93565 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure)

Name of the Procedure:

Selective left ventricular or left atrial angiography during cardiac catheterization

Summary

This procedure involves injecting a contrast dye into the left ventricle or left atrium of the heart to obtain detailed images. It is typically done during a cardiac catheterization to diagnose or evaluate heart conditions.

Purpose

The procedure helps to diagnose various heart conditions, including issues with the left ventricle or left atrium. It provides detailed images to help doctors understand the structure and function of these heart chambers.

Indications

• Suspected or confirmed heart disease
• Symptoms such as chest pain, shortness of breath, or irregular heartbeats
• Assessment before heart surgery
• Follow-up on known heart conditions

Preparation

• Patients may need to fast for several hours before the procedure.
• Certain medications may need to be adjusted or stopped.
• Pre-procedure tests like blood tests, ECG, or imaging studies may be required.

Procedure Description

1. A catheter is inserted into a blood vessel, usually in the groin or arm.
2. The catheter is guided to the heart's left ventricle or left atrium.
3. A contrast dye is injected through the catheter.
4. Images are taken using X-ray technology to visualize the dye in the heart chambers.
5. The catheter is then removed, and the insertion site is bandaged.

Duration

The procedure typically takes about 1 to 2 hours.

Setting

It is performed in a hospital, specifically in a specialized procedure room such as a cardiac catheterization lab.

Personnel

• Cardiologist
• Radiologist (for imaging supervision and interpretation)
• Nurses
• Technologists
• Anesthesiologist (if sedation is used)

Risks and Complications

• Infection at the catheter insertion site
• Bleeding or bruising
• Allergic reaction to the contrast dye
• Irregular heart rhythms
• In rare cases, heart attack or stroke

Benefits

• Accurate diagnosis of heart conditions
• Provides detailed images for surgical planning
• Can guide effective treatment plans

Recovery

• Monitoring in a recovery area for a few hours after the procedure
• Instructions on activity limitations, typically for 24 hours
• Follow-up appointments for results and further care

Alternatives

• Non-invasive imaging tests like echocardiogram or MRI
• Pros: Less risk and no need for catheter insertion
• Cons: May be less detailed or specific compared to angiography

Patient Experience

• Mild discomfort at the catheter insertion site
• Some pressure or sensation as the catheter is moved
• Possible soreness or bruising post-procedure
• Pain management with medications and comfort measures provided by the medical team