Cardiac catheterization is very common that aims to treat and diagnose a variety of heart problems. For example, your doctor can advise you about this procedure if you have an abnormal or irregular heartbeat (arrhythmia), or feel pain In the chest (angina), or also problems with the heart valves, or otherwise, there are many complications and Cardiac catheterization risks.
What is cardiac catheterization:
Cardiac catheterization is a procedure that includes a thin tube and passes (catheter) through a blood vessel to reach the heart to diagnose or treat certain heart diseases, such as blockage of the arteries, or irregular heartbeat, which provides cardiac catheterization with many important information for doctors about the heart muscle. valves or blood vessels.
By performing a cardiac catheterization, doctors can perform various heart tests, deliver treatment to the heart, or remove part of the heart tissue for examination. Most heart disease treatments, such as coronary angioplasty, as well as coronary stenting, can It is done using a cardiac catheterization.
You’re usually awake during a cardiac catheterization procedure, but you can take medications that may help you relax. Cardiac catheterization may be characterized by a reduced risk of cardiac catheterization, reduced recovery time, and reduced risk of complications.
Cardiac catheterization risks:
The cardiac catheterization operation is performed by cardiologists and the patient is awake, which the doctor gives the patient a number of drugs that contribute to relaxation, and during the operation, the doctor felt only slight pain when the catheter was inserted into the blood vessels, and it is a small number of risks that the cardiac catheterization process And through the following lines, the risks of cardiac catheterization are monitored
Damage inside the catheter
Among all the damages that befall the patient who performs the catheterization procedure, is the occurrence of the risks of cardiac catheterization and within it, such as bleeding or infection, or the patient feeling any pain in the catheter insertion area.
Second: damage to the blood vessels
Thus, the patient who is subjected to the catheterization process may be accompanied by damage to the blood vessels that connect the heart, and this damage is represented by a scrape or a hole in the blood vessels.
Because the patient may be allergic to the dye that the doctor used during the coronary angiography.
Among those damages from the cardiac catheterization process are that there are some complications that were not common, such as an irregular heartbeat, as the patient may feel an irregular heartbeat, which leads to the deposition of blood or fluid in the sac that surrounds the heart, and this fluid can prevent the heart from hitting properly.
But this matter disappears on its own, and if it does not disappear with most cases, the doctor here writes to the doctor the treatment that this symptom affects.
Among those damages that result in most cases is the destruction of the kidneys, and this destruction may result from the dye that the doctor uses during the coronary angiography to the patient.
Since patients who perform catheterization operations develop blood clots, these clots will cause the patient to have a stroke, or heart attacks, and they also develop high blood pressure.
Cardiac catheterization to treat heart disease?
Cardiac catheterization begins as a major part of heart disease treatment, and includes a number of procedures, followed by you in the following lines:-
- Catheterization without or with stent placement
- Heart Hole Closure
- Treatment of heart valves, vasodilation
- Balloon to open narrow valves
- Ablation and cardiac arrhythmia
- Fish myocardial infarction
- Locking part of the heart to prevent blood clots
Pre-operative cardiac catheterization
The patient begins with several tests such as: complete blood count, blood chemistry, coagulation functions, kidney and liver functions, as well as echocardiography to assess the performance of the heart.
Which must be followed up with the doctor through medications that must be stopped in those days preceding the operation, which requires the patient to fast for a full 8 hours before the operation.
During cardiac catheterization
After determining the place of entry into the blood vessels, it is usually in the part of the femoral artery, or also the radial artery, which is performed cardiac catheterization as follows:
- Clean and sterilize the incision insert well, then after inserting a long, thin tube into the blood vessels.
- Passage of the tube through the main blood vessels to the origin of the coronary blood vessels in the heart, with the use of angiography for monitoring.
- Injection of a specific dye distributed in the blood vessels in a mixed manner, showing places where there is an improper flow due to narrowing or blockage in the blood vessels.
- Choosing the treatment that suits the patient’s condition begins, if the blood vessels can be expanded by inflating a small balloon, or inserting a stent that may help keep the blood vessels open.
- Exit the tube through the incision, then sew it up and put a bandage on it.
Post-operative cardiac catheterization
After the therapeutic cardiac catheterization process, the patient remains under medical supervision, and he usually stays in the hospital for several days, as long as there is no need to sit in the hospital in case the catheter was diagnosed.
Then, after removing the bandage from the surgical incision several days after the operation, there will be bloody bleeding in the wound site that will disappear on its own after several days have passed, and painkillers can also be used when needed.
You may have to go to the doctor immediately if there are some problems, such as a sudden rise in temperature, also a drop in blood pressure, shortness of breath, urinary retention, severe bleeding, and severe pain.
It is possible to return to daily activities gradually after completing the therapeutic cardiac catheterization process, and in most cases, the doctor prescribes some medications, and also anticoagulant drugs to prevent another blockage in the blood vessels from a distance.
Important tips before performing a cardiac catheterization
There are necessary procedures that the heart patient must take before performing the cardiac catheterization, in order to ensure its success, including:
- It is necessary to fast for at least 6 hours, because food or drink exposes the patient to the dangers of cardiac catheterization due to anesthesia.
- Diabetics may need to see a medical professional before stopping insulin doses.
- You should not take anticoagulant drugs, such as warfarin, aspirin, apixaban, dabigatran, and rivaroxaban.
In the end
Cardiac catheterization is important for treating the heart, but there are several Complications of cardiac catheterization, which you must know and you should immediately go to the doctor for advice about the extent of the risks of cardiac catheterization for your case