For Angioplasty, Atherectomy, Cardiac Catheterization, and Stent Implantation

Procedures to Help Your Heart
Your doctor has told you that you may have coronary artery disease (CAD). This means that vessels giving blood to your heart muscle may be narrowed or blocked. Your doctor is suggesting that you have one or more coronary artery procedures to diagnose and treat your problem.

Your doctor will talk to you about the risks and benefits of coronary artery procedures. You’ll also be told how to prepare for your procedure. Your doctor will diagnose your heart problem with cardiac catheterization. If you have CAD, one or more of the other procedures may be done.

Understanding the Risks
The risks of coronary artery procedures are fairly low. They are often outweighed by the benefits to your heart. The risks include:

• Bleeding or clotting
• Tearing or cracking of the artery lining
• Allergic reaction to the contrast fluid used during the procedure
• Abnormal heartbeat (arrhythmia)
• Heart attack, stroke, or death (very rare)

Before Your Procedure
At least a week before your procedure, tell your doctor if:

• You have bleeding problems or kidney problems
• You are allergic to iodine or seafood
• You are taking any medications, such as blood thinners, aspirin, or diabetes medication
• You may be asked not to eat or drink anything after the midnight before your procedure

The Day of Your Procedure
When you arrive for your procedure, some tests may be done. These may include an ECG (electrocardiogram). A nurse prepares the patch of skin where the catheter will be inserted. An IV (intravenous) line is inserted into your arm or hand to give you fluids. Medication is given through the IV to help you relax.