(Catheter Angiography; Arteriography; Angiogram)
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Reasons for Procedure
- Help doctors identify narrowed, enlarged, and blocked blood vessels
- Determine if there is blood leaking out of the vessels and into other parts of your body
- Allergic reaction to chemical used
- Abnormal heart beats (arrhythmias)
- Bleeding at point of catheter (small tube) insertion
- Damage to blood vessels, which can cause damage to organs and tissue
- Kidney damage from contrast material
- Allergies, especially to x-ray dye, iodine, medicines, or certain foods, including shellfish
- Kidney problems
- Bleeding disorder
What to Expect
Prior to Procedure
Before the test, your doctor will likely:
- Do blood tests
- Your medical history
- Medicines you take
- Your allergies
- Whether you are pregnant or trying to get pregnant
- Perform a physical exam
In the days before your procedure, you will need to:
- Arrange for a ride to and from the procedure.
- Follow your doctor’s instructions. You may need to make changes in your medicines, or your eating and drinking habits.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
- Brief sting when local anesthesia is injected
- Pressure when catheter is inserted
- Hot and flushed sensation when contrast material is injected
- You will need to lie flat for a period of time. The length of time depends on your overall health and the reason for the exam.
- You may need to have pressure applied to the entry site to control bleeding.
- Tell the nurse if you notice any swelling, bleeding, black and blue marks, or pain where the catheter was inserted.
- You will be encouraged to drink a lot of fluids to flush the contrast material from your system.
- You may be allowed to leave the hospital after this recovery period. The length of your stay will depend on your other medical problems.
- Drink extra fluids, as instructed by your doctor. This will help flush the contrast material from your system.
- Do not lift heavy objects or do any strenuous exercise or sexual activity for at least 24 hours as directed by your doctor.
- Change the dressing around the incision area as instructed.
- Take medicines as instructed.
- Ask your doctor when it is safe to shower, bathe, or soak in water.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the injection site
- Extreme sweating, nausea, or vomiting
- Extreme pain, including chest pain
- Leg or arm feels cold, turns white or blue, or becomes numb or tingly
- Difficulty breathing
- Any problems with your speech or vision
- Facial weakness
American Heart Association http://www.heart.org
The College of Family Physicians of Canada http://www.cfpc.ca
Health Canada http://www.hc-sc.gc.ca
Angiogram (arteriogram). California Pacific Medical Center website. Available at: http://www.cpmc.org/learning/documents/ir-angioarterio-ws.pdf. Updated September 2007. Accessed November 5, 2012.
Angiogram: what is an angiogram? VascularWeb website. Available at: http://www.vascularweb.org/vascularhealth/Pages/angiogram.aspx. Updated January 2011. Accessed November 5, 2012.
Angiography. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary. Updated November 5, 2012. Accessed November 5, 2012.
Arteriogram. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary. Updated November 3, 2011. Accessed November 5, 2012.
Cardiac catheterization. EBSCO Health Library website. Available at: http://healthlibrary.epnet.com/GetContent.aspx?token=da29d243-e573-4601-8b42-77cd0ccb14b2&chunkiid=14783. Accessed January 23, 2008.
Catheter angiography. RadiologyInfo.org website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=angiocath. Updated May 15, 2012. Accessed November 5, 2012.
What is coronary angiography. National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/ca. Updated March 2, 2012. Accessed November 5, 2012.
- Reviewer: Michael J. Fucci, DO
- Review Date: 11/2012 -
- Update Date: 11/05/2012 -