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Angiography

An angiogram is an imaging test that uses x-rays to view your body’s blood vessels. Physicians often use this test to study narrow, blocked, enlarged, or malformed arteries or veins in many parts of your body, including your brain, heart, abdomen, and legs. When the arteries are studied, the test is also called an arteriogram. If the veins are studied, it is called a venogram. 

 

An angiogram is an imaging test that uses x-rays to view your body’s blood vessels. Physicians often use this test to study narrow, blocked, enlarged, or malformed arteries or veins in many parts of your body, including your brain, heart, abdomen, and legs. When the arteries are studied, the test is also called an arteriogram. If the veins are studied, it is called a venogram.

 

 

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What To Expect After Coronary Angiography ?

After coronary angiography, you'll be moved to a special care area, where you'll rest and be checked for several hours or overnight. During this time, you'll need to limit your movement to avoid bleeding from the site where the catheter was inserted.

 

While you recover in the special care area, nurses will check your heart rate and blood pressure regularly and see whether you're bleeding from the tube insertion site.

 

A small bruise may develop on your arm, groin, or neck at the site where the catheter was inserted.

 

 

That area may feel sore or tender for about a week. Let your doctor know if you develop problems such as:


  • - The sheath will be removed. The timing of the sheath removal depends upon the results of your blood tests (bleeding time) and other considerations.


  • - Manual pressure, a compression device, or a "closure device" may be used to seal the artery puncture site. Closure devices may include a collagen plug, a compression device or a surgical stitch.


  • - If the insertion site was in your arm, you will have a compression band placed around the puncture site. The nurse will slowly release the compression band and place a dressing over the puncture site.


  • - If you have had a PCI, you will be transferred to a special cardiac care unit for an overnight stay.

 

 

  • - There, nurses will continue to monitor your condition closely. Most patients go home the following day after a PCI.


  • After the procedure, you will remain flat in bed for 6 or more hours to prevent bleeding from the catheter/sheath insertion site. You may not sit up until several hours after the sheath is removed and the blood vessel is sealed by manual pressure or a closure device has been placed.

 

  • Your nurse may raise the head of your bed slightly to allow you to eat and drink beginning one hour or more after your procedure.


  • You may experience a backache after the procedure. Report any backache to your nurse. Your nurse will give you medication if needed.


  • Call your nurse immediately if you are experiencing any chest pain, lightheadedness, bleeding, or severe back pain.


  • The nursing staff will give you detailed instructions about what to expect when you go home. This will include symptoms to watch for and when to call your doctor.


  • If you experience pain, moisture or any unusual sensation at the cath site, call your nurse.


  • If you have to cough or sneeze, apply gentle pressure at the site with your hand.

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If you have had a PCI, you will be transferred to a special cardiac care unitWhat Are the Risks of Coronary Angiography?

 

Coronary angiography is a common medical test that rarely causes serious problems. But complications can include:

 

 

 

 

 

  • • Bleeding, infection, and pain at the site where the catheter was inserted.

 

  • • Damage to blood vessels. This is a very rare complication. It may occur if the catheter scrapes or pokes a hole in a blood vessel as it's threaded up to the heart.

 

  • • An allergic reaction to the dye used.

 

Other less common complications of the test include:

 

  • • An arrhythmia (irregular heartbeat) that often goes away on its own, but may need treatment if it persists.

 

  • • Damage to the kidneys caused by the dye used.

 

  • • Blood clots that can trigger stroke, heart attack, or other serious problems.
  • Low blood pressure.

 

  • • A buildup of blood or fluid in the sac that surrounds the heart. This fluid can prevent the heart from beating properly.

 

As with any procedure involving the heart, complications can sometimes be fatal. However, this is rare with coronary angiography.

 

The risk of complications from coronary angiography is higher if you have diabetes or kidney disease, or if you're 75 years old or older. The risk of complications also is greater in women and in people having coronary angiography on an emergency basis.