If the catheter was inserted in the arm, at the end of the procedure the catheter and sheath are removed. The incision will be closed through compression bandages. You will be forced to keep the arm still for at least one hour. You will be observed for several hours to ensure that you feel good after the procedure. You may receive medication to relieve discomfort in the arm after the anesthetic effect disappears. You will be given instructions on how to take care of your arm when you return home. Tell your nurse if you see blood or feel any numbness or tingling sensations in the fingers.
If the catheter was inserted in the groin at the end of the procedure catheter and sheath are removed and the incision is closed by compression or with a “plug” of collagen (accelerates the formation of a clot in the artery), and then bandaged . A sterile dressing and compression will be put on the groin area to prevent infection or bleeding. You will need to not move position of the foot for 3-6 hours in order to prevent bleeding. Head can not be raised more than the level of pillows (about 20 degrees). Do not raise your head off the pillow (try not to look ahead), as this can contract the abdominal muscles and can promote bleeding from the puncture site. Do not try to stand. Nurse will check the bandage regularly. Warn her if you see blood orif you experience a sensation of humid, warmth at the punction site, or if your toes begin to tingle or feel numb. You may receive medication to relieve discomfort in the groin after anesthesia passes.
Your nurse will help you step out of bed when you are allowed to get up (after at least 6 hours of stretched leg position). Ideally, you should stay in bed 12 hours. You will then be allowed to get out of bed, you can go to the bathroom. If you need assistance seek the help of a nurse. An video of the exam can be found here.
You will need to drink plenty of fluids to remove the dye in the body. You may feel the urge to urinate more frequently. This is normal. If a urinary catheter was not placed during the procedure, you have to use a urinal until you are able to get up from bed.
Your cardiologist will tell you if you are able to return home or will have to stay overnight. Usually after a “radial” puncture is not required staying overnight in the hospital unless you experience chest pain or heart arythmias. Treatment, including medications, dietary changes, and future procedures will be discussed with the doctor before going home. You will also talk to your doctor, says Alexandru Mischie about proper wound care, your work, but also about recovery and whaterver subjects you have in mind.