Cardiac Catheterization

  • Konstantinos Kalogeras
  • Vasileios F. PanoulasEmail author


Cardiac catheterization is a general term for a group of procedures that are performed for diagnostic and therapeutic purposes. Coronary angiography and right heart catheterization are the main diagnostic procedures and are going to be covered in detail in the present chapter. Right heart catheterization is used for the management of critically ill patients, for the evaluation of various underlying cardiac diseases and in an elective setting, is the cornerstone for the diagnosis and follow up of pulmonary artery hypertension.


Cardiac catheterization Coronary angiography Coronary angioplasty Coronary artery disease Right heart catheterization 


  1. 1.
    Bertrand ME, Meier B. A history of cardiac catheterization. The PCR-EAPCI Textbook. Available at
  2. 2.
    Judkins MP. Selective coronary arteriography. I. A percutaneous transfemoral technic. Radiology. 1967;89:815–24.CrossRefGoogle Scholar
  3. 3.
    Hurst JW. The first coronary angioplasty as described by Andreas Gruentzig. Am J Cardiol. 1986;57:185–6.CrossRefGoogle Scholar
  4. 4.
    Lozner EC, Johnson LW, Johnson S, Krone R, Pichard AD, Vetrovec GW, et al. Coronary arteriography 1984–1987: a report of the registry of the society for cardiac angiography and interventions. II. An analysis of 218 deaths related to coronary arteriography. Catheter Cardiovasc Diagn. 1989;17:11–4.CrossRefGoogle Scholar
  5. 5.
    Johnson LW, Krone R. Cardiac catheterization 1991: a report of the registry of the society for cardiac angiography and interventions (SCA&I). Catheter Cardiovasc Diagn. 1993;28:219–20.CrossRefGoogle Scholar
  6. 6.
    Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39:119–77.CrossRefGoogle Scholar
  7. 7.
    Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2018; [Epub ahead of print].
  8. 8.
    Maluenda G, Lemesle G, Collins SD, Ben-Dor I, Syed AI, Torguson R, et al. The clinical significance of hematocrit values before and after percutaneous coronary intervention. Am Heart J. 2009;158:1024–30.CrossRefGoogle Scholar
  9. 9.
    Karjalainen PP, Vikman S, Niemela M, Porela P, Ylitalo A, Vaittinen MA, et al. Safety of percutaneous coronary intervention during uninterrupted oral anticoagulant treatment. Eur Heart J. 2008;29:1001–10.CrossRefGoogle Scholar
  10. 10.
    Ziakas AG, Koskinas KC, Gavrilidis S, Giannoglou GD, Hadjimiltiades S, Gourassas I, et al. Radial versus femoral access for orally anticoagulated patients. Catheter Cardiovasc Interv. 2010;76:493–9.CrossRefGoogle Scholar
  11. 11.
    Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970;283:447–51.CrossRefGoogle Scholar
  12. 12.
    Mueller C, Buerkle G, Buettner HJ, Petersen J, Perruchoud AP, Eriksson U, et al. Prevention of contrast media-associated nephropathy: randomized comparison of 2 hydration regimens in 1620 patients undergoing coronary angioplasty. Arch Intern Med. 2002;162:329–36.CrossRefGoogle Scholar
  13. 13.
    Barrett BJ, Parfrey PS. Clinical practice. Preventing nephropathy induced by contrast medium. N Engl J Med. 2006;354:379–86.CrossRefGoogle Scholar
  14. 14.
    Briguori C, Visconti G, Focaccio A, Airoldi F, Valgimigli M, Sangiorgi GM, et al. Renal insufficiency after contrast media administration trial II (REMEDIAL II): RenalGuard System in high-risk patients for contrast-induced acute kidney injury. Circulation. 2011;124:1260–9.CrossRefGoogle Scholar
  15. 15.
    Jolly SS, Yusuf S, Cairns J, Niemela K, Xavier D, Widimsky P, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011;377:1409–20.CrossRefGoogle Scholar
  16. 16.
    Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am Heart J. 2009;157:132–40.CrossRefGoogle Scholar
  17. 17.
    Heyndrickx GR, Peace AJ, Girasis C, Naber CK, Bourantas CV, Serruys PW. Invasive diagnostic coronary angiography. The PCREAPCI Textbook. Available at
  18. 18.
    Saleem T, Baril DT. Vascular access closure devices. Copyright © 2018: Treasure Island (FL): StatPearls Publishing LLC; 2019.Google Scholar
  19. 19.
    Robertson L, Andras A, Colgan F, Jackson R. Vascular closure devices for femoral arterial puncture site haemostasis. Cochrane Database Syst Rev. 2016;3:CD009541.PubMedGoogle Scholar
  20. 20.
    Kelly AE, Gensini GG. Coronary arteriography and left-heart studies. Heart Lung. 1975;4:85–98.PubMedGoogle Scholar
  21. 21.
    Ryan TJ, Faxon DP, Gunnar RM, Kennedy JW, King SB 3rd, Loop FD, et al. Guidelines for percutaneous transluminal coronary angioplasty. A report of the American college of cardiology/American heart association task force on assessment of diagnostic and therapeutic cardiovascular procedures (subcommittee on percutaneous transluminal coronary angioplasty). Circulation. 1988;78:486–502.CrossRefGoogle Scholar
  22. 22.
    Leaman DM, Brower RW, Meester GT, Serruys P, van den Brand M. Coronary artery atherosclerosis: severity of the disease, severity of angina pectoris and compromised left ventricular function. Circulation. 1981;63:285–99.CrossRefGoogle Scholar
  23. 23.
    Sianos G, Morel MA, Kappetein AP, Morice MC, Colombo A, Dawkins K, et al. The SYNTAX Score: an angiographic tool grading the complexity of coronary artery disease. EuroIntervention. 2005;1:219–27.PubMedGoogle Scholar
  24. 24.
    Farooq V, van Klaveren D, Steyerberg EW, Meliga E, Vergouwe Y, Chieffo A, et al. Anatomical and clinical characteristics to guide decision making between coronary artery bypass surgery and percutaneous coronary intervention for individual patients: development and validation of SYNTAX score II. Lancet. 2013;381:639–50.CrossRefGoogle Scholar
  25. 25.
    Kearney TJ, Shabot MM. Pulmonary artery rupture associated with the Swan-Ganz catheter. Chest. 1995;108:1349–52.CrossRefGoogle Scholar
  26. 26.
    Sharkey SW. Beyond the wedge: clinical physiology and the Swan-Ganz catheter. Am J Med. 1987;83:111–22.CrossRefGoogle Scholar
  27. 27.
    O'Quin R, Marini JJ. Pulmonary artery occlusion pressure: clinical physiology, measurement, and interpretation. Am Rev Respir Dis. 1983;128:319–26.PubMedGoogle Scholar
  28. 28.
    Nemens EJ, Woods SL. Normal fluctuations in pulmonary artery and pulmonary capillary wedge pressures in acutely ill patients. Heart Lung. 1982;11:393–8.PubMedGoogle Scholar
  29. 29.
    Snyder RW 2nd, Glamann DB, Lange RA, Willard JE, Landau C, Negus BH, et al. Predictive value of prominent pulmonary arterial wedge V waves in assessing the presence and severity of mitral regurgitation. Am J Cardiol. 1994;73:568–70.CrossRefGoogle Scholar
  30. 30.
    Yelderman ML, Ramsay MA, Quinn MD, Paulsen AW, McKown RC, Gillman PH. Continuous thermodilution cardiac output measurement in intensive care unit patients. J Cardiothorac Vasc Anesth. 1992;6:270–4.CrossRefGoogle Scholar
  31. 31.
    Flamm MD, Cohn KE, Hancock EW. Measurement of systemic cardiac output at rest and exercise in patients with atrial septal defect. Am J Cardiol. 1969;23:258–65.CrossRefGoogle Scholar
  32. 32.
    Carlier S, Didday R, Slots T, Kayaert P, Sonck J, El-Mourad M, et al. A new method for real-time co-registration of 3D coronary angiography and intravascular ultrasound or optical coherence tomography. Cardiovasc Revasc Med. 2014;15:226–32.CrossRefGoogle Scholar
  33. 33.
    Tu S, Holm NR, Koning G, Huang Z, Reiber JH. Fusion of 3D QCA and IVUS/OCT. Int J Cardiovasc Imaging. 2011;27:197–207.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Konstantinos Kalogeras
    • 1
  • Vasileios F. Panoulas
    • 1
    • 2
    Email author
  1. 1.Royal Brompton and Harefield NHS Foundation TrustHarefieldUK
  2. 2.National Heart and Lung Institute, Imperial College LondonLondonUK

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