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Preparing for cardiac catheterization and stent placement

• You should not eat or drink after midnight the evening before the procedure except for sips of water with your medications (unless your doctor tells you otherwise).
• You should not drink coffee or any caffeinated beverages/drinks the day before and the morning of the procedure.

1- Allergies

• Please discuss all types of allergies you have with your doctor, especially those listed below.
• IVP stain/contrast agent allergy, iodine allergy.
• Allergy to rubber/latex products.

2- Medicines

• Discuss your medications with your doctor – he or she may want to stop or adjust doses several days before or on the day of your procedure, especially those listed below.
• Anticoagulant medications.
• aspirin.
• Diabetes medications.

3- Blood tests, EKG, and chest X-ray

• Ask your doctor if all required pre-procedure tests have been completed or scheduled before your cardiac catheterization procedure.
• Before the procedure you will be in contact with your doctor to ensure you have had the appropriate pre-procedure tests, including ECG and blood tests (complete blood count with platelets, biochemistry profile, PT/PTT/INR).
• Additional information will be requested, such as echocardiogram reports, stress tests, CT scans of the heart, previous cardiac catheterization, and operative reports for coronary artery bypass surgery.

What should I bring?

• We recommend bringing a family member with you to wait with you before the procedure.
• Please bring a gown with you to wear while waiting for the procedure.
• We recommend wearing comfortable, easy-to-fold clothing.
• You may be admitted to hospital after the procedure, so pack personal hygiene items and any other items you want to make your stay more comfortable.
• Please leave all valuables at home or with a family member.

Instructions after cardiac catheterization and stent placement

• A responsible adult should drive you home. You will not be discharged from the hospital unless there is someone available to drive you home.
• If it is more than a two-hour drive home, we suggest you stay overnight at the hospital or a nearby hotel for your convenience.
• The medical team can help you make the necessary arrangements, then ask a family member to drive you home the next morning, after you have rested.
• While driving home, stop every hour and walk for 5 to 10 minutes.
• If you are traveling home by plane, stand to stretch your legs and walk down the aisle at least every hour. Please ask your doctor when you can resume driving.
• We strongly discourage using public transportation.
• You should go home and rest for the rest of the day and evening.
• You don’t have to maintain bed rest but you don’t have to be too active.
• Do not shower for the first 24 hours after the procedure, but gently wash the site with soap and water, rinse well and allow to dry.
• Do not use tub baths for the next five days (including jacuzzis, spas, and swimming pools).
• The transparent bandage over the groin area should be removed 24 hours after discharge from the hospital.
• You should drink plenty of fluids for 2-3 days after the test. This will help your kidneys “flush” the dye out of your body.
• For all patients, continue to take medications as prescribed.
• If you are taking metformin (Glucophage), do not restart it until 48 hours after the procedure.
• If you are taking warfarin (Coumadin), consult your doctor to determine when to resume.

Exercise activity restrictions

• Avoid heavy lifting (anything over ten pounds), excessive bending, and strenuous exercise for five days.
• Contact your primary cardiologist to arrange a follow-up visit.
• If you have a stent in place, tell your doctor that you have a stent.
• Do not have an MRI for six weeks unless it is an emergency

Symptoms to report

• If you notice or experience any of the following, you should notify your physician when calling in the cardiac catheterization laboratory. The likelihood of such events occurring is small, but it is important to know what to do:
• Look for any change at the site where the procedure was performed, such as bleeding, increased area of ​​bruising, or swelling.
• It is common to have some discoloration, such as a black and blue mark where the procedure was performed.
• If bleeding occurs, apply pressure to the site, lie down, and tell your doctor.
• Any tingling, numbness, pain or coldness in the leg/arm outside the site where the procedure was performed.
• Any signs of infection (i.e. temperature greater than 100 F, drainage/warmth/redness in the leg/arm area where the procedure was performed).
• Difficulty urinating, sudden and severe chest pain, shortness of breath, and/or mental status changes.

Steps for cardiac catheterization and stent placement

• An intravenous (IV) line will be placed in your forearm.
• A blood pressure monitor will be placed on your arm, and ECG stickers will be placed on your chest to monitor your heart rhythm.
• You will be taken to an operating room known as the “cardiac catheterization laboratory.”
• During the procedure, you will receive a local anesthetic before a catheter is inserted into an artery or vein.
• This catheter is usually inserted through an artery or vein in the groin.
• The doctor inserts the catheter into the heart, and a contrast dye will be injected.
• You may feel a warm sensation or redness in your body when this dye is injected.
• You may feel chest pain during part of this procedure.
• After the procedure you will be taken to the post-procedure room for observation.
• This time, the tube in the artery and/or vein may be removed.
• The doctor or nurse will apply pressure to this site to prevent bleeding.
• For some patients who have angioplasty or stenting, the tube will be removed later in the hospital.
• For patients admitted to the hospital, you will be transferred to the inpatient unit for post-procedure care.

See also: Types of urinary catheters and their harms

إقرأ أيضا:علامات الاجهاض في الشهر الاول – تعرفي عليها بالتفصيل

Heart catheterization and stent placement are not difficult medical procedures these days, just follow your cardiologist’s instructions, before, during, and after the procedure, and you will be back to your normal life within a month.