Arterial Angiogram

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  • 1. health informationArterial AngiogramWhat is it?This procedure is an x-ray of specific blood vessels and organs in your body. A thin tube called a catheter isinserted into a blood vessel (artery), usually in the groin, and advanced to specific body areas such as thekidneys, abdomen, legs, head, neck, arms or chest. An x-ray dye is injected through the catheter and a series ofx-ray pictures are taken.How to Prepare for the Procedure Do not eat anything after midnight before your procedure. You may drink clear fluids (tea, coffee, apple juice, or water) after midnight, until the time of your procedure. If you are taking prescription drugs for any condition, take them the morning of the procedure with a sip of water, unless your doctor has told you otherwise. Bring your medications with you to the hospital. Bring only enough that you would normally take during that day. Please make arrangements for transportation home, as you will not be allowed to drive for 24 hours after the procedure. For your safety have someone stay with you for 24 hours after the procedure to help you if problems arise.What to Expect A radiologist (a medical doctor specializing in x-ray procedures) will perform this procedure in the x-ray department. You will be asked to sign a consent form. You will wear a hospital gown for the procedure. You will be asked to empty your bladder before the test and remove any jewellery. You can wear your dentures and your glasses although they may have to be removed, depending on the test. An intravenous (IV) will be started in your hand or arm to give you medications as needed. A small area around your groin will be clipped and cleansed with an antiseptic solution. The radiologist will freeze the groin area with a local anaesthetic. You may feel some pressure when the catheter is inserted into the groin area. As the x-ray dye is injected into the catheter, you may feel a brief warm flushing sensation. It is important to lie still while the x-rays are being taken. This procedure may take 45-60 minutes to complete. When the procedure is finished, the catheter will be removed, pressure will be applied over the site, followed by a bandage. 605421 © R(2004/11)
  • 2. What to Expect After the Procedure Warning Signs You must keep your head flat on the pillow following the procedure. Only a staff member can lift your head Call Dr. __________________________________________________ or go to the nearest hospital Emergency or slightly raise the head of your bed. Department if you have any of the following: You will be on bed rest, with the head of the bed raised no more than 30 degrees, for 4-6 hours after the cold or discoloured (blue) extremity (leg or arm) procedure. severe symptoms If you cough, laugh or sneeze or strain during the next 24 hours, place finger pressure over the puncture site. chills or fever (temperature higher than 38 ºC or 100.4 ºF) You must keep the affected leg straight, but you may bend the opposite leg up to decrease the pressure on swelling or bleeding at the puncture site your back. increasing headache, vision problems or loss of sensation (if you have had a cerebral or renal angiogram) Your blood pressure, heart rate, foot pulses and puncture site will be checked often. increasing pain in your abdomen or shoulder (if you have had a liver portography) If you have had a cerebral (brain) angiogram, the strength in your hands and feet as well as your pupil (eye) reaction to light will be checked. You will be encouraged to drink plenty of fluids to help your body remove the x-ray dye. Your IV will be removed when you are drinking well. If you have any numbness, tingling, temperature change or bleeding while you are resting, tell your nurse. You may have a bruise or small lump at the site. It usually disappears in a few days but may persist for 2 weeks. Please tell your nurse right away if you feel any of the following: warmth, wetness or pain at the dressing site change in feeling in your leg or foot (numbness, tingling, pain) back discomfort extreme itchiness shortness of breathDischarge Instructions Rest at home for the remainder of the day. Do not bend your leg at the groin puncture site for 24 hours. Avoid heavy lifting and strenuous activity for 48-72 hours. Resume your normal diet. You may remove the pressure dressing or bandage when you shower in 24 hours. Do not soak in the tub for 1 week or until the groin puncture site is healed. Increase your fluid intake for 48 hours after the procedure. If your puncture site should bleed or ooze at home, lie down and press firmly on the puncture site with your fingertips for 10 minutes. Once the bleeding has stopped, have someone drive you immediately to the nearest hospital Emergency Department, or call 911 for an ambulance if you are alone. It is important to see a doctor so the cause of the bleeding can be found. Follow your doctor’s instructions about follow-up and/or further treatment. This material is designed for information purposes only. It should not be used in place of medical advice, instruction and/or treatment. If you have specific questions, please consult your doctor or appropriate health care professional.