The three Cardiac Catheterisation Laboratories (CCL) at the San utilise state of the art equipment and are run by specialist staff. These labs are used for the treatment and diagnosis of Australia’s most deadly single disease, coronary artery disease (CAD) and other structural heart diseases. These labs are also used for the diagnosis and treatment of conduction defects of the heart's electrical system.
Coronary catheterisation angiography remains the gold standard in assessment of coronary artery disease and here at the San angioplasty and stent treatments may also be performed for the treatment of CAD after careful assessment by your cardiologist.
The technology & facilities at CCL cater for procedures including:
- Coronary angiography
- Interventional coronary angioplasty and stent procedures for CAD
- Intra-vascular ultrasound (IVUS) used intra-operatively to correlate and assess CAD such as ostial lesions, hard to visualise lumen segments and queried re-stenosis post intervention
- Permanent Pacemaker insertion and checks under local or general anaesthetic
- Defibrillator insertions including biventricular defibrillator insertion under local or general anaesthetic
- Cardiac Electrophysiology studies (EPS) and Radio-frequency Ablation (RFA) of arrhythmias under local or general anaesthetic
- Implantable loop recorders
- Peripheral Vascular angiography and angioplasty
- Carotid and renal angiography and angioplasty
- Patent foramen ovale (PFO) closures and atrial septal defect (ASD) (hole in the heart closures)
- Stress testing
- Cardioversion and echocardiography services including Transoesophageal Echocardiography (TOE) and Transthoracic Echocardiography (TTE)
- Arryhthmia treatment
Our CCL services include:
- 18 day-stay beds staffed by cardiac trained nurses
- Rapid access to Coronary Care and Intensive Care units (a further 23 beds) and access to Operating theatres and on call cardiac thoracic surgeons for high risk patients
- A 24 hour on call service is provided to patients presenting to Emergency Care requiring urgent treatment for suspected heart attacks (Acute Myocardial Infarction - AMI)
- Urgent non coronary interventional procedures such as permanent pacemaker and temporary pacing wire insertions. This service is also available to patients already admitted to the San.
Information for Patients & Visitors
The CCL day ward is open Monday to Friday. It usually opens at 6:30am, while the closing time is case dependent.
Take the hospital's main lift to Level 5. Get out through the back door of the lift and walk down the corridor towards the sign ‘Cardiac Catheterisation Laboratory.’
Patients being admitted:
Patients need to call the Cardiac Catheterisation Laboratory on 9487 9130 between the hours of 3 and 4 pm on the day prior to their admission date. The staff will inform you of procedure time, what to bring and pre-operative preparations such as fasting.
What to expect:
Your doctor will discuss procedure details with you.
How long will the procedure take?
Procedures commonly range from 20 minutes to an hour or more, depending on the procedure being undertaken.
Post operative pathways vary between procedures performed. Diagnostic cases are often day-stay only and interventional procedures often require a 1 to 2 night stay in the coronary care unit followed by a cardiac rehab program offered by the cardiac rehabilitation unit. When discharged, nurses from CCL day ward or coronary care will discuss your discharge pack with you, including a list of instructions pertaining to wound care, medication changes, follow up doctor’s appointments, post procedural care and concerns.
Risks associated with the procedure:
Your doctor will discuss with you the risks associated with your procedure.
How long until results become available:
Your doctor will discuss the procedure findings with you briefly, immediately post-opertively and will discuss the treatment options with you in greater detail at a later time.