Cardiac catheterization procedures help your doctors diagnose, evaluate, and treat heart conditions like coronary artery disease, valve disease, vascular disease, heart failure, arrhythmias, and congenital heart defects, among others. This minimally invasive approach can help manage your heart disease, inform next steps, and improve your quality of life.
About Cardiac Catheterization
During a cardiac catheterization, an interventional cardiologist inserts a small, flexible tube called a catheter into a blood vessel (usually in your groin or wrist) and guides it toward your heart. Using small tools that can be passed through the catheter, your doctor may be able to diagnose and/or treat your condition. Some catheterization procedures use dye injected into your coronary arteries to create images. Heart catheterizations are performed in a sterile procedure room, similar to an operating room, called a cardiac catheterization lab. While more complicated procedures may require general anesthesia, many others do not.
Duke has cardiac catheterization labs in all three of our hospitals. The cardiac cath labs at Duke University Hospital and Duke Regional Hospital operate 24/7 for emergencies such as heart attacks.
A catheter is inserted into a blood vessel and contrast dye is injected to create images. This may be performed on the coronary arteries or on other blood vessels that supply the brain, abdomen, kidneys, or extremities. An angiogram may be performed to diagnose congenital heart defects.
Heart Tissue Biopsy
A biopsy, or sample, of heart tissue may be taken during cardiac catheterization or a separate procedure and analyzed in the lab for signs of diseases that can cause congestive heart failure, including cardiomyopathy (thickening of the heart muscle) and myocarditis (inflammation of the heart). A biopsy may also be used to look for signs of rejection in a transplanted heart.
When it comes to your heart care, you want the very best. Duke University Hospital's nationally ranked cardiology and heart surgery program is ranked the best in North Carolina by U.S. News & World Report for 2019–2020.
Why Choose Duke
Our cardiac catheterization labs are training centers for interventional cardiologists from across the country, who travel here to learn from our experts about the latest techniques and how to work with new devices and therapies.
Clinical Trials Access
As a Duke patient, you may be eligible to participate in clinical trials testing new therapies or methods that are not yet widely available.
What to Expect
From your arrival to recovery, our cath lab experts are dedicated to giving you the very best care.
Before your heart catheterization, a nurse will record your vitals to ensure you are well enough to proceed and place an IV so your care team can easily administer medications and sedatives to keep you comfortable. Inside the lab, you'll lie flat on a bed under a large X-ray tube used for imaging.
Four or five providers, including your interventional cardiologist, anesthesiologist, technologists, and nurses, will administer either local or general anesthesia, make a small incision to access your artery, and thread a catheter to your heart to perform the specific procedure(s) you need. You shouldn't feel pain. For certain procedures, doctors may ask you to move your arms, cough, or hold your breath at times.
Afterward, you'll recover in another room and may need to lie flat for a while. You may be able to go home the same day.
Because it is minimally invasive, there are less risks with a catheterization than with open heart surgery, and it is generally very safe. However, common risks include bruising, bleeding, arrhythmias, blood clots, stroke, heart attack, infection, allergic reaction, blood vessel perforation, and damage where the catheter traveled or was inserted.
Watch this video for even more information about cardiac catheterization at Duke.