Both the Cath lab left heart and one lab catheterization of right heart (HKM) are the center of invasive cardiology diagnosis. Here is the so-called big heart catheterization. In this procedure, we are talking about getting images of blood vessels that feed the heart, coronary arteries, using x-rays using radiopaque substances. In addition, in the study, you measure pressure in the heart and Central vessels, as well as to obtain an image of the heart cavities. This research is used mainly for the diagnosis of coronary insufficiency, as it is one of the most common diseases. In addition, the survey is useful, for example, and to clarify the reasons for the weakening of the pumping function of the heart or to assess specific defects of the heart valves.
The study itself lasts usually about 15 minutes, after which the patient should remain in bed for several more hours, as in the study performed puncture of the artery (mainly in groin). For some patients there is the possibility of conducting research in the outpatient setting, however, after the procedure, patients are first observed at the day hospital.
Cardiac catheterization is, of course, may be more complex. In this case study is the longer. This occurs, for example, if the study is related to the image acquisition shunted vessels and other vessels or with concurrent catheterization of the right heart (catheterization small).
When it detects narrowing of the coronary arteries in many cases it is possible to perform stretching discovered significant narrowing (balloon angioplasty, percutaneous transluminal coronary angioplasty) within one procedure. Thus, therapeutic intervention immediately following a diagnostic study. In these cases, after the intervention, to monitor the patient in the therapeutic Department of resuscitation and intensive therapy. Often balloon angioplasty is performed in conjunction with implantation of an additional support structure to maintain the blood vessels (stent).
In our clinic annually nearly 4,000 procedures such as diagnostic cardiac catheterization and therapeutic intervention, PTCA (percutaneous transluminal coronary angioplasty) and stent implantation of various types. Along with this, laboratory of cardiac catheterization are also used for installation of pacemakers and defibrillators (implantable cardioverter defibrillators), as well as for diagnostics of heart rhythm (so-called electrophysiological studies).