(Catheter Angiography; Arteriography; Angiogram)En Español (Spanish Version)
An x-ray exam of the blood vessels when they are filled with a contrast material (a substance that makes the blood vessels visible on an x-ray)
© 2008 Nucleus Medical Art, Inc.
Parts of the Body Involved
Can be used in blood vessels throughout the body. It is most commonly used in the:
- Legs or arms
Reasons for Procedure
This procedure is performed to help doctors identify diseased, narrowed, enlarged, and blocked blood vessels, and to determine where internal bleeding may be occurring. It is specifically used to:
- Detect atherosclerosis (narrowing of the arteries), which could lead to a heart attack or stoke
- Identify an aneurysm (ballooning out of a section of a blood vessel) in the brain
- Evaluate disease in kidney arteries and help prepare for a kidney transplant
- Plan an operation or choose the best procedure for surgery
In some cases, the doctor can treat a blocked blood vessel when an angiogram is performed. This can prevent the need for another procedure.
Risk Factors for Complications During the Procedure
What to Expect
Prior to Procedure
At your appointment before the test, your doctor will likely:
- Do blood tests
- Your medical history
- Medications you take
- Whether you are pregnant or trying to get pregnant
- Perform a thorough physical examination
In the days before your procedure, you will need to:
- Arrange for a ride to and from the procedure.
- Follow your doctor’s instructions regarding any changes in how you take your medications and any restrictions on your eating and drinking.
At the hospital:
- A healthcare professional explains the procedure and answers any questions you may have.
- You remove all your clothes and jewelry and put on a hospital gown.
Local anesthetic is injected in the area of the groin or arm where the catheter will be inserted. A small dose of sedative may be given by IV.
Description of the Procedure
The area of the groin or arm where the catheter will be inserted is shaved, cleaned, and numbed with local anesthetic. The radiologist (doctor who specializes in working with medical images like x-rays) makes a small incision in your skin so that a catheter can be placed into an artery. A catheter is a very thin, flexible tube. The doctor guides the catheter through the arteries to the area to be examined and injects the contrast material. The doctor watches the procedure with a fluoroscope, an x-ray unit with a television monitor. Several sets of x-rays are taken, then the catheter is removed. The incision site is closed by placing pressure on it for about 10 minutes.
You will need to lie flat for two to six hours depending on your overall health and the reason for the exam. If you notice any swelling, bleeding, black and blue marks, or pain where the catheter was inserted, tell the nurse. 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, or you may have to stay up to a day for more observation and recovery.
How Long Will It Take?
Less than an hour to several hours
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 when contrast material is injected
Complications are rare but may include:
- Allergic reaction to contrast material
- Arrhythmias (abnormal heart beats)
- Bleeding at point of catheter insertion
- Blood clots, possibly resulting in heart attack , stroke , kidney damage, lung injury, or damage to arms or legs
- Catheter damage to blood vessels
- Kidney damage from contrast material
Average Hospital Stay
When you return home after the procedure, do the following to help ensure a smooth recovery:
- Drink extra fluids, as instructed by your doctor, to 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 longer as directed by your doctor.
- Change the dressing around the incision area as instructed.
- Take medications as instructed.
The radiologist will examine the x-rays and report the findings to your personal doctor. Your doctor will discuss the findings with you and any treatment options needed.
Call Your Doctor If Any of the Following Occurs
It is essential for you to monitor your recovery once you leave the hospital. That way, you can alert your doctor to any problems immediately. If any of the following occur, call your doctor:
- Redness, swelling, increasing pain, excessive bleeding, discharge at point of catheter insertion
- Signs of infection, including fever and/or chills
- Extreme sweating, nausea, or vomiting
- Leg or arm feels cold, turns white or blue, or becomes numb or tingly
- Extreme pain, including chest pain
- Difficulty breathing
American Heart Association
Radiological Society of North America
Heart and Stroke Foundation of Canada
Angiography. American Society of Radiologic Technologists website. Available at: https://www.asrt.org/content/thepublic/aboutradiologicprocedures/angiography.aspx . Accessed September 26, 2004.
Catheter angiography. RadiologyInfo website. Available at: http://www.radiologyinfo.org . Accessed May 7, 2003.
Cerebral angiogram. HeartCenterOnline website. Available at: http://www.heartcenteronline.com/myheartdr/News_about_the_heart/Antioxidant_levels_of_common_teas_vary_widely.html .
Last reviewed November 2007 by J. Peter Oettgen, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2011 EBSCO Publishing All rights reserved.