OLV Hospital OLV Hospital Aalst, BelgiumAalst, Belgium

Cardiac Catheterization Cardiac Catheterization laboratorylaboratory

Zuzana Podlasová DZZ2Zuzana Podlasová DZZ2

Main Lobby of OLV Hospital

Main Entranceof OLV Hospital

OLV OLV HospitalHospital OLV Hospital (short for Onze-Lieve-OLV Hospital (short for Onze-Lieve-

Vrouwziekenhuis) is one of the best-known medical Vrouwziekenhuis) is one of the best-known medical facilities in all of Belgium facilities in all of Belgium

OLV Hospital and its staff have earned an OLV Hospital and its staff have earned an outstanding reputation in Belgium and across the outstanding reputation in Belgium and across the world, particularly in the fields of cardiology, world, particularly in the fields of cardiology, cardiovascular surgery, neurological surgery, and cardiovascular surgery, neurological surgery, and urology. urology.

OLV Hospital is located only 40km from Brussels’ OLV Hospital is located only 40km from Brussels’ National Airport. National Airport.

Some statisticsSome statistics

OLV Hospital has over 840 beds and 95 day-care OLV Hospital has over 840 beds and 95 day-care bedsbeds

OLV performs over 40,200 operations per yearOLV performs over 40,200 operations per year OLV employs over 2,500 medical experts as staffOLV employs over 2,500 medical experts as staff OLV has over 270 qualified physiciansOLV has over 270 qualified physicians OLV is the 6th largest hospital in Belgium, excluding OLV is the 6th largest hospital in Belgium, excluding

university facilitiesuniversity facilities

Department of my week placementDepartment of my week placement

Catheterization laboratoryCatheterization laboratory

Cath – lab has 5 isolated „operating theatres“, Cath – lab has 5 isolated „operating theatres“, but doctors don´t do operations but only but doctors don´t do operations but only examinationsexaminations

Apart from these OT there are other rooms Apart from these OT there are other rooms such as kitchen, staff room, meeting room, such as kitchen, staff room, meeting room, toilets or storagetoilets or storage

Other isolated room is where patients are Other isolated room is where patients are transfered after examination. In this room transfered after examination. In this room works one nurse who takes care about patients works one nurse who takes care about patients or gives information what to do or not to do or gives information what to do or not to do after examination after examination

„„Operating theatre“Operating theatre“ Every room where these examinations are Every room where these examinations are

performed has „bed for examination“ which performed has „bed for examination“ which you can put down or up, 6 monitors, X-Ray you can put down or up, 6 monitors, X-Ray machine that goes around patient, table with machine that goes around patient, table with drugs and other aids, machine that flows drugs and other aids, machine that flows contrast liquid to the blood vessels under contrast liquid to the blood vessels under pressure, lights, some acustical apparatus to pressure, lights, some acustical apparatus to communicate with nurses behind the glass, communicate with nurses behind the glass, button to open the door, bins and other button to open the door, bins and other important equipmentimportant equipment

Before examinationBefore examination First step is to prepare a patient – doctor gives First step is to prepare a patient – doctor gives

information, talks about some risks and calms down information, talks about some risks and calms down the patientthe patient

Nurses prepare sterile table (always disposable) and Nurses prepare sterile table (always disposable) and other aids other aids

Patient is given pads on limbs, not on the chest and Patient is given pads on limbs, not on the chest and nurse has to disinfect place on his arm or legnurse has to disinfect place on his arm or leg

So the patient is ready and here comes the doctorSo the patient is ready and here comes the doctor

next step is to give local anaesthesia (it is given next step is to give local anaesthesia (it is given by a doctor) and heparine as prevention against by a doctor) and heparine as prevention against blood clot (it is given by a nurse)blood clot (it is given by a nurse)

Entry of the catheter could be via arteria Entry of the catheter could be via arteria femoralis or arteria radialis, exceptionally femoralis or arteria radialis, exceptionally arteria brachialis, it depends on the doctor who arteria brachialis, it depends on the doctor who does this examinationdoes this examination

Simply – doctor examines veins and arteries Simply – doctor examines veins and arteries thanks to flowing contrast liquid into the blood thanks to flowing contrast liquid into the blood vessels vessels

Next to the patient there are 6 monitors which Next to the patient there are 6 monitors which show X-ray pictures and EKG curvesshow X-ray pictures and EKG curves

After examinationAfter examination

Patients lie in isolated room where there is one Patients lie in isolated room where there is one nurse and she takes care about themnurse and she takes care about them

Patients have to lie in bed from 4 to 8 hours, it Patients have to lie in bed from 4 to 8 hours, it depends on thickness of catheter used during depends on thickness of catheter used during examinationexamination

after this procedure patients can´t ride a after this procedure patients can´t ride a bicycle or they can´t sit in hot water, just take bicycle or they can´t sit in hot water, just take a shower, this is very important to knowa shower, this is very important to know

ComplicationsComplications

There are some risks during the examination:There are some risks during the examination: Creation of haematomaCreation of haematoma Allergic reactionAllergic reaction DefibrillationDefibrillation BleedingBleeding Problems with obese people – doctor can´t Problems with obese people – doctor can´t

find vein or arteryfind vein or artery

Procedures performedProcedures performed

Electrophysiological Study and Electrophysiological Study and Radiofrequency AblationRadiofrequency Ablation

Pacemaker ImplantationPacemaker Implantation Biventricular ICD ImplantationBiventricular ICD Implantation Heart Cathetrisation and Percutaneous Heart Cathetrisation and Percutaneous

Coronary Intervention (with drugs)Coronary Intervention (with drugs) Eluting Stent ImplantationEluting Stent Implantation Percutaneous Closure of Atrial Septal DefectPercutaneous Closure of Atrial Septal Defect

Drugs used during examinationDrugs used during examination CedocardCedocard – A nitrate vasodilator drug administered – A nitrate vasodilator drug administered

orally and sublingually for the treatment and prevention orally and sublingually for the treatment and prevention of angina pectorisof angina pectoris

ProtamineProtamine – used as an antidote to heparin overdosage – used as an antidote to heparin overdosage LinisolLinisol – local anaesthetic – local anaesthetic CordaroneCordarone - antiarrhytmic - antiarrhytmic EphedrineEphedrine – is a sympathomimetic used as a stimulant, – is a sympathomimetic used as a stimulant,

concentration aid and to treat hypotension associated concentration aid and to treat hypotension associated with anaesthesiawith anaesthesia

AdenosineAdenosine – it is for treating surgical pain, pulmonary – it is for treating surgical pain, pulmonary hypertension, and certain types of hypertension, and certain types of irregular heartbeat. It It is also given for controlling blood pressure during is also given for controlling blood pressure during anaesthesia and surgery.anaesthesia and surgery.

Thanks for your attention Thanks for your attention