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    Guide To Cardiac Catheterization, Angioplasty, and Stent Implantation FINAL

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    Shivani Yadav
    Cardiac catheterization is a procedure to detect heart disease by inserting a catheter into arteries or veins and advancing it to the heart. Pressures are measured and dye is injected to visualize the coronary arteries and heart function. If blockages are found, angioplasty or stent implantation may be used to open the arteries. Patients usually stay overnight after these procedures and may be discharged later in the day as outpatients depending on the results.

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    Guide To Cardiac Catheterization, Angioplasty, and Stent Implantation FINAL

    Uploaded by

    Shivani Yadav
    98 views4 pages
    Cardiac catheterization is a procedure to detect heart disease by inserting a catheter into arteries or veins and advancing it to the heart. Pressures are measured and dye is injected to visualize the coronary arteries and heart function. If blockages are found, angioplasty or stent implantation may be used to open the arteries. Patients usually stay overnight after these procedures and may be discharged later in the day as outpatients depending on the results.

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    Guide to Cardiac Catheterization, Angioplasty, and Stent Implantation FINAL

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    Cardiac catheterization is a procedure to detect heart disease by inserting a catheter into arteries or veins and advancing it to the heart. Pressures are measured and dye is injected to visualize the coronary arteries and heart function. If blockages are found, angioplasty or stent implantation may be used to open the arteries. Patients usually stay overnight after these procedures and may be discharged later in the day as outpatients depending on the results.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    98 views4 pages

    Guide To Cardiac Catheterization, Angioplasty, and Stent Implantation FINAL

    Uploaded by

    Shivani Yadav
    Cardiac catheterization is a procedure to detect heart disease by inserting a catheter into arteries or veins and advancing it to the heart. Pressures are measured and dye is injected to visualize the coronary arteries and heart function. If blockages are found, angioplasty or stent implantation may be used to open the arteries. Patients usually stay overnight after these procedures and may be discharged later in the day as outpatients depending on the results.

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    Guide

     to  Cardiac  Catheterization,  Angioplasty,  and  Stent  


    Implantation  
     
    Cardiac  catheterization  is  a  procedure  used  to  detect  the  presence  of  disease  in  the  coronary  arteries,  
    the  heart  muscle,  and  the  valves  within  the  heart.  It  is  performed  by  inserting  a  catheter  through  an  
    artery  and/or  vein;  the  catheter  is  then  advanced  to  the  heart.  Pressures  within  the  heart  are  measured  
    and  a  contrast  dye  is  injected  to  visualize  the  coronary  arteries  and  the  pumping  action  of  the  heart.  
    "Coronary  angiogram"  refers  to  the  part  of  the  exam  which  involves  injecting  contrast  dye  into  the  
    coronary  arteries.  

    If  blockages  are  detected  in  the  coronary  arteries,  these  arteries  may  be  opened  through  a  procedure  
    known  as  "angioplasty"  or  "stent  implantation."  A  diagnostic  cardiac  catheterization  may  be  performed  
    as  an  outpatient  procedure.  Patients  may  stay  overnight  after  the  procedure  depending  on  the  results  of  
    the  catheterization  or  after  an  angioplasty/stent  implantation.    
     
     
    Before  the  Procedure  

    • We  will  be  in  contact  with  your  referring  physician  to  confirm  that  you  had  the  appropriate  pre-­‐
    procedure  tests,  including  an  ECG  and  blood  tests  (complete  blood  count  with  platelets,  
    biochemistry  profile,  PT/PTT/INR).  Additional  information  will  be  requested,  such  as  reports  of  
    echocardiograms,  stress  tests,  cardiac  CT  scans,  prior  cardiac  catheterizations,  and  operative  
    reports  of  coronary  artery  bypass  surgery.  
    • A  representative  from  the  Cardiac  Catheterization  Laboratory  will  contact  you  prior  to  your  
    procedure  to  verify  your  information  and  confirm  the  procedure  date  and  time.  
    • You  should  have  nothing  to  eat  or  drink  after  midnight  the  evening  prior  to  your  procedure  
    except  sips  of  water  with  your  medications  (unless  otherwise  told  by  our  staff).  You  should  not  
    drink  coffee  or  any  caffeinated  drinks/beverages  the  day  before  and  the  morning  of  the  
    procedure.  
    • For  all  questions  regarding  medications,  please  contact  your  referring  physician.  If  you  have  ever  
    had  a  serious  allergic  reaction,  bleeding  and/or  clotting  problems,  please  telephone  us  at  212-­‐
    746-­‐4644.  
    • You  should  report  to  The  Ronald  O.  Perelman  Heart  Institute  Reception  Desk  located  on  the  4th  
    floor  of  the  Greenberg  Pavilion,  which  can  be  reached  from  the  main  Greenberg  (G)  elevators.    
    • Parking  is  available  at  The  Greenberg  Pavilion  Garage  located  at  525  East  68th  Street,  212-­‐746-­‐
    2015.  The  Hospital  will  provide  discounts  for  parking,  which  can  obtained  at  the  main  entrance.    
    • Please  do  not  bring  valuables  with  you  to  the  Hospital.  
    • Please  do  bring  a  government  issued  photo  ID  and  any  insurance  cards  
    • If  you  are  running  late  or  have  any  questions  on  the  day  of  your  procedure,  please  call  our  Guest  
    Service  Representatives  at  (212)  746-­‐9211  
    • The  Perelman  Heart  Institute  is  a  beautifully  appointed  5-­‐story  atrium  open  to  the  public  and  
    also  serves  as  waiting  area  for  relatives  and  friends  that  may  wish  to  accompany  you  to  the  
    hospital  on  the  day  of  your  procedure  
    • We  regret  that  we  are  unable  to  give  you  an  exact  start  and  finish  time  for  your  procedure  as  
    the  length  of  each  procedure  varies  from  patient  to  patient.  For  ambulatory  patients,  it  is  
    anticipated  that  discharge  will  be  between  3:00  and  5:00  PM.  

     
     
    During  the  Procedure  

    • One  of  our  nurses  will  take  you  to  a  pre-­‐procedure  room.  A  physician  or  nurse  practitioner  will  
    discuss  the  procedure  with  you  and  will  review  your  medical  history.  
    • You  will  be  asked  to  sign  a  consent  form.  
    • After  you  change  into  a  hospital  gown,  an  intravenous  line  (IV)  will  be  placed  in  your  forearm.  A  
    blood  pressure  monitor  will  be  placed  on  your  arm,  and  ECG  stickers  will  be  placed  on  your  
    chest  to  monitor  your  heart  rhythm.    
    • You  will  be  moved  to  the  procedure  room,  known  as  the  "cardiac  catheterization  laboratory."    
    • During  the  procedure,  you  will  receive  a  local  anesthetic  before  the  catheter  is  introduced  into  
    your  artery  or  vein.  This  catheter  is  usually  introduced  through  an  artery  or  vein  in  your  groin.  
    • A  physician  will  insert  the  catheter  to  the  heart,  and  contrast  dye  will  be  injected.  You  may  feel  a  
    warm  or  flushed  sensation  in  your  body  when  this  dye  is  injected.  
    • You  may  feel  chest  pain  during  some  part  of  this  procedure.  

     
    After  the  Procedure  

    • You  will  be  transferred  to  a  post-­‐procedure  room  for  monitoring.  


    • At  this  time,  the  tube  in  your  artery  and/or  vein  may  be  removed.  A  physician  or  nurse  will  apply  
    pressure  to  this  site  to  prevent  bleeding.  For  some  patients  who  have  an  angioplasty  or  stent,  
    the  tube  will  be  removed  later  in  the  hospital.  
    • For  patients  admitted  to  the  hospital,  you  will  be  transferred  to  an  inpatient  unit  for  post-­‐
    procedure  care.    
    • For  ambulatory  patients  
    o Please  be  sure  that  someone  will  accompany  you  home  following  your  procedure.  We  
    also  request  that  you  make  the  arrangements  for  a  ride  home  prior  to  the  day  of  your  
    procedure.  Public  transportation  is  strongly  discouraged.  
    o We  are  unable  to  give  you  an  exact  discharge  time  before  the  day  of  the  procedure.  It  is  
    anticipated  that  discharge  will  be  between  3:00  and  5:00  PM.  
    o You  should  return  home  and  rest  for  the  remainder  of  the  day  and  evening.  You  do  not  
    have  to  maintain  bedrest  but  you  should  not  be  very  active.  
    o Driving  should  be  avoided  for  24  hours  after  your  procedure.  
    o Do  not  shower  within  the  first  24  hours  after  the  procedure.  Wash  the  site  gently  with  
    soap  and  water.  Rinse  well  and  pat  dry.  No  tub  baths  for  the  next  5  days  (including  
    whirlpool,  spas  and  swimming).    
    o The  transparent  dressing  over  the  affected  groin  site  should  be  removed  24  hours  after  
    discharge  from  the  hospital.  
    o Drink  plenty  of  fluids  for  2-­‐3  days  after  the  test.  This  will  help  your  kidneys  "flush"  the  
    dye  from  your  body.  
    • For  all  patients  
    o Continue  taking  your  medications  as  prescribed.    
    o If  you  take  Metformin  (Glucophage),  do  not  restart  it  until  48  hours  after  the  procedure.  
    o If  you  take  Warfarin  (Coumadin),  consult  your  physician  to  determine  when  to  resume.  
    o Exercise/Activity  Restrictions:  Avoid  heavy  lifting  (anything  over  10  pounds),  excessive  
    bending,  and  strenuous  exercise  for  five  days.  

    • Contact  your  primary  cardiologist  to  arrange  a  follow-­‐up  visit.  


    • If  you  have  a  stent  in  place,  advise  your  health  care  providers  that  you  have  a  stent.  Do  not  
    undergo  an  MRI  for  6  weeks  unless  it  is  an  emergency.  
    • Symptoms  to  report.  If  you  notice  or  experience  any  of  the  following,  you  should  notify  the  
    doctor  on  call  for  the  Cardiac  Catheterization  Laboratory  by  calling  (212)  746-­‐4644.  Someone  
    will  be  able  to  answer  your  call  at  any  time.  The  likelihood  of  such  events  is  minimal,  but  it  is  
    important  that  you  know  what  to  look  for:  
    o Any  change  in  the  site  where  the  procedure  was  performed  such  as  bleeding  or  an  
    increased  area  of  bruising  or  swelling.  (It  is  common  to  have  some  discoloration,  such  as  
    a  black  and  blue  mark  at  the  site  where  the  procedure  was  performed.)  If  bleeding  
    occurs  apply  pressure  to  the  site,  lie  flat,  and  notify  your  doctor.  
    o Any  tingling,  numbness,  pain  or  coolness  in  the  leg/arm  beyond  the  site  where  the  
    procedure  was  performed.  
    o Any  signs  of  infection  (i.e.,  temperature  greater  than  100F,  drainage/warmth/redness  in  
    the  leg/arm  area  where  the  procedure  was  performed.)  
    o Difficulty  urinating.  
    o For  any  sudden  and  severe  chest  pain,  shortness  of  breath  and/or  changes  in  mental  
    status,  you  should  notify  911  (or  your  local  emergency  number)  immediately.  

     
     
    Contact  
     
     
    NewYork  Presbyterian  Hospital  –  Weill  Cornell  Medical  Center  
    Cardiac  Catheterization  Laboratory  
    Telephone:  (212)  746-­‐4644  
    Fax:  (212)  746-­‐8295  
     

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