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This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Archita.sri, Sbrade.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 16:46, 16 January 2022 (UTC)
Problems can occur when having a cardiac catheterization done. In my own personal case, I had it inserted in the groin area. Within 12 hours, my entire penis and testicles had turned purple and I had internal bleeding about two inches above 5 inches to the side of the insertion hole. 4 days later I can still hardly walk due to the blood build up in my groin area, it also hurts (badly) to sit down and stand up. I was given many flyers about the procedure, but NONE of them ever mentioned any of this being able to occur. I was quite suprised when this all happened and I had to goto my doctor to find out that this was fairly normal. I was told 1 of 4 people have a problem.
It was the worst pain I have ever had, even after the anesthetic. I nearly came off the table and was kicking my legs because I was totally unprepared for it. I still have phantom pain from it, occasionally feeling a burn where the plug was placed. And that was two years ago that I had a very minor MI. —Preceding unsigned comment added by 74.250.161.90 ( talk) 04:33, 12 July 2010 (UTC)
There is a more extensive article on this topic under coronary catheterization. Perhaps this stub should be merged with it.-- 209.7.195.158 15:35, 17 May 2006 (UTC)
OK, from what I remember from what was done to me (both in the neck and in the groin), the radiocontrast as well as a local anesthetic were administered in the cath lab prior to the insertion of the guidewire and catheter. So "during" or "before" really depends on what you consider to be the actual procedure. I guess it comes down to semantics. -- Kyok o 17:16, 29 November 2006 (UTC)
I've noticed that "catheterization" is occasionally spelled "catherization." I always assumed this was a misspelling, but it happens often enough -- even on respectable medical sites, and in one of the comments above -- that I've begun to wonder. Is "catherization" a misspelling, a valid alternate spelling, or something entirely different from "catheterization"? 38.115.185.2 18:38, 15 November 2007 (UTC)LNelson
I think that catherization is a misspelling.
what complications can occur during cathatherization? My dad died and autopsy report stated cause of death as " associated with cardiac cathetherisation" —Preceding unsigned comment added by 41.157.13.11 ( talk) 15:46, 12 March 2010 (UTC)
In cardiac catheterization (often called cardiac cath), a very small hollow tube, or catheter, is advanced from a blood vessel in the groin or arm through the aorta into the heart. Once the catheter is in place, several diagnostic techniques may be used. The tip of the catheter can be placed into various parts of the heart to measure the pressures within the chambers. The catheter can be advanced into the coronary arteries and a contrast dye injected into the arteries.
08:06, 10 January 2013 (UTC)08:06, 10 January 2013 (UTC)08:06, 10 January 2013 (UTC)08:06, 10 January 2013 (UTC)
http://www.heartsite.com/html/echocardiogram.html
Hello, we are a group of medical students editing this page as part of our class assignment. We have compiled a list of suggestions to improve this article and would appreciate community feedback before we proceed with these edits. Here is a list of our suggestions:
1. “In cardiac catheterization, radial access is not associated with an increased risk of stroke over femoral access. [1]"
2. We propose to add a section focusing on conditions of patients at higher risk for complications of catheterization. We would like to add the following, “ Individuals with certain comorbidities are at a higher risk during the cardiac catheterization procedure. These comorbidities include aortic aneurysm, aortic stenosis, diabetes, obesity, renal insufficiency, unstable angina, uncontrolled hypertension and extensive three-vessel coronary artery disease. [2]
3. Outline the normal dose of radiation exposure and the precautions put in place to limit this exposure in the cath lab. We propose to add the following in the Procedure section after the introduction of fluoroscopy: “Patients are constantly exposed to low doses of ionizing radiation during procedures. Ideal table positioning between the x-ray source and receiver, and radiation monitoring via thermoluminescent dosimetry, are two main ways of reducing patient exposure to radiation. [3]"
4. We propose to correct the following error made in the left heart catheterization subheading under the procedure section of the article. The current version states: “At this point, the wire can be maneuvered into the coronary ostia and into the coronary arteries. A catheter is guided over the wire and enters either the left or right coronary artery.” This is incorrect, as the wire does not enter the coronary arteries. It is the catheter tube, and its shape, that enters and engages the coronary artery during the procedure. The wire is removed, out of the aorta, before the catheter engages the coronaries. We thus propose the following replace the above two sentences currently on the page: “At this point, a catheter is guided over the wire into the ascending aorta, where it can be maneuvered into the coronary arteries through the coronary ostia. [2]"
5. We propose to add a section focusing on the importance of the cardiac catheterization as an interventional procedure to provide a better clinical context (as opposed to a purely procedural focus). In particular, we would like to use a reference on superior survival outcome after out of hospital cardiac arrest, since this condition represents the majority of clinical cases where cardiac catheterization is used as a direct intervention (as opposed to a diagnostic procedure). We thus propose to add the following: “Cardiac catheterization can be used as part of a therapeutic regimen to improve outcomes for survivors of out-of-hospital cardiac arrest. [4]"
6. We propose to remove reference # 6 as it is from 2008. Consequently, we propose to remove the sentence(s) associated with this reference in Cardiac Catheterization#Catheterization of chambers and valves that currently reads: “It has the ability to measure the pressure gradient across a valve and derive valve area from it. Thereby, it can assist in diagnosis of, for example, aortic stenosis.” We propose to replace the above sentences with the following: “Cardiac catheterization can be used to diagnose or assess severity of valvular stenosis by measuring elevated pressure gradients across cardiac valves. [5]”
7. We noticed the information stated in the history section is not referenced. We therefore propose to cite the information stated in these sentences: "Clinical application of cardiac catheterization begins with Werner Forssmann in the 1930s, who inserted a catheter into the vein of his own forearm, guided it fluoroscopically into his right atrium, and took an X-ray picture of it. [6] Forssmann won the Nobel Prize in Physiology or Medicine for this achievement, though hospital administrators removed him from his position owing to his unorthodox methods. [6]"
Huge thank you to the Wikipedia community. We appreciate your time and welcome any feedback or suggestions you may have!
References
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cite journal}}
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help)
Ryee5 ( talk) 03:15, 8 November 2017 (UTC)
Hello everyone! We have just made changes #6 and #7 (can be viewed above). Any feedback is welcome, thanks! Ryee5 ( talk) 14:59, 15 November 2017 (UTC)
This article is rated C-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: |
|||||||||||
|
This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Archita.sri, Sbrade.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 16:46, 16 January 2022 (UTC)
Problems can occur when having a cardiac catheterization done. In my own personal case, I had it inserted in the groin area. Within 12 hours, my entire penis and testicles had turned purple and I had internal bleeding about two inches above 5 inches to the side of the insertion hole. 4 days later I can still hardly walk due to the blood build up in my groin area, it also hurts (badly) to sit down and stand up. I was given many flyers about the procedure, but NONE of them ever mentioned any of this being able to occur. I was quite suprised when this all happened and I had to goto my doctor to find out that this was fairly normal. I was told 1 of 4 people have a problem.
It was the worst pain I have ever had, even after the anesthetic. I nearly came off the table and was kicking my legs because I was totally unprepared for it. I still have phantom pain from it, occasionally feeling a burn where the plug was placed. And that was two years ago that I had a very minor MI. —Preceding unsigned comment added by 74.250.161.90 ( talk) 04:33, 12 July 2010 (UTC)
There is a more extensive article on this topic under coronary catheterization. Perhaps this stub should be merged with it.-- 209.7.195.158 15:35, 17 May 2006 (UTC)
OK, from what I remember from what was done to me (both in the neck and in the groin), the radiocontrast as well as a local anesthetic were administered in the cath lab prior to the insertion of the guidewire and catheter. So "during" or "before" really depends on what you consider to be the actual procedure. I guess it comes down to semantics. -- Kyok o 17:16, 29 November 2006 (UTC)
I've noticed that "catheterization" is occasionally spelled "catherization." I always assumed this was a misspelling, but it happens often enough -- even on respectable medical sites, and in one of the comments above -- that I've begun to wonder. Is "catherization" a misspelling, a valid alternate spelling, or something entirely different from "catheterization"? 38.115.185.2 18:38, 15 November 2007 (UTC)LNelson
I think that catherization is a misspelling.
what complications can occur during cathatherization? My dad died and autopsy report stated cause of death as " associated with cardiac cathetherisation" —Preceding unsigned comment added by 41.157.13.11 ( talk) 15:46, 12 March 2010 (UTC)
In cardiac catheterization (often called cardiac cath), a very small hollow tube, or catheter, is advanced from a blood vessel in the groin or arm through the aorta into the heart. Once the catheter is in place, several diagnostic techniques may be used. The tip of the catheter can be placed into various parts of the heart to measure the pressures within the chambers. The catheter can be advanced into the coronary arteries and a contrast dye injected into the arteries.
08:06, 10 January 2013 (UTC)08:06, 10 January 2013 (UTC)08:06, 10 January 2013 (UTC)08:06, 10 January 2013 (UTC)
http://www.heartsite.com/html/echocardiogram.html
Hello, we are a group of medical students editing this page as part of our class assignment. We have compiled a list of suggestions to improve this article and would appreciate community feedback before we proceed with these edits. Here is a list of our suggestions:
1. “In cardiac catheterization, radial access is not associated with an increased risk of stroke over femoral access. [1]"
2. We propose to add a section focusing on conditions of patients at higher risk for complications of catheterization. We would like to add the following, “ Individuals with certain comorbidities are at a higher risk during the cardiac catheterization procedure. These comorbidities include aortic aneurysm, aortic stenosis, diabetes, obesity, renal insufficiency, unstable angina, uncontrolled hypertension and extensive three-vessel coronary artery disease. [2]
3. Outline the normal dose of radiation exposure and the precautions put in place to limit this exposure in the cath lab. We propose to add the following in the Procedure section after the introduction of fluoroscopy: “Patients are constantly exposed to low doses of ionizing radiation during procedures. Ideal table positioning between the x-ray source and receiver, and radiation monitoring via thermoluminescent dosimetry, are two main ways of reducing patient exposure to radiation. [3]"
4. We propose to correct the following error made in the left heart catheterization subheading under the procedure section of the article. The current version states: “At this point, the wire can be maneuvered into the coronary ostia and into the coronary arteries. A catheter is guided over the wire and enters either the left or right coronary artery.” This is incorrect, as the wire does not enter the coronary arteries. It is the catheter tube, and its shape, that enters and engages the coronary artery during the procedure. The wire is removed, out of the aorta, before the catheter engages the coronaries. We thus propose the following replace the above two sentences currently on the page: “At this point, a catheter is guided over the wire into the ascending aorta, where it can be maneuvered into the coronary arteries through the coronary ostia. [2]"
5. We propose to add a section focusing on the importance of the cardiac catheterization as an interventional procedure to provide a better clinical context (as opposed to a purely procedural focus). In particular, we would like to use a reference on superior survival outcome after out of hospital cardiac arrest, since this condition represents the majority of clinical cases where cardiac catheterization is used as a direct intervention (as opposed to a diagnostic procedure). We thus propose to add the following: “Cardiac catheterization can be used as part of a therapeutic regimen to improve outcomes for survivors of out-of-hospital cardiac arrest. [4]"
6. We propose to remove reference # 6 as it is from 2008. Consequently, we propose to remove the sentence(s) associated with this reference in Cardiac Catheterization#Catheterization of chambers and valves that currently reads: “It has the ability to measure the pressure gradient across a valve and derive valve area from it. Thereby, it can assist in diagnosis of, for example, aortic stenosis.” We propose to replace the above sentences with the following: “Cardiac catheterization can be used to diagnose or assess severity of valvular stenosis by measuring elevated pressure gradients across cardiac valves. [5]”
7. We noticed the information stated in the history section is not referenced. We therefore propose to cite the information stated in these sentences: "Clinical application of cardiac catheterization begins with Werner Forssmann in the 1930s, who inserted a catheter into the vein of his own forearm, guided it fluoroscopically into his right atrium, and took an X-ray picture of it. [6] Forssmann won the Nobel Prize in Physiology or Medicine for this achievement, though hospital administrators removed him from his position owing to his unorthodox methods. [6]"
Huge thank you to the Wikipedia community. We appreciate your time and welcome any feedback or suggestions you may have!
References
{{
cite journal}}
: Cite journal requires |journal=
(
help)
Ryee5 ( talk) 03:15, 8 November 2017 (UTC)
Hello everyone! We have just made changes #6 and #7 (can be viewed above). Any feedback is welcome, thanks! Ryee5 ( talk) 14:59, 15 November 2017 (UTC)