Cardiac Catheterization| Feature Medical Center| NTUH Hsin-Chu Branch

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更新日期：2024-05-03

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Cardiac Catheterization
cath lab
Special features of the cath lab of National Taiwan University Hospital Hsinchu Branch:

One team with full coverage of acute cardiovascular care in this region: the only team capable of performing
- acute coronary care with primary PCI (STEMI team),
- acute stroke emergent endovascular thrombectomy (cardiologist combined with neurology team),
- acute pulmonary embolism catheter-directed thrombolysis,
- acute limb ischemia (collaborated with cardiovascular surgeons),
- ECMO service,
- acute mesenteric ischemia (the only team in this local region),
- acute endovascular thrombectomy for acute arteriovenous fistula/graft thrombosis,
- the first team in the local region to perform structural heart disease intervention: PFO, ASD occluder, LAAO, and MitraClip.
Balanced development between medical care (focusing on acute cardiovascular critical care) and research (focusing on dialysis access and general cardiovascular care).

Category	number of people	Division	Conditions	Language
Cardiac Intensive Care Unit -Physician	22	Division of Cardiology Division of Cardiovascular Surgery Department of Neurology	Cardiovascular disorders (hypertension, dyspnea, dizziness or syncope, chest tightness, palpitation, intermittent claudication, heart failure, other heart related diseases).	English、 Malay
Cardiac Intensive Care Unit - Nurse	31	Nursing Department	Coronary artery disease (coronary artery bypass surgery, minimally invasive cardiac surgery). Valvular heart disease (valve repairment or replacement). Aortic aneurysm and dissection (endovascular aortic stenting). Heart failure treatment (ECMO, ventricular assist device). Vascular disease (varicose vein, peripheral arterial disease). Congenital heart disease (ventricular septal defect, atrial septal defect). Central venous access or arterio-venous shunt creation for hemodialysis.	English、 Japanese
Internal Medicine Intensive Care Unit -Physician	10	Division of Pulmonology	Respiratory disorders (chest pain, chest tightness, shortness of breath, lung cancers, tuberculosis, asthma, cough, hemoptysis, respiratory system tumors).	English、 Japanese

Surgical/Medical Procedure Benefits:

Establishing a definitive diagnosis
Assessing cardiac function
Performing therapeutic interventions using cardiac catheterization techniques, such as percutaneous transluminal coronary angioplasty (PTCA) and stenting, or percutaneous transluminal mitral valvuloplasty (PTMV)

Surgical/Medical Procedure Risks:
Risks and complications: Death, myocardial infarction, stroke, arrhythmias, vascular injury, need for emergency surgery, cardiac rupture, adverse reactions to contrast agents, heart failure, and others.
The probability and severity of complications vary depending on the patient's baseline cardiac function, the severity of the disease, and the type of invasive diagnostic or therapeutic procedure being performed. However, due to the proficiency of physicians' techniques and the advancement of medical device technology, the occurrence of complications has been minimized.

Postoperative Care Instructions:

Patients who underwent the examination through the groin should remain in bed for at least 12 hours. Activities such as eating, urinating, and moving should be done in bed. If the examination was performed through the elbow or wrist, you can get out of bed after two hours.
Apply pressure to the wound site using a compression bandage for 4 to 6 hours. If you need to remain in bed during this period, you can change positions or perform horizontal movements. However, the limb with the wound should be kept straight and not bent to prevent bleeding from the wound.
If you experience any discomfort or notice numbness or increased warmth at the extremities or around the wound, please notify the healthcare personnel immediately.
It is essential to have someone present with you when you first get out of bed.

On the day after the examination, the nursing staff will change the dressing for your wound. The wound will be small, like a needle prick, and it should be kept clean and dry. If there are occasional bruises around the wound, please inform the doctor for reassurance. The bruising on the skin should gradually fade within two to three weeks, and any slight discomfort at the wound site should also resolve during this period.

Data Maintainer：CIH Ms.Lee