Angioplasty:
Angiography and angioplasty: one of the common questions in the field of angiography and balloon angioplasty (balloon angioplasty) that respected patients frequently ask doctors is whether angiography has a therapeutic aspect or not? The answer is that angiography is an excellent diagnostic tool for further detection and identification
Cardiac catheterization Doctors use cardiac catheterization to perform many examinations and tests on the heart and blood vessels. Catheterization is an invasive procedure in which a catheter (a long, thin tube) is inserted into the body. For cardiac catheterization, a small hole is usually made in the groin area so that the doctor can directly access the artery or vein. The catheter will be guided to the heart through a blood vessel. Some tests and treatments can be done by injecting substances (such as contrast material) or by guiding a therapeutic tool through a catheter. Cardiac catheterization is a procedure in which an iodinated contrast agent is inserted to perform coronary angiography (imaging of the inside of the coronary arteries), ventriculography (imaging of the inside of the ventricles, which is performed to treat certain valvular heart diseases or heart muscle diseases), or studies performed electrophysiology (an assessment of the heart's electrical activity). Specialized types of angiography can be performed through catheterization and obtain information about the peripheral blood vessels and arteries inside the lungs (pulmonary angiography). Cardiac catheterization can also be used to check for congenital heart defects and to evaluate blood pressure in different parts of the heart. Less invasive and less expensive tests (such as echocardiography and nuclear scans) provide a lot of information, but only cardiac catheterization identifies some specific problems. Cardiac catheterization may also be performed after the rest of the investigations to confirm their results. Also, doctors can take a biopsy (tissue sampling) from the heart muscle through a cardiac catheter to diagnose inflammation or check heart tissue rejection after transplant surgery. Elective cardiac catheterization For cardiac catheterization in order to perform a diagnostic test such as angiography or other non-emergency reasons, you must visit a hospital. This examination is performed in the hospital as an outpatient procedure. Cardiac catheterization is a common and common procedure, but since it is considered an invasive procedure, it may also have risks. If the doctor thinks that the information obtained from angiography is worth the risk, he will request this examination. Before angiography, talk to your doctor and share your concerns with him. Some people will experience side effects such as bruising, temporary numbness or bleeding at the catheter insertion site, but these side effects are very rare. Some people are also allergic to contrast material containing iodine. More serious side effects such as triggering a heart attack, stroke or an arrhythmia (irregular heartbeat) are much rarer and usually occur in people who are already seriously ill. Note that you will be well taken care of and sterile procedures will be followed throughout the examination process. How to perform angiography Be sure to talk to your doctor about your medications before cardiac catheterization. You may need to stop taking some of them, especially blood thinners or anticoagulants, a few days before the angiogram. It is very wise to make a written list of the medications you are taking along with their dosages so that the doctors and technicians know exactly what medications you are taking. You will be told not to eat or drink anything from midnight before the angiogram. If you have diabetes, talk to your doctor about your food and insulin intake before the angiogram. If you are allergic to iodinated contrast material, you will receive other medications the day before the angiography, and you will be injected with steroids just moments before the angiography. On the day of catheterization, preparation and angiography together take 2-3 hours, and after that you will be under control in the recovery room for several hours. You may have blood tests, an electrocardiogram, and chest X-rays before this test. Angiography will be done in the catheterization or laboratory. You will be connected to a heart monitor and a blood pressure cuff will be attached to your arm. A vein will be placed in your arm and you will be given a sedative to keep you calm during the angiogram. The nurse will disinfect your groin, the place where the catheter will be inserted, and fix it if necessary. Then the doctor will inject a local anesthetic in that area. In this way, you will no longer feel pain. The doctor will then pierce the skin with a special needle to insert the catheter into the vein or artery and guide the catheter through the blood vessel to the heart. During this process, you will not feel any pain. You will be awake during the angiography and the doctor will give you the necessary explanations during the procedure. The doctor inserts the catheter through the artery and sends it to the heart. Then everything that is going to enter the body (contrast material, medical instruments, etc.) is transferred through the catheter. The doctor may insert more than one