Cardiac Catheterization Laboratory

Director: James Malpeso MD, FACC
(718) 226-1700

The Staten Island University Hospital Cardiac Catheterization Laboratory provides invasive, diagnostic cardiac services to the young adult through geriatric patient.

The patient may require a cardiac catheterization to diagnose and determine treatment of symptoms of chest pain, shortness of breath, or when a (myocardial infarction) or angina is present. The patient with these symptoms is evaluated by a cardiologist using methods such as an electrocardiogram and stress test to recommend a cardiac catheterization.

A patient must be evaluated by a cardiologist before a Cardiac Catheterization and/or Angioplasty can be ordered.

After a cardiologist has determined that a Cardiac Catheterization is indicated he will call the Cardiac Catheterization Laboratory and schedule the procedure. The department is available Monday through Friday from 7:30am to 4:30pm. Any emergency case, as determined by the Director of the Cardiac Catheterization Laboratory, will be accommodated, in addition to 24/7 availability for infart-related angioplasty

A patient may be scheduled electively to undergo a cardiac catheterization. This patient is contacted by a registered nurse from the Cardiac Catheterization Laboratory prior to the procedure. A telephone interview is conducted to determine if the patient had a procedure of this type before and if so, what were his or her experiences. Patients are asked about allergies, other medical problems and whether they are presently experiencing symptoms of an infectious process. All medications that the patient is presently taking are reviewed, and instructions about fasting (NPO) are given. This patient is also given the name of the staff member who will greet them on the day of their procedure.

A patient may already be admitted to Staten Island University Hospital and require a Cardiac Catheterization. These patients are given pre-procedure teaching by the nursing staff on the floors which includes their families whenever possible. The registered nurses of the Cardiac Catheterization Laboratory communicate with the staff from the floors on the day of the procedure to exchange information about the patients and his or her medical status.

A Patient may be at the South Site. These patients are transported on the day of their procedure to the Cardiac Catheterization Laboratory by the appropriate means e.g. ALS Ambulance. These patients are monitored for two hours post procedure and then returned to the South Site.

The Cardiac Catheterization Laboratory has a waiting area for the families where they may see the physician and receive information about the patient.

The Cardiac Catheterization Laboratory is also available for cardioversions and transesopheageal echos (TEE). These procedures are requested by a cardiologist.