A Guide To A Peripheral AngiogramDocument Transcript
A Guide To A Peripheral Angiogram This guide is intended as a resource to help you understand what to expect during your test.Each patient may have different experiences. If at any time you have any questions, please ask your doctor or nurse.
About The Procedure ♥ The doctor has determined that you need a Peripheral Angiogram. This is a special kind of x-ray that allows your doctor to see the blood flow through the arteries in your body. Before The Procedure ♥ If you are an outpatient, your doctor’s office will confirm your procedure date and time. ♥ If you are an outpatient, please arrive at the hospital at least 2 hours prior to your scheduled appointment time. ♥ You will be asked to read and sign a consent form.Information ♥ Up to 2 family members may stay with you until it is time for the test. ♥ Bring ALL medications that you are currently taking. ♥ Tell the doctor’s office and the nurse if you have any allergies, especially allergies to iodine, shellfish or IV contrast. . ♥ A peripheral angiogram takes 30 to 60 minutes. Each test time varies. Exact start times are hard to predict. We try to begin your test on time but doing a thorough test is important to you and us. Be assured that a delay means good care for you and other patients. ♥ DO NOT SMOKE for 24 hours before the procedure. ♥ Do NOT eat or drink anything after midnight. ♥ If you are an outpatient, ask your doctor which medications you should take the evening before the test.Diet ♥ Take your morning pills with sips of water only, unless otherwise directed by your doctor. ♥ If you are taking Coumadin, Glucophage or Glucovance, it is very important that you talk to your doctor about holding these medications for several days before the test. ♥ Get a good night’s sleep. ♥ The evening before the test, take a shower or bath.Comfort ♥ You may wear your glasses and hearing aids. ♥ You will need to wear a hospital gown and remove all clothing, including underwear. ♥ Please leave personal belongings and valuables at home. ♥ Please use the restroom just prior to being transported to the Angiogram Suite.Equipment / Testing ♥ You will be taken to the Angiogram Suite on a wheeled cart. ♥ An intravenous (IV) catheter will be started in your hand or arm, so fluid or medication can be given as needed. ♥ A physical examination may be done if it was not already done at the doctor’s office.
During The Procedure ♥ Your family will be directed to the waiting area on the third floor when you are taken to the AngiogramInformation Suite. ♥ A staff member will remain with you during the peripheral angiogram. ♥ Let the staff know how you are feeling and if you have any pain, discomfort or shortness of breath. ♥ Medication may be given to help you relax.Comfort ♥ Tell the doctor or nurse if you feel pain, discomfort or shortness of breath. ♥ Once inside the Cath Lab, you will be helped onto a narrow x-ray table. The room may feel chilly and look dark. A x-ray machine will be above you. Other equipment and monitors will be located along the walls. The nurse will apply: ♥ Small EKG pads on your chest so the staff can watch your heart rhythm. ♥ A small clip on your finger to measure your oxygen level. About the procedure: ♥ The doctor will determine the site through which he/she will insert the catheter. The site will be either your arm or groin. The most common site is the groin. ♥ The site where the catheter will be placed will be washed with an antiseptic and may also be shaved to help prevent infection. Some people may have allergies to certain antiseptics. Let the staff know of these allergies. ♥ The site will be draped for privacy and you will be covered with a sterile sheet.Equipment / Testing ♥ Numbing medicine will be injected into the skin at the site where the doctor will later insert the catheter. This will feel like a bee sting. ♥ A small needle will puncture the skin and the blood vessel (artery). Because you will have already been given numbing medicine, this will not feel painful. You may feel some pressure. ♥ Your doctor will then place a small hollow tube (sheath) in the blood vessel. A small tube called a catheter will be inserted through the sheath and guided into the blood vessel that needs to be examined. This catheter is a long, flexible tube, no wider than a refill cartridge to a ball point pen. ♥ When the catheter reaches the appropriate blood vessel, dye will be injected. Your doctor will take pictures of the blood vessels and detect any areas of blockage. ♥ When the dye is being injected, you may feel hot and flushed for about 30 seconds. This is normal. The feeling will pass quickly. ♥ The peripheral angiogram will take about 60 minutes to complete. If a balloon or stent procedure is performed, additional time will be required depending on the specific procedure. The catheter will be removed at the end of the procedure.
Information After The Procedure ♥ Your vascular surgeon’s office will call and set up a time with you to review your test results and discuss the recommended course of treatment. ♥ You and your family will be escorted back to your nursing unit or to the Procedural Care Unit ♥ You will be allowed to eat and drink after the test. Drink plenty of fluids and water. This will help Comfort flush the dye from your body. Diet & ♥Most patients experience minimal discomfort. If you have any discomfort, please tell your nurse IMMEDIATELY. ♥There are several methods to close the catheter puncture site in the artery: Your doctor will chose the method which is best for you. Pressure and Bedrest: The staff will place firm pressure over the site or place a pressure device (clamp) to stop the bleeding. You will be told to keep your arm or leg straight (No Bending) for a minimum of 4 to 6 hours. This is time needed for the blood vessel to begin to heal where the catheter was placed. You May Not Bend, Turn or Sit. You will need to ask the nurse for a bedpan Equipment / Testing or urinal during this time. Stitches at the puncture site: Stitch(es) are placed where the catheter went into the artery. Because of the stitch(es), you may be able to get up immediately or be asked to remain on bedrest for only a short time (2 hours or less). A small amount of oozing may occur at the cath site. Collagen Plug: A substance (collagen) is placed as a plug in the puncture site to stop the bleeding. You may feel a pea sized lump until your body breaks down the collagen (~1-3 months). You will be asked to stay on bedrest for 1-2 hours after the procedure. ♥ Tell your nurse immediately if you notice any bleeding or wetness at the puncture site or pain/numbness in foot or leg. ♥ Your IV will stay in until your doctor requests that it be removed or before discharge. ♥ You will be allowed to bend the leg not used for the procedure. Discharge Information ♥ You must have someone drive you home, preferably someone who can drive after dark. ♥ A bruise or small lump under the skin at the insertion site is common. These usually disappear within a few weeks. ♥ You must not smoke for 24 hours following the peripheral angiogram. Smoking irritates the blood vessels. You are strongly encouraged to stop smoking after discharge. ♥ You will receive wound care and activity information before discharge.Copyright, 2002 OhioHealth, Columbus, Ohio Rev. 11/2004 12017521