Cardiac disorders such as sudden death, heart failure, angina, and heart attach often have their origins in arterial diseases. Therefore, catheterization is a commonly used diagnostic procedure. By performing catheterization of the heart, healthcare professionals can identify the presence of various heart and arterial disorders that result in abnormal blood flow within the heart (Williams & In Hopper, 2015). Catheterization can be employed to diagnose cardiovascular diseases and related symptoms, including myocardial infarction, prolonged high pressure in chest veins, valvular disorders, and congenital heart disease. The catheterization procedure involves the patient lying on a table face up while a cardiac monitor device is connected (Williams & In Hopper, 2015).
The local anesthetic is used to numb the insertion site and access to the artery or vein, which is made with a
...needle. A plastic tube called a sheath is then inserted in the puncture site, allowing for the insertion of a catheter and drug infusion. A guide wire is threaded through either a femoral artery or brachial artery, using fluoroscopic guidance, until it reaches the heart. A catheter, approximately 80 cm- 110cm long, is then inserted and threaded through the artery to the heart, using the wire as a guide. During this process, the patient may feel some pressure (Williams & In Hopper, 2015).
An injection of dye or contrast agent is used to image the heart and surrounding vessels, enabling the doctor to examine them. The fluoroscopic or radiographic system includes a video system and an x-ray system with viewing monitors, allowing the doctor to watch the procedure in real time. The entire process typically lasts 2-3 hours. If additional intervention is necessary, stent implantation o
angioplasty may be performed.
After catheterization, the sheath and catheters are taken out and the puncture site is sealed to stop bleeding. This can be done through manual compression or by using a sealing device such as perclose.
Reference
- Williams, L. S., & In Hopper, P. D. (2015). Understanding medical surgical nursing.
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