Cardiac Catheterization and Angioplasty
Datasource: Cardiac Cath. Video
Cardiac catheterization helps us diagnose and treat many heart conditions. Advances in catheterization technology mean less-invasive surgery and fewer risks for patients.
Memorial Cardiac and Vascular Institute currently performs more radial artery catheterizations than any other heart center in South Florida. We also have expertise in using the radial (wrist) artery for angioplasty. This catheterization treatment can be lifesaving for people having a heart attack.
What Is Cardiac Catheterization?
Cardiac catheterization is a minimally invasive procedure we use to diagnose and treat heart conditions.
A catheter is a thin, flexible, hollow tube. By inserting the catheter into a blood vessel (either your groin or your radial artery), we can gently guide it to the heart. Once the catheter is in place, we can pass other tiny instruments through. Patients receive local anesthesia and intravenous sedation during cardiac catheterization, making the procedure almost painless.
How Is Cardiac Catheterization Used?
Cardiac catheterization once was primarily a diagnostic procedure. Now, it’s frequently followed with an interventional treatment that helps many patients avoid heart surgery.
Sometimes, we do hybrid procedures that bring together catheterization and surgical techniques. During these procedures, an interventional cardiologist and a cardiac surgeon work together.
We use cardiac catheterization to perform percutaneous coronary intervention (PCI), or angioplasty. Angioplasty is:
- A potentially lifesaving procedure for someone having a heart attack
- A way to open a blocked artery to restore blood flow to the heart, reducing or eliminating effort-related chest pain (angina) or shortness of breath
- Also used to treat vascular disease (disease that involves the blood vessels outside your heart)
Why Choose Memorial for Cardiac Catheterization?
We match each patient with the right treatment, starting with the least invasive option whenever possible. Count on Memorial for:
- Expertise in the cardiac catheterization lab: We perform the most interventional cardiology procedures in Broward County. Our interventional cardiologists have years of experience using cardiac catheterization to treat heart conditions such as coronary artery disease, heart valve disease and vascular disease. Our training and technology to perform interventional procedures helps more people with cardiac conditions avoid surgery.
- Radial artery catheterization: We perform more than 70 percent of our catheterization procedures, including angioplasty, using the radial artery. We have more experience with radial artery catheterization than any other heart center in South Florida. Radial artery catheterization usually shortens a patient’s hospital stay. It is generally more comfortable and greatly reduces the risk of bleeding. Learn more about why we use the radial artery for catheterization.
- Lifesaving heart attack care: The faster you receive angioplasty when having a heart attack, the better the outcome. The time between arriving at the hospital and receiving lifesaving angioplasty is called door-to-balloon time. The American Heart Association has found that patients get better outcomes if door-to-balloon time is 90 minutes or less. We consistently achieve this 90-minute goal.
- Patient-centered treatment: Our team of heart surgeons, cardiologists, cardiac anesthesiologists, electrophysiologists and heart imaging specialists work together for your benefit. We share information, consult on treatment options and meet on a regular basis to discuss each case. We want the best outcome for each person.
Why Use the Radial Artery for Cardiac Catheterization?
Patients may not realize there is an alternative to using the groin artery for a catheterization procedure – the radial artery. Many heart centers do not have the expertise to do this procedure. We do have that expertise. In fact, we have published widely about the benefits and outcomes of using the radial or ulnar artery, which include:
- Less risk of bleeding: The wrist arteries are much smaller and more superficial, which significantly reduces the risk of bleeding.
- Improved patient experience: Patients have to lie still for several hours after having a catheter procedure that uses the groin artery. By contrast, when we use the wrist artery, patients can sit up right away. It’s also more comfortable in general.
- Low crossover rate: If the wrist artery doesn’t work, cardiologists “cross over” and use the groin. Nationwide, this happens about 7 percent of the time. We have performed thousands of wrist artery catheterizations, with most of our cardiologists having crossover rates of less than 1 percent. In a study published of more than 1,000 consecutive wrist catheterizations by one of our Memorial cardiologists, our team had a crossover rate of only 0.3 percent (crossing over to the other wrist), with no crossovers to the groin. Our success stems from innovative research we perform to develop state-of-the-art techniques and imaging equipment.
To schedule an appointment or learn more about heart and vascular care at Memorial, call 855-400-6284.