(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, called arrhythmias
- Bleeding at point of catheter 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, medications, or certain foods, including shellfish
- Kidney problems
- Bleeding disorder
What to Expect
Prior to Procedure
- Ask about your medical history
- Perform a physical exam
- Do blood tests
- Recommend stopping certain medications
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 or as directed by your doctor.
- Change the dressing around the incision area as instructed.
- Take medication 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 catheter 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
RadiologyInfo.org—Radiological Society of North America http://www.radiologyinfo.org
The College of Family Physicians of Canada http://www.cfpc.ca
Health Canada http://www.hc-sc.gc.ca
Angiogram. VascularWeb website. Available at: http://www.vascularweb.org/vascularhealth/Pages/angiogram.aspx. Updated January 2011. Accessed May 20, 2013.
Angiogram (arteriogram). California Pacific Medical Center website. Available at: http://www.cpmc.org/learning/documents/ir-angioarterio-ws.pdf. Updated September 2007. Accessed May 20, 2013.
Catheter angiography. Radiological Society of North American Radiology Info website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=angiocath. Updated April 22, 2013. Accessed May 20, 2013.
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 May 20, 2013.
- Reviewer: Michael J. Fucci, DO
- Review Date: 03/2014 -
- Update Date: 05/02/2014 -