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Cardiac Catheterization and Percutaneous Coronary Intervention

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, one arm extended, Bed turned 90 degrees
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : Only when general anesthesia is used; the majority run under sedation with none.
Considerations : Off-site, Fluoroscopy / Xray, Arterial line, Central line, Aspiration risk / Full stomach, Anticoagulation / Antiplatelet Therapy, TEE, Mechanical Circulatory Support

Anesthetic Approaches

1MAC, Propofol Drip, Local Anesthetic
2GETT, TIVA
3GETT, 1/2 MAC Gas
The Surgery

Access - a sheath goes into the radial artery or the common femoral artery under local anesthetic, usually with ultrasound guidance. Radial is now the default because it bleeds less and is...

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