Invasive cardiac imaging and treatment

At Mitera Hospital, the Cardiac Catheterization Laboratory services are integrated into a clinical setting through the First Cardiology Department.

In most cases, an iodinated contrast agent/dye must be used to visualize coronary arteries, cardiac chambers, or great vessels. It is possible for a patient to have an allergy to an iodine-containing contrast agent used in Catheterization Laboratory. However, even if it is known that the patient has an allergy to the iodine, it may still be possible to use it after appropriate premedication, a simple process called desensitization.

Radial access for coronary angiography and percutaneous coronary angioplasty is the first choice in our laboratory (figure 1). It is implemented in more than 95% of cases. In addition, our interventional cardiologists are highly skilled in the opening stenotic mitral valves (balloon mitral valvuloplasty, video 1) and left main stenting (video 2).
You will need to sign a consent form indicating that you understand the procedure and any risks that might be involved.
A wide range of diagnostic and therapeutic procedures is included.

Procedures conducted in the catheterization laboratory to diagnose your condition may include:

  • Coronary angiography
  • Coronary physiology, endothelial and microcirculation assessment (coronary spasm study, coronary flow assessment)
  • Left and right ventriculography
  • Aortography
  • Endomyocardial biopsy
  • Transdermal pericardial biopsy
  • Evaluation of complex valvular diseases
  • Left and right heart catheterization
  • Left and right heart hemodynamic assessment
  • Constriction and restriction studies

Procedures conducted in the catheterization laboratory to treat or manage your condition may include:

  • Coronary angioplasty and stents to treat coronary artery disease (video 3)
  • Balloon valvuloplasty to treat mitral valve stenosis (video 1)
  • Balloon valvuloplasty to treat aortic valve stenosis (video 4)
  • Balloon valvuloplasty to treat pulmonary valve stenosis (video 5)
  • Closure of periprosthetic valve leaks
  • Clot removal with aspiration device (thrombectomy)
  • Intra-aortic balloon counterpulsation for temporary mechanical circulatory support
  • Nonsurgical closure of ostium secundum atrial septal defect (ASD) or patent foramen oval
  • Pulmonary artery angioplasty to open lung arteries blocked with chronic clots and help improve pulmonary hypertension
  • Pulmonary vein stenting to treat veins blocked after an ablation procedure
  • Septal ablation to treat hypertrophic cardiomyopathy
  • Pericardiocentesis to drain pericardial effusion or decompress the heart
  • Foreign body retrieval from the heart and vasculature