

    • Severe coronary artery disease that has not responded to standard treatments.
    • Chronic total occlusions (completely blocked arteries).
    • Extensive calcification in your arteries.
    • Other medical conditions, such as heart failure, that increase the risks of traditional procedures.
    • Been told you are not a candidate for coronary artery bypass surgery (CABG).

    Life after CHIP PCI

    • Improved symptoms: Many patients experience significant relief from chest pain, shortness of breath and fatigue.
    • Enhanced quality of life: Restored blood flow can lead to better heart function and greater energy levels.
    • Quick recovery: CHIP PCI is minimally invasive, meaning shorter hospital stays and faster recovery compared to open-heart surgery.

    Contact us

    If you have been told your coronary artery disease is too complex or high risk for treatment, CHIP PCI could provide a solution. Contact us today to learn more and schedule a consultation with our team.

    For more information, or to schedule an appointment, please contact SIU Medicine at 217.545.8000.

    Why SIU

    Continually learning

    With a focus on continual improvement, our doctors take the time to research, study and innovate to provide the latest treatments for our patients.

    Patient-first experience

    Our care ranges from primary care physicians to specialists and sub-specialists who have advanced training. We're here for you when you need us.

    Breakthrough tech

    Continually teaching the next generation of doctors, our physicians use the latest developments in procedures and technologies for our patients.