Procedure

I am scheduled for a Procedure

Preparing for your procedure is critically important. Use the information below as helpful guidelines

Preparation Instructions for Common Cardiovascular Procedures

If you are scheduled for one of the following procedures, follow the instructions below:

  • Heart Catheterization and Angioplasty
  • Peripheral Arteriogram (Angiography)
  • Peripheral Angioplasty
  • Carotid Stent Procedure

Tell your doctor if you…

  • Are allergic to the iodine dye used in the contrast material or any other substance that contains iodine.
  • Have asthma or have ever had a serious allergic reaction (anaphylaxis) from any substance, such as the venom from a bee sting.
  • Are allergic to any medicines and whether you are taking any medicines for an erection problem, including Viagra, Levitra, and Cialis. This test may require the use of nitrate medicine, such as nitroglycerin, that can cause severely low blood pressure if you have taken Viagra, Levitra, or Cialis within the previous 48 hours.
  • Have any bleeding problems or take blood-thinning medicine.
  • Are or might be pregnant.
  • Have kidney disease. The contrast material used during cardiac catheterization can cause kidney damage in people who have poor kidney function. If you have a history of kidney problems, blood tests (creatinine, blood urea nitrogen) may be done before the test to confirm that your kidneys are functioning properly.
  • Have diabetes, especially if you take metformin (Glucophage). Your doctor may instruct you to stop the medicine 48 hours before the test.
  • If you are taking Plavix and Aspirin it is NOT necessary to stop these meds.
  • Do NOT stop your blood pressure medication unless you are having a Carotid Artery Stent. In that case we request that you take only Aspirin and Plavix and discontinue all blood pressure medication.
  • Patients taking Coumadin should stop this agent at least four days prior to the procedure. You should check with your cardiologist to see if a supplemental anticoagulant needs to be given during this time. An example would be patients who have artificial heart valves or recent leg clots.
  • If you are scheduled for a Pacemaker or Debrillator Implantation…
    If you are on Plavix please check with your cardiologist regarding wether or not to discontiue prior to the implant.

In addition, talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will indicate.

Arrange for someone to take you home after the test. You may not have to stay in the hospital overnight.

Do not eat or drink (except for a small amount of water) for 6 to 12 hours before the test. If you are taking any medicines, ask your doctor whether you should take them on the day of the test.

Before the test, remove any necklaces, bracelets, rings, or other jewelry. You should also remove nail polish from your fingernails and toenails.

Be sure to empty your bladder completely just before the test.

 

Venous Procedures (In Office)

If you are scheduled for one of the following procedures, follow the instructions below

  • Radio Frequency Ablation
  • Sclerotherapy
  • Ambulatory Phlebectomy

Preparing for This Procedure

  • Please shower the morning of procedure with special attention to scrubbing and cleansing with soap the legs and feet.
  • It is not necessary to hold any medication such as Plavix, Aspirin or Coumadin.
  • You may have a light liquid breakfast.
  • Please arrange for someone to drive you home after the procedure.