We realize that you may be somewhat anxious about your upcoming Cardiac Catheterization procedure. You may also be unsure what to expect during the days following your test. Here are some answers to the many questions that you may have.

During the procedure the Cardiologist will insert a small tube, referred to as a catheter, through a small puncture wound he/she will make in your groin. The catheter will be guided through your blood vessels to the heart. The Cardiologist will inject dye through this catheter to enable him/her to take pictures of your blood vessels.

Following the procedure the nurse will compress the insertion site for approximately 20 minutes. You will be instructed to keep your leg straight at the hip.

How To Care For Puncture Wound Site After Discharge:

1. Check the groin site for bleeding every half hour for 2 hours then occasionally for the next 24 hours.
    
2. Apply manual pressure with a fist, slightly above the puncture site, when coughing or sneezing.
    
3. If bleeding should occur, lie down and apply pressure with your hand (or by someone else if present) to the puncture site for 10-15 minutes. Proceed to the nearest Emergency department.
    
4. It is normal to have a small amount of bruising at the site for up to three weeks. Seek medical assistance if you have a large amount of bruising or develop a hard lump in the groin area.
    
5. Remove bandaid in 24 hours and shower: No tub baths for 48 hours.

Home Instructions:

1. If you live alone have a family member or a friend stay with you overnight in the event that you may need assistance.
    
2. If you live more than 60 miles outside of Thunder Bay, please make arrangements to spend the night in the city following your procedure.
    
3. No strenuous activity for 24 hours. Avoid straining, pushing or heavy lifting (more than 10 pounds). No jogging for 1 week.
    
4. Avoid climbing stairs for 48 hours as this causes increased pressure to the puncture site. Do stairs straight legged.
    
5. Avoid squatting or sitting in low chairs. A recliner, lounge chair or couch is more advisable in order to keep from bending the affected leg too much.
    
6. Sleep on your unaffected side.
    
7. Do not drive your car for 24 hours.
    
8. Avoid sexual activity for 48 hours.
    
9. Increase your fluid intake over the next 24 hours to aid in flushing the dye from body. Report any significant changes in your urination patterns to your physician.
    
10. Avoid tight-fitting underwear for 1 week.

Medical Follow Up:

If you have any concerns call your Family Doctor, Specialist, or the Emergency Department.

You may also contact Telehealth Ontario at 1-866-797-0000 at any time for free access to a registered nurse to answer any questions that you may have.

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