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Doctor insights on: Groin Hematoma After Cardiac Cath

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How do you get rid of a large hematoma after cardiac catheterization?

How do you get rid of a large hematoma after cardiac catheterization?

Hematoma: Hematoma is not uncommon after cardiac catheterization. A hole is poked in a large vessel and it can leak even after we think its sealed. The blood will usually reabsorb over weeks if it in the lower limb. There is no good way to hurry up the reabsorbtion. ...Read more

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 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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Cardiac cath vs. 64 slice cat scan--which tells what?

They both: Evaluate for coronary atherosclerosis. The short version is 64 slice ct is excellent at determining whether or not atherosclerosis (blockages) are present. It is not as good in determining the extent or percentage of the blockage (yet). Cardiac cath remians the gold standard for determining the extent of stenosis and subsequent angioplasty/stent. ...Read more

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My son, a dialysis patient due to kidney loss has a scheduled cardiac cath tomorrow. How dangerous is this procedure?

Fairly low risk: Like any arteriogram (dye study accomplished through direct injection into an artery), the risks are 1. Technical and 2. Linked to the dye (contrast). 1.- the needle goes in an artery + a catheter is snaked into another artery (in this case the coronary arteries) + rarely damages the artery lining. 2. Contrast may cause allergic reaction or harm kidney function - not an issue for your son. ...Read more

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I had cardiac cath 4 days ago had massive air embolism with they retrieved but experiences full arrest how soon to return to work?

I had cardiac cath 4 days ago had massive air embolism with they retrieved but experiences full arrest how soon to return to work?

Air embolism: An very uncommon complication;why did this occur at all? Was it venous or arterial? Do you have a shunt? If now asymptomatic likely a venous event and at this stage presumably should be able to return to work ...Read more

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Cardiac cath in 2012. Femoral site is hurting a lot all of sudden like it was after procedure. Can feel area pulsating quite a bit. See dr.? Concern?

Get it checked.: The arterial wall can after being weakened by a needle puncture develop a pseudoaneurysm. This is an weak spot in the artery that buldges due to the flow of blood. It can grow and impinge on nearby structures. It is usually noticed a few days to weeks after a cath but can develop late. I'd see your cardiologist and likely have an ultrasound of the area. ...Read more

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Just had a cardiac cath & dr said just minor 50% blockage & no stent needed. Confused 50% to me is a lot so what would be my next step to make 50% a 0%?

Just had a cardiac cath & dr said just minor 50% blockage & no stent needed. Confused 50% to me is a lot so what would be my next step to make 50% a 0%?

<50% is not blocked: Serious coronary blockages begin at 50%. < 50% means mild blockage, atherosclerosis, that needs medical therapy, usually cholesterol lowering medications (statins) to prevent progression of narrowing. ...Read more

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What exercise limitations will I have after a cardiac cath procedure?

What exercise limitations will I have after a cardiac cath procedure?

Depends on findings: The procedure itself will not limit your exercise choices but what the doctors find may require some adjustments. ...Read more

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A cardiac cath done tomorrow and very scared is this done everyday and what are the risks?

A cardiac cath done tomorrow and very scared is this done everyday and what are the risks?

Cardiac cath: A cardiac cath is a very common test and if done by an experienced cardiologist has very low risk. The risks are mainly bruising in the skin entry site, vessel damage, and rhythm disturbance. There are rarer risks also. The huge majority of people having the test however have no ill effects at all. ...Read more

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Failed my EKG and cst but cardiac cath was fine. What to do?

Probably: No need to do anything. Sounds like the cst was a false positive. Your doctor should go over this with you. ...Read more

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Does an X-ray technician who works in the cardiac cath lab have to be acls certified?

Does an X-ray technician who works in the cardiac cath lab have to be acls certified?

Depends: Probably up to hospital regulations, bylaws. Not a bad idea to be certified. ...Read more

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Under went cardiac cath after having astrok in wall of heart decreased e.F tl 32%. Good condition of arteries after installing pillars, I am47y?

Under went cardiac cath after having astrok in wall of heart decreased e.F tl 32%. Good condition of arteries after installing pillars, I am47y?

LVEF after stenting: You clearly had a significant csrdiac event. I am not clear what result you cite for your ef - was it 32% after the stent? Healthy hearts generally have fractions in the 60-70% range. A good stent result will bump the pre-procedure fraction up about 5%. At age 47, you have been issued a heavy duty warning shot and you and your cardiologist will need to monitor it carefully. ...Read more

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Cardiac cath last year. 2days ago site (femoral) started to really hurt bad again. Coumadin (warfarin) was above 3.0. Any connection. Reason for concern about pn?

Cardiac cath last year. 2days ago site (femoral) started to really hurt bad again. Coumadin (warfarin) was above 3.0. Any connection. Reason for concern about pn?

Get it looked at: It's hard to imagine that a cardiac cath site from last year is now bleeding when it was fine before. Depending on the reason you are on coumadin, (warfarin) inr of 3 is not that high. Patients with mechanical mitral valves need inr around 3.5. But sudden pain in the femoral region continuing for 2 days should get seen by your doctor. It could be something else. And though unlikely I'm not saying impossible. ...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?

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?

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?

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?

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

Dr. Jan Lei Iwata
558 Doctors shared insights

Hematoma (Definition)

A condition in which there has been bleeding between the scalp and the skull, and the blood is trapped under the scalp, forming a blood-filled bulge. Can usually ...Read more


Dr. Debra Rosenblatt
5 Doctors shared insights

Cardiac (Definition)

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