Page 5 - Cardiology Pamphlet
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CARDIAC



                                                   CATHETERIZATION







                                                           WHAT HAPPENS DURING
                                                       CARDIAC CATHETERIZATION?



                                                     • Before the cath procedure,     the catheter. They include
                                                       a nurse will put an IV         instruments to measure the
                                                       (intravenous) line into a      pressure of blood in each
                                                       vein in your arm so you can    heart chamber and in blood
                                                       get medicine (sedative)        vessels connected to the
                                                       to help you relax, but         heart, view the interior of
                                                       you’ll be awake and able       blood vessels, take blood
                                                       to follow instructions         samples from different parts
                                                       during the procedure.          of the heart, or remove
                                                                                      a tissue sample (biopsy)
                                                     • The nurse will clean and       from inside the heart.
                                                       shave the area where the
                                                       doctor will be working. This   • When a catheter is used to
                                                       is usually in the groin area.  inject a dye that can be seen
                                                                                      on X-rays, the procedure
                                                     • A local anesthetic is          is called angiography.
                                                       usually given to numb the
                                                       needle puncture site.         • When a catheter is used to
                                                                                      clear a narrowed or blocked
                                                     • The doctor will make a         artery, the procedure is
                                                       needle puncture through        called angioplasty or a
                                                       your skin and into a large     percutaneous coronary
                                                       blood vessel.  A small         intervention (PCI).
                                                       straw-sized tube (called a
                                                       sheath) will be inserted into   • When a catheter is used to
                                                       the vessel. The doctor will    widen a narrowed heart valve
                                                       gently guide a catheter (a     opening, the procedure
                                                       long, thin tube) into your     is called valvuloplasty.
                                                       vessel through the sheath.
                                                       A video screen will show the   • The doctor will remove the
                                                       position of the catheter as    catheters and the sheath.
                                                       it is threaded through the     Your nurse will put pressure
                                                       major blood vessels and to     on the site to prevent
                                                       the heart. You may feel some   bleeding. Sometimes a
                                                       pressure in your groin, but    special closure device
                                                       you shouldn’t feel any pain.   is used. The procedure
                                                                                      lasts about an hour.
                                                     • Various instruments may
                                                       be placed at the tip of



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