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Tests and Procedures

Cardiac Catheterization

What to Expect on the Day of Your Procedure

  • Be sure you don't have anything to eat or drink (NPO) after the designated time instructed at your PRAT visit.
  • Arrive at the Cardiac Catheterization Laboratory at the designated time.
  • Upon arrival at the Cardiac Catheterization Lab, a nurse will check your temperature, pulse, blood pressure and oxygen saturation.
  • An intravenous catheter (IV) will be inserted into a vein if you are not going under general anesthesia.
  • If the catheterization is going to be performed under general anesthesia, the anesthesiologist will discuss sedation and IV insertion (which is usually done after you are sleeping).
  • You will be transferred to the cath lab on a hospital bed. Your family may accompany you up to certain point.
  • Your family can wait in the cath lab waiting room, and they will be given periodic updates.
  • In the cath lab you will be transferred to the cath lab table. Equipment in the lab includes monitors and large cameras. A Cardiologist and multiple team members will be present.
  • After you are positioned on the table, various monitors will be connected (heart rhythm, blood pressure and oxygen).
  • You will receive sedation medication or anesthesia to help you sleep.
  • After you are asleep, your legs will be washed with special soap, and then you will be covered from your neck to your toes with a sterile sheet.
  • The procedure will be performed. When the procedure is finished you will be woken up.
  • If the procedure is not performed under general anesthesia, medications will be given in the IV to keep you comfortable and sleepy. Discomfort usually only occurs when putting “numbing” medicine into the groin before insertion of the catheters (this only takes a few seconds).
  • During the procedure, you will be told when angiograms are going to be performed. After an angiogram, you may feel a warm sensation lasting a few seconds.
  • Lying still on the lab table for an extended period of time may be associated with some discomfort. You are encouraged to notify the staff if you are uncomfortable anytime in the procedure. This should not be an unpleasant experience and we want you to be comfortable and relaxed.
  • If a catheter intervention is performed, it is completed after the angiograms are reviewed.
  • After an intervention, repeat measurements and angiograms are performed.
  • At the completion of the catheterization, the catheters are removed and pressure is applied to the groin area for 10-20 minutes, to prevent bleeding.
  • A pressure dressing is applied to area.
  • The anesthesiologist will wake you up and remove the breathing tube.
  • You will be transferred to the recovery room by stretcher for an hour and then return to cath lab holding area or transferred to the designated hospital floor if staying overnight.

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