Heart Disease and Cardiac Catheterization
What Happens During a Cardiac Cath? continued...
A urinary catheter may be necessary for the procedure.
You will be given a mild sedative to help you relax, but you will be awake and conscious during the entire procedure. The doctor will use a local anesthetic to numb the catheter insertion site.
If the catheter is to be inserted into your arm (at the bend of the elbow, called the "brachial" approach, or at the wrist, called the "radial" approach), a local anesthetic will be injected into a vein in your arm to numb the area. A small incision will be made over the blood vessel through which the catheter introducer sheath (a tube through which the catheter is passed) and catheter will be inserted. The catheter will be inserted through the sheath and threaded to the arteries of your heart. Although you may feel pressure as the incision is made or when the sheath and catheter are inserted, you should not feel pain; tell your health care providers if you do.
If the catheter is to be inserted at the groin (called the "femoral" approach), a local anesthetic will be injected to numb the area. A small incision will be made over the blood vessel through which the catheter and introducer sheath will be inserted. The catheter will be inserted through the sheath and threaded to the arteries of your heart. Again, if you feel pain, tell your health care providers.
When the catheter is in place, the lights will be dimmed and a small amount of dye (or contrast material) will be injected through the catheters into your arteries and heart chambers. The contrast material outlines the vessels, valves, and chambers.
When the contrast material is injected into your heart, you may feel hot or flushed. This is normal and will go away in a few seconds. Please tell the doctor or nurses if you feel itching or tightness in the throat, nausea, chest discomfort, or any other symptoms.
The X-ray camera will be used to take photographs of the arteries and heart chambers. Your doctor may ask you to take a deep breath, hold your breath, or to cough during the procedure. You will be asked to hold your breath while the X-rays are taken. When all the photos have been taken, the catheter will be removed and the lights will be turned on.