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LOCATION
1300 West Terrell, Suite 401
Fort Worth, Texas 76104
Phone: 817-252-5070 |
The Cardiac Center at Harris is a free standing outpatient cardiac catheterization laboratory, created by Consultants in Cardiology and Harris Methodist to provide a safe , convenient , and cost effective alternative to hospitalization for ambulatory or "well" patients requiring diagnostic cardiac catheterization. The Center is specifically designed to make your diagnostic procedure as pleasant and comfortable as possible.
The cardiac catheterization (heart study) is performed in a safe, fully equipped clinical setting that is less expensive and more convenient than an in-hospital procedure. If additional treatment is needed, patients are offered the choice of admission to one of the hospitals in the immediate area.
WHAT IS CARDIAC CATHETERIZATION?
Cardiac catheterization (heart study) is a procedure that involves the insertion of a catheter (which is a thin, long, flexible tube) into the body. The catheter is inserted into a vein or artery and directed toward the heart. Special x-ray equipment is used to watch the movement of the catheter inside the body.
Cardiac catheterization allows doctors to assess the pumping function of the heart and to examine the coronary arteries (the vessels that supply oxygen rich blood to the heart muscle) and heart valves. Other terms used to describe cardiac catheterization are: coronary angiography, angiogram, and cardiac (or heart) cath.
IS IT SAFE?
The risk for the procedure is small and catheterization is considered a relatively safe procedure. Although most patients who undergo catheterization do not experience complications, you should be aware of the risk. Ask your physician to learn about your particular risk.
WHY IS CATHETERIZATION IMPORTANT?
Cardiac catheterization provides more accurate and detailed information about the heart's function than other diagnostic tests. It enables doctors to diagnose several heart conditions.
PRE-PROCEDURE PREPARATION
Upon arrival to the center a nurse will admit you to a room. Whomever accompanied you to the Center will be asked to wait while you are getting ready for the procedure. You will be asked to read over and sign a consent form. This is a good time to ask any questions and to share any feelings of concern you may have about the test. After the consent form is signed you will be given something orally to help you relax (you will not be put to sleep). The nurse will shave the area where the catheters will be inserted (usually the right groin area) and start an IV. The IV line allows for any medication to be injected directly into the vein, if needed.
EXPLANATION OF THE PROCEDURE
The catheterization is done in a special x-ray room called the "cath lab." You will be taken to the cath lab on your bed and transferred to a x-ray table. You will be relaxed but awake. This room is kept cold for the equipment. The table has a large camera above it and television screens near by. The shaved groin area will be cleansed with a betadine solution and then you will be draped with a sterile sheet. The skin area where the catheter will be inserted will be numbed with a local anesthetic. This may initially feel like a bee sting and then the area will become numb.
A small incision is made in the skin, and a needle is inserted into the blood vessel (like starting an IV). A catheter will then be advanced toward the heart. You will not feel the catheter because there are no nerve endings on the inside of the blood vessels or the heart. Dye is injected through the catheter into the coronary arteries, and the x-ray camera will record pictures. You may be able to see some of the pictures on the television screen. You may be asked to take a deep breath and hold it and to cough forcefully to help move the dye through the heart. During the injection of the dye into the left ventrlcle (main pumping chamber of the heart) you may feel a warm sensation or "hot flash" over your body lasting for only 20 to 30 seconds.
When all the information has been obtained, the catheters are removed and bleeding is prevented by holding pressure over the artery. The entire procedure will usually last about twenty minutes.
PRE-ADMISSION INSTRUCTIONS
To best prepare yourself for the procedure, please follow the instructions below. A nurse will call you the day before your procedure to go over these instructions and answer any questions that you might have. Please call the nurse at the center if you need to cancel procedure or if you have any questions.
- Do not eat or drink anything after midnight on the night before your procedure. You may take your medications with small sips of water. DO NOT TAKE your insulin, oral blood sugar medications, or diuretics (water pills). If you are taking Glucophage or other blood sugar medications, please let the nurse know.
- Patients taking COUMADIN (warfarin), need to follow their physician's instructions for when to stop taking the medication prior to the procedure.
- If you are scheduled at 7:00 a.m., a nurse will give you a specific time to arrive. Usually this is an hour and a half before your procedure is to begin.
- Bring a robe, slippers, and warm socks to wear. Please leave money, jewelry, and other valuables at home.
- After the procedure, you will be encouraged to drink plenty of liquids. These will be provided by the Center. If you have a beverage that you prefer, please bring it with you. The Center does not provide meals. Bring a sack lunch. Fruits and finger foods are good choices. A refrigerator and microwave are available.
- If further evaluation or treatment is needed, you may be asked to stay at an area hospital overnight. Pack an overnight bag just in case, and leave it in the car.
- Please make arrangements for someone to drive you home and to stay with you the evening after the procedure. You will not be allowed to drive yourself home or travel alone by cab or bus.
- Park in the parking garage across from the Klabzuba building.
- Please limit the number of visitors that accompany you to two.
- No children under 12 years of age are allowed in the patient area.
DISCHARGE INSTRUCTIONS
- Drink three to four 8-ounce glasses of liquid in the next 8 hours. The dye used for the x-rays is eliminated through the kidneys and takes a great deal of fluid with it; therefore it is necessary to drink more fluids than usual.
- Resume your routine diet.
- Follow the physician's instructions on resuming medications.
- Take Tylenol or Advil for minor discomfort.
- Keep the catheterization site clean and dry. You may shower the following day.
- No driving for 24 hours.
- Do not exercise, bend, strain, or lift objects over 5 pounds for 48 hours.
- Some bruising may occur at the catheterization site the following day. This is not unusual and may take three to four weeks to disappear.
- Call your physician if you notice:
- increased pain at the site
- increased swelling
- redness or drainage at the site
- numbness or coldness, tingling or cramping in the catheterized leg at rest or walking
- fever
- If you experience bleeding from the insertion site: Lie down, place firm pressure just above the catheterization site in your leg or arm. Call your physician's 24 hour number, or if the bleeding is excessive call 911. DO NOT DRIVE YOURSELF TO THE HOSPITAL.
BILLING PROCEDURES
In an effort to better control your health care costs, patients are asked to visit the patient representative prior to the catheterization to handle any charges not covered by insurance.
For example, if your insurance covers 80% of your bill, you will be asked to pay the remaining 20% at the time of your visit, unless you have secondary insurance to cover this balance.
We will be happy to file insurance claims for you. If you are experiencing financial difficulties, we encourage you to discuss your bill with one of our patient representatives.
DISCLOSURE STATEMENT
Your physician may have an ownership interest in the Center. This statement is to advise you that you have the right to utilize the facility of your choice. The Hospitals below offer catheterization services. If you prefer to have your procedure at another facility, please inform your cardiologist and every effort will be made to acommodate you.
- Baylor All Saint's Hospital - (817) 925-2544
- Harris Methodist Fort Worth - (817) 882-2000
- Harris Methodist Southwest - (817) 263-3724
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