Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
Bennett, J. Claude, and Fred Plum, eds. "Cardiac Catheterization and Angiography." In Cecil Textbook of Medicine. 20th ed. Vol. 1. Philadelphia: W. B. Saunders Company, 1996.
"Diagnostic Cardiovascular Procedures:...
Invasive Procedures." In The Merck Manual of Diagnosis and Therapy, 17th ed, Ed. Mark H. Beers, and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories, 1999.
Segen, Joseph C., and Joseph Stauffer. "Cardiac Catheterization." In The Patient's Guide To Medical Tests: Everything You Need To Know About The Tests Your Doctor Prescribes. New York: Facts On File, Inc., 1998.
PERIODICALS
Norris, Teresa G. "Principles of Cardiac Catheterization."Radiologic Technology 72, no. 2 (November-December 2000): 109–136.
Scanlon, Patrick J, et al. ACC/AHA Guidelines for CoronaryAngiography 33, no. 6 (May 1999): 1756–1824.
Segal, A. Z., et al. "Stroke as a Complication of Cardiac Catheterization: Risk Factors and Clinical Features."Neurology 56 (April 2001): 975–977.
ORGANIZATIONS
American College of Cardiology. Heart House, 9111 Old Georgetown Road, Bethesda, MD 20814-1699. (800) 253-4636.
American Heart Association National Center. 7272 Greenville Avenue, Dallas, TX 75231. (800) AHA-USA1.
OTHER
Cardiology Channel. Cardiac Catheterization.
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Other Information
Cardiac catheterization (heart cath) is the insertion of a catheter into a chamber or vessel of the heart. This is done for both investigational and interventional purposes. Coronary catheterization is a subset of this technique, involving the catheterization of the coronary arteries.
A small puncture is made in a vessel in the groin, the inner bend of the elbow, or neck area (the femoral vessels or the carotid/jugular vessels), then a guidewire is inserted into the incision and threaded through the vessel into the area of the heart that requires treatment, visualized by fluoroscopy or echocardiogram, and a catheter is then threaded over the guidewire. If X-ray fluoroscopy is used, a radiocontrast agent will be administered to the patient during the procedure. When the necessary procedures are complete, the catheter is removed. Firm pressure is applied to the site to prevent bleeding. This may be done by hand or with a mechanical device. Other closure techniques include an internal suture. If the femoral artery was used, the patient will probably be asked to lie flat for several hours to prevent bleeding or the development of a hematoma. Cardiac interventions such as the insertion of a stent prolong both the procedure itself as well as the post-catheterization time spent in allowing the wound to clot.
A cardiac catheterization is a general term for a group of procedures that are performed using this method, such as coronary angiography, as well as left ventrical angiography. Once the catheter is in place, it can be used to perform a number of procedures including angioplasty, angiography, and balloon septostomy.
Other Information
Traditional Coronary Artery Bypass Graft (CABG) surgery has undesirable side effects that range from cognitive loss to increased hospital stays that are believed to be related to artificial heart pumps. In this project, we believe that if the heart were able to beat freely during surgery, these pumps would not be needed and it is possible that these side effects might be lessened.
-M. Cenk Cavusoglu
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