Coronary interventions

Diagnostic & Therapeutic Cardiac Catheterization

A clear picture of your coronary arteries — and, where possible, treatment in the same sitting

You don't have to face this decision alone. At your consultation, Dr. Mansour explains every image and every option to you and your family in plain words — and stays with you until you're back to your life.

  • Consultation 1,000 EGP · pay at the clinic
  • Free follow-up visit within 14 days
  • Your reports stay private
Traveling from abroad for this procedure? See the international patient guide
Cardiac CatheterizationMinimally invasive — no open-heart surgery
Dr. Mansour Farouk El-BehwashyConsultant Cardiologist & Cardiovascular SpecialistMScFEBFEBICFSCAI
Procedure time30–60 min
  • Procedure time30–60 min
  • AnesthesiaLocal anesthesia + sedation
  • Hospital staySame day / overnight
  • Back to normal activity24–48 hours

What the procedure is

Understand Cardiac Catheterization — calmly, clearly, honestly

Cardiac catheterization is the definitive test for coronary artery disease. A thin, flexible catheter is threaded through the radial artery in the wrist (or, less often, the femoral artery in the groin) up to the coronary arteries. A contrast dye is released and captured on live X-ray, showing exactly where — and how severely — an artery is narrowed or blocked.

Because it's done with a local anesthetic and you stay awake throughout, Dr. Mansour Farouk El-Behwashy can walk you through the images on the screen and explain the findings the same day, rather than leaving you waiting on a written report.

Patients often describe what brings them in using everyday words rather than medical terms — a sharp twinge or stabbing sensation in the chest, or getting unusually breathless with minimal effort, like climbing stairs that never used to bother them. These are common, legitimate reasons to be evaluated. On their own they don't confirm any specific diagnosis — that's exactly what an evaluation, often starting with simpler tests before catheterization, is there to clarify.

Why it may be recommended

What it can mean for you — and your peace of mind

  • 01

    The most accurate way to confirm — or rule out — a coronary blockage

  • 02

    Results and images explained to you in person, the same day

  • 03

    Can move straight into treatment (angioplasty/stenting) without a second procedure

  • 04

    Performed through the wrist in most cases, with a much shorter recovery than open surgery

Who may need evaluation for it

Does any of this sound like you?

Tap whatever applies. It isn't a diagnosis — just a calm way to know whether it's time to talk to the doctor.

Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.

Nothing selected yet — tap any line that applies to you.

Step by step

Your journey, with no surprises

Knowing what comes next takes away most of the fear. Here is what to expect before, during and after — explained to you again, in person, before anything is done.

Something here worrying you?

Ask the clinic — the team replies on WhatsApp.

1

Before

General preparation

  1. Bring every previous report you have — ECGs, echo results, stress tests, lab work and any catheterization CDs.
  2. Share a full list of your medications, especially blood thinners and diabetes medicines, and any allergy — including to contrast dye or iodine.
  3. Routine blood tests, such as kidney function and a blood count, are usually requested beforehand.
  4. You will usually be asked not to eat for a few hours before the procedure — follow the exact fasting instructions you are given.
  5. Plan for someone to accompany you and take you home afterwards.
  6. Never stop or change a medication on your own — any adjustment is decided by your doctor.

Your care team gives you instructions specific to your case — always follow those first.

2

On the day

What happens during the procedure

  1. A small area on your wrist (or groin) is numbed with local anesthetic.
  2. A thin sheath is inserted into the artery, and the catheter is guided up to the heart under live X-ray.
  3. Contrast dye is injected to map each coronary artery in turn.
  4. If a blockage is found and treatable in the same sitting, the diagnostic step can move directly into angioplasty and stenting.
  5. The catheter and sheath are removed, and light pressure is applied to the access site — no stitches are needed.
3

After

Recovery & follow-up

  1. A brief observation period at the clinic or hospital immediately after the procedure
  2. The wrist or groin access site may bruise — this settles within a few days
  3. Most patients return to desk work and light activity within 24–48 hours
  4. Strenuous exercise and heavy lifting are usually held off for about a week

Clinic features

Care that continues after your visit

  • Echo
  • ECG
  • Holter monitor
01

In-clinic Echo, ECG & Holter monitor

Echocardiography, ECG and Holter monitoring are done right at the clinic, so your tests and your consultation happen in one place.

14days

Free
02

FREE consultation within 14 days

After your examination, your follow-up consultation within 14 days is free of charge.

03

Continuous follow-up & answers

Questions after your visit or procedure? We keep following up with you and answering them along the way.

Honest about safety

Risks & considerations

Every medical procedure carries some risk, and you deserve the full picture. Dr. Mansour reviews your personal risk with you before you agree to anything.

  • Bruising or minor bleeding at the wrist/groin access site
  • A rare allergic reaction to the contrast dye
  • Very rarely, more serious complications such as bleeding requiring treatment, or damage to the artery
  • Dr. Mansour Farouk El-Behwashy will review your personal risk profile with you in detail before you consent

This page is general information and does not replace a medical examination. Whether this — or any — procedure is appropriate for you is decided only after evaluation by the doctor.

Already advised?

Told you need this procedure? Get clarity before you decide.

Send your reports from your phone in a few minutes. Dr. Mansour's team reviews them before your visit, so your consultation at the Fifth Settlement clinic starts with answers — not from zero.

Upload Your Reports & Book Consultation

Private consultation · 1,000 EGP · Fifth Settlement, New Cairo

  1. 1Upload your reports
  2. 2The team reviews your case
  3. 3Your consultation, fully prepared

Your questions

Frequently asked questions

Still have a question on your mind?

Ask the clinic directly — no need to call. The team replies to you on WhatsApp.

Is cardiac catheterization painful?

Most patients feel only the initial numbing injection. Once the local anesthetic takes effect, the catheterization itself is not painful — you may feel light pressure, but it's routinely done with the patient awake and talking.

Do I definitely need a stent if I have this test?

No. Many catheterizations show no significant blockage, or one that's better managed with medication alone. Treatment only follows if the images show a blockage that genuinely needs it — and that decision is explained to you before anything further is done.

I already have reports from another hospital — can I bring them instead of repeating the test?

Yes — bring your reports and CDs to your consultation. Dr. Mansour Farouk El-Behwashy reviews them in person and gives you an honest opinion on whether catheterization is genuinely needed, before any procedure is scheduled.

Related procedures

Angioplasty & Stenting

A tiny balloon widens the narrowed section of a coronary artery, and a stent — a small mesh tube — is left in place to keep it open, restoring blood flow to the heart muscle in the same sitting as the diagnostic catheterization.

May be considered

When catheterization shows a significant narrowing, or angina continues despite medication.

Rotational Atherectomy & Complex PCI

Some blockages are too calcified, too long-standing, or too awkwardly positioned for standard angioplasty. Techniques like rotational atherectomy, intravascular lithotripsy, and CTO crossing let Dr. Mansour Farouk El-Behwashy treat these arteries through the same wrist-access approach, often avoiding open bypass surgery.

May be considered

When a blockage is heavily calcified or long-standing (CTO), or was described elsewhere as too complex for a standard stent.

Peace of mind starts with one step

Don't carry this worry alone. Let's look after your heart together.

Consultation 1,000 EGP at the Fifth Settlement clinic, New Cairo — paid at the clinic, with a free follow-up visit within 14 days.

Chest pain right now, fainting or sudden breathlessness? Don't wait — go to the nearest emergency department or call 123.

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