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Cardiac Catheterization

Overview

Cardiac catheterization, also known as coronary angiography or coronary catheterization, is a medical procedure used to diagnose and treat heart conditions. It involves the insertion of a thin tube called a catheter into the blood vessels leading to the heart. The procedure is typically performed in a special room called a catheterization laboratory (cath lab) by a team of interventional cardiologists.

Diagnosis of Heart Conditions:
  • Coronary Artery Disease (CAD): Cardiac catheterization is often used to assess the presence and severity of blockages or narrowing in the coronary arteries that supply blood to the heart muscle.
  • Valvular Heart Disease: It can help evaluate the function and condition of heart valves.
  • Congenital Heart Defects: Cardiac catheterization may be used to diagnose and evaluate certain congenital heart abnormalities.
Treatment Procedures
  • Angioplasty and Stenting: In cases of coronary artery disease, a catheter with a balloon may be used to inflate and open narrowed arteries. Additionally, a stent (a mesh-like tube) may be deployed to keep the artery open.
  • Valvuloplasty: For some valve conditions, such as aortic stenosis, a catheter-based procedure may be performed to open the narrowed valve.
  • Closure of Defects: Certain congenital heart defects, such as atrial septal defects (ASD) or ventricular septal defects (VSD), can be treated by deploying closure devices through catheters.
Cardiac Catheterization Procedure:
  1. Preparation: The patient is prepared by administering local anesthesia at the catheter insertion site, usually in the groin or wrist. In some cases, a sedative may also be given.
  2. Catheter Insertion: A catheter is introduced into an artery or vein, typically through the femoral artery in the groin or the radial artery in the wrist. The catheter is carefully guided through the blood vessels and into the heart under X-ray guidance.
  3. Contrast Dye Injection: Contrast dye is injected through the catheter into the coronary arteries or heart chambers, and X-ray images (angiograms) are taken. This helps visualize the blood vessels and any abnormalities.
  4. Pressure Measurements: Pressure measurements inside the heart chambers may be taken to assess heart function and valve conditions.
  5. Interventional Procedures: If a blockage or narrowing is identified, additional procedures such as angioplasty, stent placement, or other interventions may be performed.
  6. Closure: After completing the necessary procedures, the catheter is removed, and the insertion site is either closed with a closure device or manual pressure.
Complications: While cardiac catheterization is generally safe, potential complications may include bleeding, infection, damage to blood vessels, or adverse reactions to contrast dye. Cardiac catheterization plays a crucial role in the diagnosis and treatment of various heart conditions and allows healthcare providers to make informed decisions about the most appropriate management for each patient.
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