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Cardiac Catheterization: What you should know about
Cardiac catheterization, also known as "coronary intervention through the skin," is a surgical procedure in order to take the open heart arteries narrow and clogged, and by introducing a small inflatable balloon at the impasse within the artery, and a temporary basis to assist in the expansion.
And often with a cardiac catheterization procedure is to put another tube wired small plexiglass so-called "pillar" in order to help keep the artery open and reduce the chances of being tight again. Some stents are coated drug, helps to keep the artery open (metal stents coated with medicine), while some of the other stents without medication (bare metal stent).
Cardiac catheterization is used to relieve symptoms associated with clogged arteries, the mother of the chest and shortness of breath. It also can be used in cardiac catheterization also when exposed to a heart attack in order to open the blocked artery and quickly reduce the size of the damage, which affects the heart. Often what happens clogged arteries due to deposition of fatty material (atherosclerosis).
In some cases, it may worsen the case of narrow arteries of the heart or, as happens in most critical situations (artery of the left main), so it does not become a cardiac catheterization is the right choice, but requires these cases make the process of converting the course of coronary artery disease, and known as "the process of coronary artery bypass ". The decision to stop the process of cardiac catheterization procedure in the decision making process versus coronary artery bypass on the size of the disease which affects the heart, heart valve disease and general medical condition.
Although cardiac catheterization longer means less need for surgery to open clogged arteries, but it involves at the same time some of the risks.
Include risk associated with the process repeated cardiac catheterization:
Exposed the artery to narrow again (The incidence of this viewer in the past, ranging from 30-40%, but now it became below 10% with the use of metal stents coated with medicine), a blood clot suddenly inside the artery / stent (and in this case given drugs such as aspirin and clopidogrel to prevent clotting), bleeding at the site of receptive artery or anywhere else within the body (considered severe bleeding is very rare, but can happen). The other risks include kidney problems, occurrence of abnormal rhythm of the heartbeat in the movement, as well as other risks very rare occurrence in Kalozmat attacks and strokes.
Before the deadline to make a cardiac catheterization, your doctor will review your history you will be therapeutic and physical examination. It also will be subject also to examine the X-called "coronary artery imaging," in order to determine the extent to which the degree of blockage afflicting your arteries to undergo cardiac catheterization. And coronary artery imaging helps doctors determine if the main arteries in your heart to suffer from distress or of obstruction. The liquid dye is inserted in the arteries of the heart through a catheter - a long thin tube is inserted into arteries, usually by rib thigh. When the dye fills your arteries, the arteries become clear when photographed and X-ray video, and then the doctor can see the inside of the arteries Occlusion sites. If your doctor and discovered the reality of the results of imaging the presence of coronary artery obstruction, it can be in this situation to take a decision to perform a cardiac catheterization and prop work after the end of filming the coronary artery at a time when the catheter is still special dye exist inside your heart.
You will receive instructions on food and drink before you make the cardiac catheterization. As usual in such circumstances, you need to stop for food and drink before mid-night operation. Conditions may differ prepare you and your equipment for the process if you are located in the hospital already before the procedure.
Whether underwent cardiac catheterization by appointment or an emergency, it may also be subject to some routine tests, including chest imaging using X-rays, EKG and withdraw blood samples.
During a cardiac catheterization process
Will not be the work of only a single slot in a tiny body, specifically in a blood vessel inside the leg, arm or wrist, where it is through this slot to enter a long thin tube (called a catheter) is the procedure. Process may take 30 minutes of cardiac catheterization, may take several hours, depending on the size of the obstruction that suffer from it, as it also depends on the occurrence of complications or not.
Is performed cardiac catheterization by a cardiologist and a team of specialized nurses and technicians who specialize in blood vessels, and often the process is done in a private room operations called cardiac catheterization lab.
Is usually performed cardiac catheterization process through the femoral artery in the leg (femoral artery). The operation can be performed through an artery in the arm or wrist area. Before the procedure, which is to prepare the area where the operation will be conducted with an antiseptic solution, and will be covering the body with a layer of sterile material. And is also a local anesthetic injection thigh, in order to numb the area that will perform the operation there. The electrodes are placed on a small negative chest to control the rhythm of the heartbeat.
It does not require the use of general anesthesia, and therefore the patient remains awake during the procedure. This is the introduction of fluids and drugs to the body through an intravenous catheter, in order to help you feel relaxed. It will also address drugs fluidized bed of blood (anticoagulant), in order to reduce blood clotting, can then begin the procedure.
After numb the area that will be opened, a small needle is inserted into an artery to reach inside the leg or arm, is then the work of a small opening in the skin.
The doctor then later followed by the introduction of a guide wire Bakstrh inside the artery, and the area of the hole all the way to the region, which suffers from blockage inside the heart.
May feel the pressure in the thigh during catheter insertion, but you will not feel a sharp pain. You must in this case, tell your doctor. You will not feel the catheter inside the body.
Is the introduction of a small amount of the dye through the catheter, so as to assist the physician in the search for sites on the blockage of the coronary artery images using X-rays.
Assaar balloon is inflated at the end of the catheter, with the aim of expanding the artery stretched. The balloon will remain swollen for several minutes at the site of the obstruction of the work on the expansion of the artery, and before it is discharged from the air balloon and get rid of it. Your doctor may inflate the balloon and dump several times before to get rid of it, so as to extend the artery a little at a time before the expansion.
Feel sick in a lot of these processes pain in the chest when bloated balloon, because the balloon is working on a temporary basis to fill the bloodstream bound to part of the heart. If you suffer from blockages in several arteries, may be repeat this procedure with each obstruction.
Stent implantation
Most of the people who put them catheterization of the heart, also placed them inside the stent clogged arteries, and that during the development of the catheter. They are often stent implantation within the artery once it has been expanded by the balloon inflated. The bear stent the artery walls and prevent re-narrow again after placing cardiac catheterization. The look on the bench as a mainstay in the form of a small wire mesh. Once the stent is disposed of balloon catheter is picking up more pictures of coronary X-ray, to see the level of blood flow within the Hariank after re-expansion. Finally, get rid of the catheter and guiding the process that has been completed.
After stenting, may need some medicine to reduce the chance of blood clots forming in the stent body.
After making the process of cardiac catheterization
Likely to remain in hospital for a day or two, where the subject of your heart in the meantime, follow-up and control, has a doctor prescribes you drugs to blood clots, as well as medicines to help the arteries to relax and protection of convulsions and spasms of the coronary which can cause a heart attack. And is supposed to be able to return to work or engage in the normal routine of life after a week of conducting the process of cardiac catheterization.
When returning to your home after the end of the process, you should drink plenty of fluids to help your body get rid of the dye. As you should also avoid strenuous exercise and lifting heavy objects, and to consult a doctor or nurse on other restrictions that must be committed in respect of the activities.
Call your doctor's office or hospital staff immediately if:
I noticed bleeding or swelling in the place where catheter placement.
I felt the pain or fatigue growing in the place which the catheter placement.
You develop signs of infection, you Kalahmrar, swelling, rash or fever.
There is a change in temperature or the color of the leg or arm that has been put on the catheter method.
Fainted or felt weak.
I suffered from chest pain or shortness of breath.
In most cases, cardiac catheterization is working to increase the blood flow dramatically within the coronary artery, which was suffering from distress or obstruction before. Therefore, it is assumed that declining feel chest pain, and increase your ability to perform aerobic exercise.
Care after making the process of cardiac catheterization:
Does not mean that the process of cardiac catheterization procedure and implant pillar that your heart has recovered from his illness. But you'll need to maintain the habits and healthy lifestyles, and are taking certain medications to ensure that tight Hariank again. If you notice that some of the symptoms may reappeared again you have, Calm chest or shortness of breath, or symptoms similar to those symptoms that you are experiencing them before you make the catheter, you must contact your doctor. If you suffer from chest pain at rest or pain does not respond to medication nitroglycerin enlarged coronary arteries, please call 911 or emergency medical assistance service.
To maintain the health of your heart after a cardiac catheterization process, you need the following:
Quitting Smoking
Reduce the levels of cholesterol in your body
Maintain a healthy weight
Control in other circumstances as juvenile diabetes and high blood pressure
Exercise regularly
It means the process of cardiac catheterization procedure successfully you may not have to perform surgery called coronary artery bypass operation, which is based on the idea of eradicating artery or vein from a different part of the patient's body and implanted in the surface of the patient's heart for doing coronary artery impasse. These require surgery work or open incision in the chest, as the recovery usually takes longer and be more stressful.
If you suffer from cases of obstruction and shortness of many in Mosul, the main artery to the heart, a decrease in heart function, or diabetes, your doctor may advise you to perform a coronary artery bypass instead of the process of cardiac catheterization and stent implantation. In addition, it may be preferable in some cases, the treatment of obstructive artery perform a coronary artery bypass, and that for technical reasons.
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