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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
203
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

539
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
539
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Related Experiment Video

Updated: Jan 10, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Emergency Department Visits Following Transcatheter Cardiac Interventions: A Systematic Review and Meta-Analysis.

Nathan G Best1,2, Marienell Talla1,2, Farnaz Rafiee1,2

  • 1Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 20, 2025
PubMed
Summary

Emergency department visits after transcatheter cardiac procedures are common, with incidences up to 22%. Understanding predictors is crucial for improving patient care following interventions like PCI and TAVI.

Keywords:
atrial septal defectemergency department visitpatent foramen ovalepercutaneous coronary interventionreadmissionstranscatheter aortic valve interventiontranscatheter intervention

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Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
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Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Health Services Research

Background:

  • Hospital readmissions are a primary metric for transcatheter cardiac interventions, but emergency department (ED) visits are less evaluated.
  • Transcatheter procedures include percutaneous coronary interventions (PCI), atrial septal defect (ASD) closures, patent foramen ovale (PFO) closures, and transcatheter aortic valve interventions (TAVI).

Purpose of the Study:

  • To synthesize the incidence, causes, predictors, costs, and outcomes of ED visits following various transcatheter cardiac procedures.
  • To evaluate the significance of ED visits as a performance metric in interventional cardiology.

Main Methods:

  • Systematic literature search of Embase and Medline databases (January 2004 - July 2024).
  • Descriptive summary of ED visit outcomes and meta-analysis for pooled 30-day incidence.
  • Inclusion of 19 studies, with 9 undergoing meta-analysis.

Main Results:

  • The 30-day ED visit incidence ranged from 2.8% to 22% for PCI and 4% to 15.3% for TAVI.
  • Pooled 30-day ED visit incidence was 9% for PCI and 12% for TAVI, with significant heterogeneity.
  • Limited data indicated varied risk factors including procedure urgency, length of stay, sex, age, and dementia.

Conclusions:

  • ED visits post-transcatheter cardiac interventions are frequent but inconsistently reported.
  • Further research is needed to identify specific risk factors and fully understand the burden of ED visits.
  • Standardized reporting of ED visits is necessary for accurate performance evaluation.