
The laboratory offers comprehensive diagnostic and interventional cardiac
catheterization for patients ranging in age from newborns to adults with
congenital heart disease. Diagnostic catheterization is performed when
echocardiography and/or other imaging modalities do not adequately show the
structures of the heart and related blood vessels. In addition, diagnostic
catheterization is used to help understand the functioning of the heart and
related blood vessels. Interventional catheterization is performed in order to
treat a number of relatively simple congenital heart defects, such as the
narrowing of blood vessels and heart valves, abnormal blood vessels and abnormal
openings between chambers of the heart (e.g. Coarctation of the aorta, pulmonary
branch stenosis, pulmonary valve stenosis, aortic valve stenosis, patent ductus
arteriosis, atrial septal defect and ventricular septal defect). Cardiovascular
devices such as coils, septal occluders and stents are commonly used in these
interventional procedures.
The laboratory is equipped with a state of the art bi-plane, hybrid digital
imaging system and is configured for the use of echocardiography to supplement
radiographic images. General anesthesia is provided to the patients for almost
all procedures and anesthesia equipment is built into the laboratory.
For a typical patient, diagnostic catheterization takes approximately two hours
and interventional catheterization often takes longer, usually about three to
three and a half hours. Please refer to our
teaching pamphlet
(PDF) for more details for patients and families. Because
patients will receive anesthesia, it is critical that patients refrain from
eating and drinking for at least 4 hours prior to the testing. Older patients
need to refrain for a longer period time, so confirm your restriction time with
your cardiologist. Also, when coming in for a scheduled catheterization, it is
imperative to arrive at the reporting time, which is usually an hour and a half
to two hours before the actual start time. This time is used to check the
patient into the hospital, complete the required paperwork and consent forms,
and to prepare the patient for catheterization. On the day of the
catheterization, patients check in at the pre-surgical area at Rady Children's
Hospital.
Our laboratory is directed by
John
Moore MD, MPH.
Howaida
El-Said, MD also performs diagnostic and interventional procedures. The laboratory currently performs approximately 40 catheterizations per month.
Cardiology Home