Cerebral Angiogram


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Cerebral Angiogram

  1. 1. C erebral Angiogram An x-ray of the arteries and veins in the brain What happens during the test?University of is called a cerebral (sir-REE-brol) angiogramPittsburgh You will be asked to change into a hospitalMedical Center (AN-jee-oh-gram). This test is done to find problems, such as blocking or leaking, in your gown and remove any jewelry, dentures, hairInformation clips, or other metal objects that may blockfor Patients blood vessels. the x-rays. You may be given a mild sedative about 30 to 45 minutes before your test. You How does an angiogram work? will be asked to empty your bladder. You For the test, a contrast dye is passed into your must sign a consent form. blood vessels through a long, thin tube called Next, a technicican will help you onto the a catheter (KATH-ih-ter). The dye helps x-ray table. You should lie still on your back your blood vessels show up better on x-rays. with your arms at your sides. You will be con- Then a series of x-rays of your brain is taken. nected to machines that monitor your blood A device called a fluoroscope (FLOOR-oh- pressure, heart rate, and oxygen levels during skope) immediately projects the x-ray images the test. The site where the catheter will be onto a special screen for viewing. inserted into your body will be cleaned with alcohol and antiseptic. Then a local anesthetic How do I prepare for the test? will be injected to numb that area of your body. You may feel a brief burning sensation. • Do not eat or drink anything, not even A tiny cut (incision) will be made into an water, for 8 to 10 hours before the test. artery in your thigh, neck, or arm. If an artery • Check with your doctor about any routine in the thigh is used, your groin will be shaved medicines you take. If your doctor tells you first. A guide wire then is inserted and care- to take your medicine, take it with only a fully fed through the artery. Next, the cath- small sip of water. eter tube is slid over the guide wire into the • Tell your doctor or technician if you are artery. The catheter is carefully advanced into allergic to iodine or shellfish, or if you’ve the main artery above the heart’s left cham- had an allergic reaction to contrast dye in ber. An x-ray will be taken to make sure the the past. catheter is in the right place. • Tell your doctor or technician if you have Next, the contrast dye will be injected. You ever been treated for asthma. may have a warm, flushed feeling; get a taste like salt or metal in your mouth; or feel • If you are pregnant, think you might be nausea for a few minutes. These sensations pregnant, or are breast-feeding, tell your are normal, but you should report these or doctor or technician. other reactions to your doctor or technician. Now a series of x-ray images will be recorded. continued
  2. 2. CEREBRAL ANGIOGRAM You may receive more than one injection of • numbness, tingling, or weakness in your contrast dye during the test. When the test face, arm, or leg is over, the catheter will be removed. Pressure • trouble swallowing will be placed on the incision for about 15 minutes to stop bleeding. After the bleeding • trouble talking or understanding stops, a thick dressing will be put on the • sudden confusionUniversity of incision. You’ll be taken to another room, • allergic reactions, such as shortness ofPittsburgh where the nurses will check on you often.Medical Center breath, dizziness, chest pain, rapid heartInformation beats, or itchingfor Patients What happens after the test? • severe thirst You must stay in bed about 6 hours after the • difficulty urinating test. To prevent bleeding, you must keep the area of the incision as still as possible. For example, if the artery in your thigh was used, How do I get my results? you must keep your leg straight. Your referring doctor will discuss the results Your vital signs, your level of alertness, and of the test with you. Check with your doctor the incision dressing will be checked often. or testing center about how and when to get They will be checked every 15 minutes for the your results. first hour, then every 30 minutes, and finally once an hour for 4 hours. Questions and concerns You will be told to drink plenty of fluids to It’s normal to have some anxiety before and flush the contrast dye out of your system. If during a test. But a diagnostic test should you’re not able to drink, you’ll receive fluids not be a frightening experience. Feel free to through an IV line. express concerns about your cerebral angio- gram. Please ask the medical staff any ques- When to call the doctor tions you may have. Tell your doctor or nurse if you have any of the following: My test appointment • bleeding, bruising, redness, or warmth at Date: ____________ Time: ____________ the incision site Place: _______________________________ • loss of feeling at the incision site Report to: ____________________________ • changes in vision or loss of vision Phone number: _______________________ For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 800-533-UPMC (8762). Pittsburgh, PA, USA The University of Pittsburgh Medical Center is an equal opportunity employer. Policy prohibits discrimination or harassment on the basis of race, color, religion, www.upmc.com national origin, ancestry, sex, age, marital status, familial status, sexual orientation, disability, or veteran status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to© University of Pittsburgh Medical and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.Center 2003SYS216460 JS/JS ORIG 09/03 This information is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this informationForm # 7110-82190-0903 for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have.