Cardiac Catheterization and Monitoring
Cardiac Catheterization and Monitoring
Cardiac Catheterization and Monitoring
CATHETERIZATION
AND MONITORING
(Right and left sides)
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Introduction
coronary arteries.
3. A healthcare professional may shave the area where the catheter will be
put in. The catheter is most often put in at the groin area, but other places
used are the wrist, inside the elbow, or the neck.
4. A healthcare professional will start an intravenous (IV) line in
your hand or arm before the procedure to inject the dye and to give
you IV fluids, if needed.
Details of procedure (step, with picture)
7. Your pulses below the catheter insertion site will be checked and
marked so that the circulation to the limb can be checked after the
procedure.
8. Your doctor will inject a local anesthetic (numbing medicine) into the skin
where the catheter will be put in. You may feel some stinging at the site for a few
seconds after the local anesthetic is injected.
Details of procedure (step, with picture)
9. Once the local anesthetic has taken effect, your doctor inserts a sheath, or
introducer into the blood vessel. This is a plastic tube through which the catheter is
thread into the blood vessel and advanced into the heart. If the arm is used, your
doctor may make a small incision (cut) to expose the blood vessel and put in the
sheath.
10. Your doctor will advance the catheter through the aorta to the left side of the
heart. He or she may ask you to hold your breath, cough, or move your head a bit
to get clear views and advance the catheter. You may be able to watch this process
on a computer screen.
11. Once the catheter is in place, your doctor will inject contrast dye to
visualize the heart and the coronary arteries. You may feel some effects
when the contrast dye is injected into the catheter.
12. Tell the doctor if you feel any breathing difficulties, sweating,
numbness, nausea or vomiting, chills, itching, or heart palpitations.
Details of procedure (step, with picture)
13. After the contrast dye is injected, a series of rapid X-ray images
of the heart and coronary arteries will be made.
14. Once the procedure is done, your doctor will remove the catheter and
close the insertion site. He or she may close it using either collagen to seal
the opening in the artery, sutures, a clip to bind the artery together, or by
holding pressure over the area to keep the blood vessel from bleeding.
15. If a closure device is used, a sterile dressing will be out over the site.
If manual pressure is used, the doctor (or an assistant) will hold pressure
on the site so that a clot will form. Once the bleeding has stopped, a very
tight bandage will be placed on the site.
16. The staff will help you slide from the table onto a stretcher so
that you can be taken to the recovery area.
Common side or adverse effects