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Preparing for Your Procedure

Left Heart Cath
Right Heart Cath
PTCA
Coronary Stent
Rotablation
 
 
 
 
 

Your doctor will talk to you about the risks and benefits of coronary artery procedures. You will also be told how to prepare for your procedure. Your doctor will diagnose your heart problem with cardiac catheterization.

Understanding the Risks

The risks of coronary artery procedures are fairly low.  They are often outweighed by the benefits to your heart. The risks include:

  • Bleeding or clotting
  • Tearing or cracking of the artery lining
  • Allergic reaction to the contrast fluid used during the procedure
  • Abnormal heartbeat (arrhythmia)
  • Heart attack, stroke, or death (very rare)
  • Before Your Procedure

    At least a week before your procedure, tell your doctor if:

    • You have bleeding problems
    • You are allergic to iodine or seafood
    • You are taking any medications, such as blood thinners, aspirin, or diabetes medication

    The Day of Your Procedure

    You may be asked not to eat or drink anything after the midnight before your procedure. When you arrive for your procedure, some tests may be done. These may include an EKG (electrocardiogram), lab work, and a chest x-ray. The nurse will prepare a patch of skin where the catheter will be inserted. An IV (intravenous) line is inserted into your arm or hand to give you fluids. Medication may be given through the IV to help you relax.

    Following Your Procedure

    After the Cath Lab procedures are done, you’ll return to your original room or to the cardiac care unit (CCU). There, you may need to remain lying down for a few hours. Sometimes you may go home the same day and sometimes you will stay overnight. It depends on what procedure you had. In either case before you leave the hospital, your doctor will discuss any results and/or instructions with you.

    Removing the Sheath

    The sheath may be left in place for several hours to prevent bleeding. When it is removed, the insertion site may be clamped with compression device called a "fem-stop". Sometimes hand pressure is held at the site for at least 15 minutes. Sometimes a special occluding device or a stitch is applied to the insertion site.

    Checking Your Condition

    A nurse will check your pulse and blood pressure. He or she will also check the insertion site for bleeding. While you are in the hospital, you’ll remain attached to a heart monitor. An IV line may also continue to give you fluids and medications for a few hours.

    Tell the Nurse IF:

    • You feel any chest pain or feel discomfort at the insertion site.
    • The arm or leg closest to the insertion site becomes numb or cold.
    • You feel warmth or wetness around the insertion site.
    • You have swelling or change near the insertion site.

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    Medical Center Hospital
    500 W. 4th, Odessa, Texas  79761   (432) 640-4000