Catheter

The catheter department is one of the vital departments in Istiklal Hospital, as it provides medical services with high technology in terms of diagnosis and treatment for most cases of coronary arteriosclerosis, as well as diagnosis and treatment of vascular disease, including the arteries of the brain, and the lower extremities.
Moreover, the catheterization department conducts an electrocardiogram to monitor acceleration hotspots, if any, and cases of implantation of all types of pacemaker devices.

The catheter department at Istiklal Hospital has accompanied the rapid development in treating congenital anomalies in children through catheters without resorting to open-heart operations and the emergence of striking results. Istiklal hospital would like to bring to attention the importance of the department in terms of fast receiving the cases of myocardial infarction to contribute to saving the lives of patients, whether from emergency department or those who are transferred from other hospitals that do not have a catheterization department and implement the Door-to-Balloon policy.

Catheter

The process is carried out using a local anesthetic without the need for complete anesthesia, sewing, or stitches or blood transformation. It is not surgery but rather a method used to diagnose and treat diseases that affect the heart, and is done using a very long thin tube that is flexible as well, as this tube is inserted into the arteries in the arm or the top of the thigh or neck, and deliver it to the heart.
Using it, doctors perform some tests or therapeutic procedures for the heart. Catheterization is often used to diagnose diseases of the heart muscle, valves, or coronary arteries that supply the heart.
After performing the catheter, the patient may experience mild pain or numbness at the location of the artery in which the tube was inserted, and it is rare for him to develop complications that could be dangerous to his life.

For diagnostic procedures that are performed using the catheterization process: The use of the catheterization process aims primarily to ensure the integrity of the heart, heart muscle, and coronary arteries and valves. In case something wrong is diagnostic, catheterization is used to treat it, and it is often done urgently to patients suffering from chest pain.

The main diagnostic procedures in which the catheter is used:

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Coronary artery imaging procedure: Using the catheter tube, doctors inject the colored material to flow through the coronary arteries of the heart, and then the doctors conduct an x-ray image, and thanks to this colored material coronary arteries appear through this image, and any narrowing or blockage in them is observed.

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Check blood flow and pressure in the heart chambers: A catheterization procedure may be performed to check the blood flow in the heart after a surgical procedure.

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Examine the oxygen levels in the heart chambers: by taking a sample of blood in them using the catheterization process.

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Ensure that the heart muscle is able to pump blood properly: especially the left and right ventricles and to detect congenital anomalies affecting the heart.

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Detect any disorders of the heart chambers or valves: The catheterization process may be used to take a biopsy of the heart tissue, and send it to the laboratory for examination

Remedial procedures by using catheterization:

After the catheterization procedure and the detection of something defective in the heart, doctors can resort to it as part of many treatment procedures

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Use of catheters to expand the narrowed arteries of the heart by balloon and stent implants (STENT)

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Expand narrow heart valves.

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Treating cardiac arrhythmias: In many cases, the cause of this irregularity is the presence of abnormal heart cells that send nerve impulses to the muscles of the heart and order it to contract, This affects the natural nervous flow in the heart. To get rid of these tissues, the catheter tube head is provided with laser beam nitrogen oxide or a temperature source to kill these cells and restore heartbeat.

Pacemaker:

It is a small machine placed in the chest that helps control abnormal heartbeat. This machine uses electrical impulses to stimulate the heart to beat at a normal pace. The pacemaker can treat some symptoms of pulse disorder such as fatigue and fainting and helps the patient to obtain a normal heartbeat in order to live more effectively

How to prepare before performing the catheter:

  1. Fasting 6 hours before the catheter.
  2. Bring all the previous checks and reports on the pathological condition. In the case of the patient performing previous open heart surgery of any kind it is necessary to bring his medical report before the catheter
  3. Bring all the medications that the patient takes regularly.
  4. Please let us know if there is any known allergy to the color substance or medications.
  5. The patient will need someone accompanying him to reach home after the catheter, because he will not be allowed to drive a car.

What are the necessary examinations before performing the catheter:

  1. ECG.
  2. Ultrasound on the heart.
  3. Complete blood test.
  4. Kidney examination.
  5. Liver enzymes.
  6. Fasting sugar.
  7. Liver viruses.

How long does the patient spend in the hospital after the catheter:

  • In the case of diagnostic catheters from 6-8 hours.
  • In the case of curative catheters, the patient remains under observation for the following morning, but he is allowed to move after several hours

How is the procedure:

  1. You will be given medications to help you relax, but you will remain awake as they do not need general anesthesia or stitches to replace them.
  2. A small needle will be inserted into the artery or femoral vein such as that used to take intravenous solutions.
  3. A fine tube is inserted where the needle is pushed gently toward the arteries of the heart to be photographed.

أنواع القسطرة:

  1. Kidney arterial catheterization.
  2. Cardiac arterial catheterization.
  3. Catheterization of the lower extremities.
  4. Neck arterial catheterization.
  5. Arterial and venous catheters.
  6. Catheter by hand and wrist: A catheter through the wrist is a modern method of catheters, as all countries of the world are now seeking to do catheters through the wrist. Istiklal Hospital has distinguished doctors for that.

Hand catheters have many advantages, including:

  • Patients of very heavy weights who suffer from back pain and cannot lie on their back for more than 6 hours, preferably through the wrist.
  • The percentage of bleeding is much lower and can be controlled easily so that patients who take diluents can do catheters without stopping the liquefaction.
  • Patients who suffer from a problem with urination or urinary reflux and are unable to urinate while lying on the back.
  • It is possible for the patient to catheter, through the wrist, to walk and walk immediately after the catheter, and be discharged from the hospital after two hours if no networks are installed.
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