Editor's note: This blog has been reviewed by Megan Andrews, MSN, APRN, ANP-C.
Imagine being part of a team that uses advanced imaging to navigate arteries, dissolve blood clots, or place life-saving stents.
Interventional radiology and cardiac catheterization lab nurses play a part in minimally invasive procedures that blend precision with innovation. While these specialties share a common foundation in advanced technology and patient care, their work environments and daily responsibilities set them apart.
Here, we examine the parallels and distinctions between these specialized nursing fields and their impact on modern healthcare.
What does an interventional radiology nurse do?
Interventional radiology nurses are active in every phase of minimally invasive, imaging-guided procedures. Their role spans from preparation to recovery to make sure patients receive consistent, quality care.
- Setting the stage before the procedure — The healthcare team's pre-procedure goal is to help patients feel at ease and fully prepared, both physically and emotionally, for what's about to happen. To that end, interventional radiology nurses guide patients through the procedure, explaining every step and answering their questions. They may also obtain informed consent, start IV lines, administer sedatives, and position patients for imaging.
- Focusing on the patient during the procedure — These nurses closely monitor vital signs and sedation levels, assist providers, maintain a sterile field, and act quickly to manage complications, such as allergic reactions to contrast dye.
- Recovery and reassurance after the procedure — Afterward, the nurses watch for complications, such as bleeding or other adverse reactions. Before discharge, these nursing professionals provide clear, personalized follow-up instructions, so patients can manage their recovery and recognize any warning signs that need attention.
What does a cardiac catheterization lab nurse do?
Just like interventional radiology nurses, cardiac catheterization lab nurses (aka cath lab nurses) contribute to patients receiving top-notch treatment during critical interventions. These nurses are trusted partners to cardiologists and provide expert care at every stage of the procedure.
- Laying the groundwork before the procedure — Preparation is key in the cardiac catheterization lab. Nurses review patients’ medical histories to identify possible risks and walk patients through the procedure step by step. Once patients are mentally prepared, cath lab nurses handle the physical prep — starting IV lines and administering medications to make sure everything is in place pre-procedure.
- Precision under pressure during the procedure — Cath lab nurses monitor vital signs to ensure patients remain stable and assist cardiologists by managing sterile instruments and equipment. These nurses act quickly to stabilize the patient if complications arise, such as arrhythmias or a sudden drop in blood pressure.
- Recovery watch after the procedure — Once the procedure is complete, cath lab nurses monitor catheter sites for bleeding and watch for signs of complications. Patients receive thorough post-procedure care instructions, from activity restrictions to symptoms to watch for.
Key differences between interventional radiology and cath lab nurses
Although interventional radiology and cath lab nurses both work in procedural settings, their patient populations differ, as well as the types of procedures they assist with.
Interventional radiology nurses handle a wide range of interventions, including biopsies, embolizations, thrombolysis, and line/port placement. These procedures span multiple specialties, including oncology, hepatology, nephrology, and vascular medicine. Many patients are awake during procedures, so nurses must maintain a calm and reassuring presence.
In contrast, cardiac catheterization lab nurses focus primarily on caring for patients experiencing critical cardiac events or needing heart-related procedures, such as angioplasties, stent placements, and pacemaker insertions. Their work often involves high-pressure, life-saving interventions.
The work environments reflect these differences in focus. Interventional radiology nurses typically work in imaging suites or outpatient centers with scheduled procedures and occasional emergencies.
This setting allows for more predictable hours. Cath lab nurses, by comparison, work in hospital cardiac labs, where emergencies are frequent, requiring on-call availability and longer shifts.
What nurses find appealing in each role
Interventional radiology nursing
Nurses drawn to variety and advanced technology may find interventional radiology nursing a perfect fit. The range of procedures means ample opportunities to learn and grow, while the steady pace of scheduled interventions provides more predictable hours. This role offers an exciting balance for those who enjoy blending hands-on care with cutting-edge techniques.
Cardiac catheterization lab nursing
Cath lab nursing appeals to those who thrive in high-stakes environments that may require them to make life-saving decisions and work on complex cardiac procedures. Nurses who enjoy collaborating closely with cardiologists in fast-paced settings will find this specialty deeply fulfilling.
Salary outlook
Both specialties are well compensated, reflecting the complexity of their roles.
- Interventional radiology nurses: Salaries range between $73,000 and $91,000 annually, depending on location and experience. Demand continues to grow as minimally invasive procedures become more common.
- Cardiac catheterization lab nurses: Due to the prevalence of cardiovascular disease, this specialty also offers strong growth potential, with average salaries ranging from $82,000 to $102,000.
Interventional radiology and cardiac catheterization lab nursing represent two distinct yet equally rewarding specialties.
If you’re interested in a role in advanced imaging and these two roles sound appealing, your choice may come down to your strengths and passions — whether you prefer the steady pace of interventional procedures or the fast action of life-saving cardiac interventions. Both paths offer the opportunity to make a profound difference in patients’ lives while working in some of the most innovative areas of medicine.
