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Right Heart Catheterization: Pulmonary Artery Catheterization: Pre-op

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Right Heart Catheterization: Before Your Procedure

What is right heart catheterization?

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The right side of the heart receives blood from the body and pumps
it to the lungs. The blood picks up oxygen in the lungs. A right
heart catheterization (also called pulmonary artery catheterization)
tests the blood pressure and oxygen levels in your lungs and heart.
It also checks to see how well your heart is pumping.

Your doctor will put a thin, flexible tube (catheter) into a blood
vessel in your neck, groin, or arm. During the test, the doctor will
move the catheter through the blood vessel into your heart. If your
doctor uses an X-ray to see where to move the catheter, you will
also get dye injected into your blood vessel and heart. When the
catheter is in your heart, the doctor will inflate a small balloon
on the tip of the catheter. This helps guide the catheter into the
artery that carries blood to your lungs (pulmonary artery).

The test usually takes about 1 to 1½ hours. You may have swelling,
bruising, or a small lump around the site where the catheter went
into your body. You can do light activities around the house. But do
not do anything strenuous until your doctor says it is okay. This
lets the catheter site heal.

How do you prepare for the procedure?

Procedures can be stressful. This information will help you
understand what you can expect. And it will help you safely prepare
for your procedure.

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Preparing for the procedure

 

  • Be sure you have someone to take you home. Anesthesia and
    pain medicine will make it unsafe for you to drive or get
    home on your own.

 

  • Understand exactly what procedure is planned, along with
    the risks, benefits, and other options.

 

  • Tell your doctor ALL the medicines, vitamins, supplements,
    and herbal remedies you take. Some may increase the risk
    of problems during your procedure. Your doctor will tell
    you if you should stop taking any of them before the
    procedure and how soon to do it.

 

  • If you take a medicine that prevents blood clots, your
    doctor may tell you to stop taking it before your
    procedure. Or your doctor may tell you to keep taking it.
    (These medicines include aspirin and other blood
    thinners.) Make sure that you understand exactly what your
    doctor wants you to do.

 

  • Make sure your doctor and the hospital have a copy of your
    advance directive. If you don't have one, you may want to
    prepare one. It lets others know your health care wishes.
    It's a good thing to have before any type of surgery or
    procedure.

What happens on the day of the procedure?

 

  • Follow the instructions exactly about when to stop eating
    and drinking. If you don't, your procedure may be
    canceled. If your doctor told you to take your medicines
    on the day of the procedure, take them with only a sip of
    water.

 

  • Follow your doctor's instructions about when to bathe or
    shower before your procedure. Do not apply lotions,
    perfumes, deodorants, or nail polish.

 

  • Do not shave the surgical site yourself.

 

  • Take off all jewelry and piercings. And take out contact
    lenses, if you wear them.

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At the hospital
or surgery center

 

  • Bring a picture ID.

 

  • You will be kept comfortable and safe by your anesthesia
    provider. You may get medicine that relaxes you or puts
    you in a light sleep. The area being worked on will be
    numb.

 

  • The procedure will probably take about 1 to 2 hours.

 

  • After the procedure, pressure may be applied for a short
    time to the area where the catheter was put into your
    blood vessel. This will help prevent bleeding. A small
    device may also be used to close the blood vessel. You may
    have a bandage or compression device on the catheter site.

 

  • If the catheter was placed in your neck or arm, you may be
    able to sit up in your bed right away.

 

  • If the catheter was put in your groin, you will need to
    lie still and keep your leg straight for up to a few
    hours. The nurse may put a weighted bag on your leg to
    help you keep it still.

 

  • You may be able to go home later the same day. Or you may
    need to stay in the hospital overnight.

When should you call your doctor?

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  • You have questions or concerns.

 

  • You don't understand how to prepare for your procedure.

 

  • You become ill before the procedure (such as fever, flu,
    or a cold).

 

  • You need to reschedule or have changed your mind about
    having the procedure.

Current as of: June 24, 2023

Content Version: 14.0

Care instructions adapted under license by your healthcare
professional. If you have questions about a medical condition or
this instruction, always ask your healthcare professional.
Healthwise, Incorporated disclaims any warranty or liability for
your use of this information.

© 2006-2025 Healthwise, Incorporated.
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