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Doctor insights on: Groin Complications Following Cardiac Catheterization

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What are the advantages of having a diagnostic cardiac catheterization through the groin arm or neck?

What are the advantages of having a diagnostic cardiac catheterization through the groin arm or neck?

Groin/ arm/ neck: The difference lies mostly in operator preference and experience. There are higher complication rates when using the brachial (upper arm) approach due to ability to compress the artery after the catheter is removed. Some pain at the insertion site is possible after the procedure, which may be a consideration. Read more

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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 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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Is cardiac catheterization dangerous? I’m having one next week. My doctor explained the procedure, and it seems like there’s a lot that could go wrong. Are the odds of dying during this procedure high?

Is cardiac catheterization dangerous? I’m having one next week. My doctor explained the procedure, and it seems like there’s a lot that could go wrong. Are the odds of dying during this procedure high?

About 1 in 10, 000: The risks of any procedure must be balanced against the benefit to you. Your doctor should given you information about why the test is necessary. A diagnostic heart cath has a mortality risk of about 1 in 10, 000, but there are other complications to consider such as stroke, bleeding, and heart attack during the procedure usually less than 1 in 1000. The most common problem is groin bruising 4 %. Read more

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What is a cardiac catheterization procedure?

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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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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How risky or dangerous is a cardiac catheterization?

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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What are normal results after a cardiac catheterization?

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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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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What diseases can be diagnosed from a cardiac catheterization?

What diseases can be diagnosed from a cardiac catheterization?

Artery and valvular: Cardiac catheterization involves evaluating the anatomy and pressures of the heart as well as the function. Thus, we can see blocked arteries, look at malfunctions of the various valves, investigate the overall function of the heart muscle, and see the results in pressures in the lungs. We can also see if there are abnormal connections between the hear chambers. Read more

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What symptoms can be expected after a cardiac catheterization?

What symptoms can be expected after a cardiac catheterization?

None: When catheterization goes well, there should not be any symptoms. Some patients get a soreness at the access site which should go away within hourse to days. Other bruising that shows up 24-48 hours after the procedure. Read more

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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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What information can be revealed by a cardiac catheterization?

What information can be revealed by a cardiac catheterization?

Pressures: In addition to coronary anatomy and evaluation of the valves and the heart muscle, cardiac catheterization allows measurements to be obtained inside the heart chambers to determine how well the heart pumps and fills, as well as the blood pressure in the lungs. More advanced evaluation may include an intracoronary (inside the blood vessel) ultrasound to see and measure blockages (plaques). Read more

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What is the difference between an ivus and a cardiac catheterization?

What is the difference between an ivus and a cardiac catheterization?

IVUS: A heart cath is the procedure to place a catheter in the heart arteries. Usually contrast is injected to see blockages. Ivus is intravascular ultrasound which may be performed during the heart cath to clarify questionable blockages. Read more

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What post-op care is recommended to patients of cardiac catheterization?

What post-op care is recommended to patients of cardiac catheterization?

Rest and fluids: Post cardiac cath. Pts should rest and not lift greater than ten pounds or drive for 48 hrs. Drink plenty of water to flush out the dye and keep an eye on the access site for pain or color change. After 48 hrs if no isues are noted patient can resume normal activities. Meds such as glucophage or Coumadin (warfarin) special instructions for restarting will be given. Notify your dr if pain fever numbness etc. Read more

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When should someone stop consuming alcohol before cardiac catheterization?

When should someone stop consuming alcohol before cardiac catheterization?

Long before: Alcohol is a toxin to the heart and more than two drinks a day has been associated with arrhythmias and heavy drinking can lead to weakening of the heart. Alcohol in moderation is good for the heart up to 2 glasses of red wine daily. Since, alcohol can interact with medications, one should not consume alcohol for at least 24 hours prior to angiography. Chronic drinkers, are a risk for withdrawl. Read more

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Where are the catheters inserted during a cardiac catheterization procedure?

Where are the catheters inserted during a cardiac catheterization procedure?

Tubes: Catheters are about 100 cms long plastic tubes with one or more holes and preformed flexible tips to make it easy to direct into the openings of the coronary arteries. Read more

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Is it contraindicated to get more than one stent during a cardiac catheterization procedure?

No: No, we do it all the time. Although it is unusual, I have put in as many as 7 stents at one time. The average number of stents per patient is 1. 5. Read more

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Catheterization (Definition)

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


Dr. Daniel Saurborn
5 Doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more