Cardiac Catheterization and Electrophysiology

Jessica Hayashi, MS, RN, CIC, CPHQ, FAPIC Manager of Infection Control Program

Washington, DC VA Medical Center

Revised Publication:
May 6, 2024
Original Publication:
October 2, 2014
Declarations of Conflicts of Interest:
  • Jessica Hayashi declares no conflicts of interest.

The APIC Text team thanks Kathleen Kohut, RN, MS, CIC, CNOR for writing the original 2014 chapter.


Diagnostic and therapeutic cardiac catheterization procedures bypass natural host defenses and thereby pose a risk of infection. Early-onset infections resulting from these procedures can be related to bacterial entry into the host via the bloodstream. Therefore, sterile technique for vascular access is very important for all vascular access procedures. Especially worrisome are the late-onset infections that can occur with implantable devices (e.g., pacemakers, stents). Patient preparation of the insertion site and sterile technique are key strategies to reduce the risk of infection associated with these devices.