Menteri Kesehatan RI, Budi G. Sadikin melakukan pertemuan dengan sejumlah pakar kesehatan Jantung untuk mendengarkan paparan hasil penelitian kebutuhan Cathlab Jantung di Indonesia, Jakarta, 31 Januari 2023. - Kemenkes RI / Jerry Adiguna

Diagnostic cardiac catheterization.

There is something extraordinarily attractive with the concept of using a thin tube to get access into blood vessels. Then using that access to insert different "wires" with various tips, each tailored for a specific function. Besides just measuring, for example, pressures and oxygen levels in something like the four chambers of the hear, cath procedures can be used to close holes in the heart, to widen narrow vessels, and to freeze or burn cells.

If you really take a moment to think about that: The process of putting a tube thick enough to pull a wire through the maze of vessels, and then manipulating that wire to do different tasks. You would appreciate how ingenious it is.

See: en.wikipedia.org/wiki/Seldinger_technique

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SAN DIEGO (Sept. 29, 2020) Cardiologists assigned to Naval Medical Center San Diego (NMCSD) perform a catheterization procedure using a C-arm X-ray machine in the hospital’s cardiac catheterization laboratory Sept. 29. NMCSD’s mission is to prepare service members to deploy in support of operational forces, deliver high quality healthcare services and shape the future of military medicine through education, training and research. NMCSD employs more than 6,000 active duty military personnel, civilians, and contractors in Southern California to provide patients with world-class care anytime, anywhere. (U.S. Navy photo by Mass Communication Specialist 3rd Class Jake Greenberg)

Dr. Harry Phillips (right) works in the Cath Lab at Duke University Medical Center with other physicians reviewing a procedure Wednesday, January 8, 2014. Dr. Phillips is one of the top Cardiologists at Duke. Brad Coville | Times

Cath Lab Type I

Former Health Center patient Lt. Jeffrey Rose of the West Hartford Police, UConn coach Jim Calhoun and Dr. Kanwar Singh at the cardiac catheterization lab dedication, in the Pat and Jim Calhoun Cardiology Center. (Tina Encarnacion/UConn Health Center Photo)

This system is used for diagnostic and interventional cardiac procedures. The system suffered an x-ray tube failure and is being repaired.

Hybrid Operating Rooms combine the standard features of a typical surgical suite with the x-ray equipment found in a Cardiac Cath Lab. This room is used for pacemaker implants and other invasive cardiac procedures. It has the added feature of a robotic x-ray system. The robot allows for movement and angles that most standard Cath Labs cannot perform.

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SAN DIEGO (Sept. 29, 2020) Hospital Corpsman 3rd Class Drew Dougherty, a cardiovascular technologist assigned to Naval Medical Center San Diego (NMCSD), places a sterile covering over a C-arm X-ray machine before a procedure in the hospital’s cardiac catheterization laboratory Sept. 29. NMCSD’s mission is to prepare service members to deploy in support of operational forces, deliver high quality healthcare services and shape the future of military medicine through education, training and research. NMCSD employs more than 6,000 active duty military personnel, civilians, and contractors in Southern California to provide patients with world-class care anytime, anywhere. (U.S. Navy photo by Mass Communication Specialist 3rd Class Jake Greenberg)

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SAN DIEGO (Sept. 29, 2020) Hospital Corpsman 3rd Class Branyn Trejos, a cardiovascular technologist student (left), and Hospital Corpsman 3rd Class Drew Dougherty, a cardiovascular technologist (right), both assigned to Naval Medical Center San Diego (NMCSD), prepare for a procedure in the hospital’s cardiac catheterization laboratory Sept. 29. NMCSD’s mission is to prepare service members to deploy in support of operational forces, deliver high quality healthcare services and shape the future of military medicine through education, training and research. NMCSD employs more than 6,000 active duty military personnel, civilians, and contractors in Southern California to provide patients with world-class care anytime, anywhere. (U.S. Navy photo by Mass Communication Specialist 3rd Class Jake Greenberg)

First look inside the newly renovated and expanded Cath Lab at LGMC . Monday, Feb. 11, 2019.

Cath Lab Type II

Navy Veteran Charles Lickliter (right) jokes around with his doctor, Jan. 21 at the Denver VA Hospital. Lickliter was practicing keeping only 40 pounds of his body weight on his prosthetic by using scales as a visual reference. (Marla R. Keown/Aurora Sentinel)

This device generates the x-rays used for diagnostic and interventional cardiac procedures.

Jim Calhoun with Kathy Vereneau, Josh Ware, Stephen Rogers, and Gil Rogers from No More Fathers Lost. (Tina Encarnacion/UConn Health Center Photo)

Dr. Kanwar Singh describes the capabilities of the cardiac catheterization lab. (Tina Encarnacion/UConn Health Center Photo)

A comunicação interatrial é um orifício que comunica o átrio esquerdo com o direito (com pressões muito diferentes entre eles), patologia que pode evoluir com trombose, acidente vascular encefálico , entre outras. O orifício da foto, visível no quadrante inferior direito (próximo a um tubo preto) impossibilitou a correção via percutânea (com uma prótese, colocada via artéria femoral, sem a necessidade de abertura do tórax).

The atrial septal defect is a hole that communicates the left atrium to the right (with very different pressures between them), a pathology that can evolve with thrombosis, stroke, among others. The photo orifice visible in the lower right quadrant (near a black tube) made it impossible to percutaneously fix (with a prosthesis placed via the femoral artery, without the need to open the chest).

Hybrid Operating Rooms combine the standard features of a typical surgical suite with the x-ray equipment found in a Cardiac Cath Lab. This room is used for pacemaker implants and other invasive cardiac procedures.

This is as close as you'll ever see a "selfie" of me. This is my girlie hand compared to one of the knuckles that is on the robotic Cath Lab. Even turned off, I don't like to get my hand too close to it.

I can't tell you how many lives I've had the good fortune to observe this team save...there have been many. They work like the perfect orchestra performing the most amazing symphony...one second we are joking around, teasing each other and the next, they are called into action. I am proud and lucky to be associated with this crew (several who are missing from this photo shoot) and I can assure you that if me or one of my loved ones needed emergent cardiac care, this is who I want on the job.

The dome on top is called the collimator. It's function is to control the amount of x-rays leaving the x-ray tube. It works similar to a camera aperture.