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Angiography  
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Definition  

An angiography is an x-ray exam of the blood vessels. The exam uses a chemical that is injected into the blood vessels. The chemical makes the blood vessels easier to see on the x-ray.

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Reasons for Procedure  

This procedure may be done to:

  • 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

In some cases, the doctor can treat a blocked blood vessel during the procedure. This would prevent the need for another procedure.

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Possible Complications  

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

  • 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
  • Infection
  • Stroke

Factors that may increase the risk of complications include:

  • Allergies, especially to x-ray dye, iodine, medications, or certain foods, including shellfish
  • Kidney problems
  • Diabetes
  • Bleeding disorder
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What to Expect  

Prior to Procedure  

Before the test, your doctor may:

  • Ask about your medical history
  • Perform a physical exam
  • Do blood tests
  • Recommend stopping certain medications

You will need to arrange for a ride to and from the procedure.

Anesthesia  

A local anesthesia will be injected into your arm or groin. A small dose of sedative may also be given by IV.

Description of the Procedure  

An area of your groin or arm will be cleaned. This is where a catheter will be inserted. A small incision will be made into your skin. The catheter will be placed through the incision into an artery. The doctor will guide the catheter through the arteries to the area to be examined. The contrast material is injected through the catheter. The doctor will watch the procedure on a nearby monitor. Several sets of x-rays will be taken. The catheter will then be removed. Pressure will be applied to the area for about 10 minutes.

How Long Will It Take?  

Less than an hour to several hours. It depends on whether the doctor decides to fix any problems at the same time.

How Much Will It Hurt?  

Although the procedure is not painful, you may feel the following discomfort:

  • Brief sting when local anesthesia is injected
  • Pressure when catheter is inserted
  • Hot and flushed sensation when contrast material is injected

Post-procedure Care  

At the Care Center  

Immediately following the procedure:

  • 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.

At Home  

After your procedure, be sure to follow your doctor's instructions .

When you return home after the procedure, do the following to help ensure a smooth recovery:

  • 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 incisio