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Doctor insights on: Cardiac Catheterization Vs Angiogram

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Dr. Francis Uricchio
360 Doctors shared insights

Cardiac Catheterization (Definition)

This is a procedure where narrow, flexible tubes are inserted into a peripheral artery through a cut in the skin, and advanced to the heart. Dye can be injected through the catheters into the arteries of the heart to look for blockages ("angiogram"), or to measure pressure within the cardiac chambers ("right heart cath"). Arteries can be opened with balloons/stents at the ...Read more


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What is a cardiac catheterization?

What is a cardiac catheterization?

Diagnose ; treat: A cardiac catheterization is test done in an special x-ray suite (catheterization laboratory) where long, thin, flexible tubes are directed to the heart through veins and/or arteries to diagnose and treat various forms of heart disease. In the best hands, this is an important tool with valuable results and low risks. ...Read more

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Why is cardiac catheterization done?

Why is cardiac catheterization done?

Variety of reasons: Cardiac catheterization is performed to assist in the diagnosis of a wide variety of heart problems. Measurements are made of pressure, blood flow, and oxygen saturation in the heart. X-ray dye is injected and pictures taken of the arteries and chambers of the heart. Based on the information obtained, a treatment plan is developed. ...Read more

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What is cardiac catheterization help?

What is cardiac catheterization help?

Its diagnostic: Cardiac catheterization is a diagnostic test to evaluate pts with coronary artery blockages, valve disease, congenital heart problems etc. From there the operator determines if surgery or stenting etc is needed. Its very accurate but is invasive. ...Read more

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Can you describe cardiac catheterization?

Can you describe cardiac catheterization?

See Below: Usually, sedation is given - a 2mm incision is made in the femoral artery at the groin, a sheath is inserted, the artery is cannulated with a catheter, dye is injected via catheter to provide contrast so that the cardiologist can read the images via fluoroscopy (x-ray).The injection of dye is repeated to attain images of the heart from enough angles to provide a complete 'picture' of coronaries. ...Read more

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Will I die from a cardiac catheterization?

Will I die from a cardiac catheterization?

1 to 2 in 1000 die: Quoted mortality is 1 or 2 in 1000. ...Read more

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What are cardiac catheterization procedures?

What are cardiac catheterization procedures?

Catheterization: The procedure involves sliding catheters through your blood vessels to the heart. The catheters are used to measure pressures, take samples, inject dye for imaging and other purposes. When imaging is performed with cath we call it angiography. Often they go together. ...Read more

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What is the purpose of a cardiac catheterization?

What is the purpose of a cardiac catheterization?

Diagnosis: To diagnose disease process and plan treatment
pre op for surgery CABG sx valve sx
pfo closure cardiomyopathy treatment- ie. Alcohol ablation precedure treatment. ...Read more

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Who are candidates for a cardiac catheterization?

Who are candidates for a cardiac catheterization?

Diagnosis/treatment: Candidates for cardiac catheterization include 1) a patient in whom additional information is required to make a diagnosis, or 2) the diagnosis is known but detailed anatomical information is required to determine the appropriate type of therapy. ...Read more

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What are complications of cardiac catheterization?

What are complications of cardiac catheterization?

Multiple: Principal complications are stroke, myocardial infarction, death, bleeding, and infection. The risks of stroke, mi, death, and infection are one in 1000. The risk of bleeding at the puncture site is approximately 1 in 100. If an angioplasty or stent is performed, the risks are higher. ...Read more

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What kind of complications might happen from a cardiac catheterization?

What kind of complications might happen from a cardiac catheterization?

Partial list: Bleeding, infection, irregular heart beat, perforation of the heart, heart attack, dissection of the aorta, cardiac arrest, stroke, renal failure, gangrene, pseudo aneurysm, shock, death. ...Read more

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What are the risks of cardiac catheterization?

What are the risks of cardiac catheterization?

Rare serious risks: The complication rate for serious adverse events with a routine heart cath is on the order of 1/1000 to 1/10000. While rare, when they do happen they are quite serious, so you should always make the decision for a heart cath in conjunction with an experienced cardiologist. The most common issues are bruising at the cath site in the groin. ...Read more

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How could someone prevent cardiac catheterization?

How could someone prevent cardiac catheterization?

Not consent: If you don't want a cardiac catheterization, you simply don't consent to it being scheduled. However, this may be a very bad idea; if you have indications for a cardiac cath, you probably need that level of diagnostic imaging. Speak with your cardiologist and make sure you understand the risks of not doing the test. Be careful. ...Read more

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Is anesthesia used during a cardiac catheterization?

Is anesthesia used during a cardiac catheterization?

Yes: Most of cardiac catheterizations in usa are perform by sedation by non-anesthesia trained personnel. Mostly register nurses. Few use monitor anesthesia care. Variability between medical centers. ...Read more

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Which catheter is used in a cardiac catheterization?

Which catheter is used in a cardiac catheterization?

CATH: There are a multitude of catheter choices depending on the technique, the site of catheterization and the individual preference of the operator. ...Read more

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What are nursing implications following a cardiac catheterization?

Not much: Assuming you had no radioactive infusions, you should be able to nurse as soon as you can hold the baby. Sometimes your post catheterization instructions give you activity restrictions. As long as you observe these and fell well enough to hold the baby, you should be able to nurse. ...Read more

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What should a patient do if he or she bleeds after a cardiac catheterization?

What should a patient do if he or she bleeds after a cardiac catheterization?

Direct pressure & ER: Put lots of hard direct pressure over the bleeding point and go to the e r if outside the hospital asap. ...Read more

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Hi doctors, was just wondering what is a double cardiac catheterization as opposed to a cardiac catheterization?

Hi doctors, was just wondering what is a double cardiac catheterization as opposed to a cardiac catheterization?

Right and left sided: It depends on the context, but to me this sounds like doing both a left heart catheterization and a right heart catheterization. A left heart cath is for checking the arteries in the heart and also the pressure in the left ventricle. A right heart cath is for checking the pressures on the right side of the heart, the left atrium (indirectly) and for measuring cardiac output. ...Read more

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What is cardiac catheterization?

What is cardiac catheterization?

Tubes & X-Ray Info: A tube in inserted via a peripheral artery &/or vein, passed through the vessel to the heart arteries & into &/or through the heart chambers to measure pressure, blood flow &/or "see blood" via dye injected into the blood flowing through artery (s) &/or vein (s) near/around heart. Dye in the blood makes blood column show on X-Ray for a few seconds to see outline of artery &/or heart chamber opening. ...Read more

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Is cardiac catheterization intrusive?

Is cardiac catheterization intrusive?

Yes: It's an invasive procedure in which a catheter (small tube) is inserted in an artery (blood vessel) in your wrist or groin, then fed backwards to your heart in order to take pictures of the heart arteries. ...Read more

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What does a cardiac catheterization do?

What does a cardiac catheterization do?

Takes a picture: Cardiac catheterization is used to take a picture of the arteries of the heart, the pumping chambers of the heart, the valves of the heart, and to make hemodynamics measurements regarding the function of the heart. ...Read more

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What is a double cardiac catheterization?

Double catheterization: We don't use that terminology but perhaps you mean a right and left heart catheterization. ...Read more

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How intrusive is cardiac catheterization?

How intrusive is cardiac catheterization?

Somewhat: Intrusive? Well it usually involves putting a large bore needle into your femoral artery - however if you can benefit from it (because you can stent arteries open during the same procedure) it is less intrusive than open heart surgery but more intrusive than having a stress test or doing nothing (and maybe dying at home). ...Read more

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How long does cardiac catheterization last?

How long does cardiac catheterization last?

Depends: The length of time to perform a cardiac catheterization depends on many variables. Often, for a straightforward case, the waiting and preparation take longer than the diagnostic procedure - which can take as little as 15 minutes. If access is difficult or the anatomy tortuous, it can take much longer. ...Read more

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What is a cardiac catheterization procedure?

Multiple Aspects: A catheterization can be both diagnostic (i.e. Determine information) and therapeutic (i.e. Treat disease). A catheter is like a long iv. Catheters are inserted into arteries and/or veins and threaded up into your heart. Some catheters measure pressure (unique to cath), other's inject dye for pictures, and yet others have balloons and stents to treat diseases. ...Read more

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What purpose does cardiac catheterization serve?

What purpose does cardiac catheterization serve?

Cath: This test allows your doctor to visualize the coronary arteries (blood flow to your heart), and take pressure measurements in the chambers of your heart in order to determine if there are problems. If a blockage is found in an artery, then it can be fixed with a stent via catheterization. ...Read more

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Is cardiac catheterization covered by insurance?

Depends: This depends completely on your insurance, deductible, co-pays, co-insurance, and maximum out of pocket. This question is best directed to your insurance company. Also, your cardiologist will be required to attain an authorization from your insurance for any elective procedure, such as a cath. The hospital attains authorizations for emergent procedures. ...Read more

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Can someone die during a cardiac catheterization?

Can someone die during a cardiac catheterization?

Yes: The usual risk of the procedure is 1 to 2 in 1000 of a serious complication, including death. ...Read more

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What are the expenses of cardiac catheterization?

What are the expenses of cardiac catheterization?

Multiple: The cardiac catheterization is a costly procedure. The breakdown of the fees apply to physician services, hospital charges for the use of equipent and staff (usually a nurse and 2-3 technicians) and then teh preparatory care as well as the post procedural care. There are included charges for the catheters. Once theser are added up the charges can total in the tens of thousands of dollars. ...Read more

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Why can you not eat before cardiac catheterization?

Risk of vomitng: Possible need for anesthesia and vomiting from contrast can cause aspiration etc and complications. ...Read more

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Is the cardiac catheterization a risky thing to do?

Some risk...: The procedure involves threading a catheter through your artery, often from the groin area up to the heart and inside it. It is an invasive procedure and this infections, bleeding, cardiac arrythmia risks etc....Also, this process also uses some dye, thus can cause some kidneys trouble, or even an allergic reaction etc....
Fortunately, this is done commonly and risks are low...
Good luck. ...Read more

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What specialty performs the cardiac catheterization?

The "Other" Guys: Interventional cardiologists are what they call themselves. Those are the guys who deploy stents. Many general cardiologists also do their own "diagnostic" catheterizations to look at, but not fix arteries. ...Read more

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How risky or dangerous is a cardiac catheterization?

Very safe: The risk of serious complication is about 0.1% over a million are done in the usa each year. It takes about 20 minutes, doesn't hurt, and is very routine. ...Read more

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How is a cardiac catheterization procedure concluded?

By closing entry: Cardiac catheterization is the procedure where a plastic tube is placed in an artery in the groin or wrist and under xray guidance dye is injected to visualize the coronary arteries and see if blockages are present. At the end of the procedure the catheter is removed from the entry point and pressure is held to stop bleeding, a closing device may place a plug or a stitch may be placed. ...Read more

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What procedure is involved in cardiac catheterization?

What procedure is involved in cardiac catheterization?

An angiogram: Where contrast is injected into coronary arteries for visualization under fluoroscopy. ...Read more

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How long does a cardiac catheterization procedure last?

Depends: Depends on what is being done. For a simple left heart diagnostic cath, about 20 minutes. If it's a left and right heart diagnostic cath, about 40 minutes. If an angioplasty and stent are also placed, about 60-90 minutes. If there are technical problems, it can sometimes take longer. ...Read more

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What are normal results after a cardiac catheterization?

Depends: The test is done for various reasons such as to look at the coronary arteries or to evaluate valves. No blockages in the arteries, normal pressures, normal contraction of the heart, and no leakage or blocks in the valves would be a normal test. Well also normal size of the heart chambers, no clots or humors. ...Read more

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What exactly happens when you get cardiac catheterization?

What exactly happens when you get cardiac catheterization?

Hollow plastic tube: A hollow plastic tube (catheter) is advanced through an artery to the heart. Contrast dye is injected through the tube and x-ray movies are taken as the contrast enters the heart. Measurements are taken through the tube of pressures and blood flow within the heart and lungs. ...Read more

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Is cardiac catheterization essential for certain diseases?

Is cardiac catheterization essential for certain diseases?

Yes: Currently cardiac catheterization is considered the gold standard to diagnose certain conditions. At the present, for example, a cardiac catheterization is the definitive means to diagnose coronary artery disease and treat it by such means as percutaneous coronary intervention (balloon or stent palcement).This method also has promise for treating mitral and aortic valve problems in the near future. ...Read more

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For what conditions is cardiac catheterization recommended?

For what conditions is cardiac catheterization recommended?

Long list: A very large number of cardiac conditions may possibly require cardiac catheterization. These abnormalities may involve the lining of the heart (pericardium), the muscle of the heart (myocardium), the valves of the heart, or the arteries of the heart (coronary arteries). ...Read more

Dr. Barbara Lavi
1 Doctor shared a insight

Angiogram (Definition)

An angiogram is a picture of the inside of ones blood vessel (vein or artery) created by injecting a clear liquid (radiopaque dye) which appears to be white (or ...Read more


Catheterization (Definition)

This means placing a catheter (hollow tube) into the body. Different catheters are used for different body parts ...Read more