Angiogram
Angiogram shows the blood vessels in the body.
A tube called a catheter is put into a
vein at the top of your leg in
your groin or in your
arm. It is then guided into the
area to be tested. Dye is put
through the
catheter. X-rays are taken as the dye pumps through
the blood vessels. This test checks the blood flow in your body.
An angiogram is also called a peripheral
angioplasty or balloon angioplasty. An angioplasty may be done with an angiogram if you have
narrowed blood vessels.
With this procedure,
a balloon on the end of the
catheter will be used to open up the blood vessel
to improve blood flow. A
small tube-like device called
a stent may be placed in the blood vessel to keep the
blood vessel open.
An adult family member or friend
will need to take you
home after the test. It is not safe for you to drive or leave
alone. Your family is to wait
during the test.
Arrive on time for your test. The test takes about 1 to 2 hours. Plan to
be here about 4 hours to be checked after the test.
To Prepare
· Talk to your doctor about your medicines
before this test. Ask about other tests you
may need.
· Do not eat food
after midnight before the test.
· Ask your doctor if you
should take your medicines the morning of the
test. If so, take with sips of water only.
· Tell your doctor
if you have allergies to dye or iodine, shellfish or latex.
· Tell your doctor if you are pregnant or think you may be pregnant.
During the Test
· You may wear hearing aids, dentures and glasses. Jewelry
and watches will
need to be taken off. Leave valuables at home.
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· You will
wear a hospital gown.
· An IV (intravenous) is put
into a vein in your arm. Medicines
to help you relax and
fluids are given through
your IV.
· The lights in the room
may be turned down and the
room may seem cool. You will be
awake, so you can tell the staff how you feel.
· Small pads are put
on your chest to check your heart. For men, chest
hair may need to be clipped.
· A blood pressure cuff is
put on your arm. Your blood pressure and heart rate are checked often.
· The catheter site, either your groin or your arm, is cleaned. The hair in the groin area
will be clipped if needed.
· The doctor
numbs your catheter site. This may sting for a
few seconds. After this, you should only feel
pressure and no pain. Tell the staff if you have any pain during the test.
· The catheter is
put into a large blood vessel
and then moved into the
area to be tested.
· Dye is
injected. You may feel hot
or flushed for a
few seconds.
· X-rays are taken
as the dye moves through
your blood vessels.
You may be asked to hold your breath at times.
· If you have narrowed
blood vessels, the balloon
area of the catheter is moved to the narrowed area of the blood vessel.
The balloon is inflated to push open the narrowed blood vessel.
You may feel some chest
pressure, but the pressure should ease quickly. Tell the staff how
you are feeling.
· A stent
may be placed to keep the blood vessel open.
· Dye may be given again to see
how much of the
blood vessel has been opened.
· When
the test is done, the catheter
is removed.
· Pressure is put on the site for 10 to 20 minutes,
so it does not bleed.
A stitch or
plug may be used to close the
catheter site. A clamp is put on for about 1 hour to stop bleeding. A band-aid or dressing is put
on the site.
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After the Test
· You will
be taken to another
bed. You will rest for about 4 hours.
· Keep the leg or arm straight where the
catheter was placed to prevent
bleeding.
· Your site,
pulse and blood pressure will
be checked often.
· Tell your nurse right away if the site swells or bleeds, or if
you feel pain, numbness or tingling in your leg or
arm.
· You can
eat and drink.
· It is not safe for you to drive or leave
alone. An adult family member or friend will need to take you home.
· Test results are sent
to your doctor. Your doctor will share the results with you.
Your Care At Home
Today
· Rest at home for 24 hours.
· Limit
stair climbing.
· Drink 8 cups or 2 liters of liquids (non-alcoholic) to flush the dye
out of your kidneys.
· Eat your normal diet.
· Remove the
pressure bandage at bedtime and put on a
clean band-aid.
· Keep the
site dry. Do not shower or bathe.
· Look at
the site for bruising or a lump.
Other Care
· Do not take
a tub bath for 1 week after
the
test. You can take a shower. Do not scrub the
site.
· Do not take
the medicine Glucophage (metformin) for 2 days after the test.
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· Do not drive for 2 to 3 days.
· Do not exercise, run or lift objects over 10 pounds
or 4.5 kilograms for 3 days after the test.
· Check
the site for bruising or a
lump.
Call your doctor right away
if you have:
· Bleeding at the site that will not stop
· Swelling, redness, more bruising or tenderness at the site
· Drainage or warmth at the site
· Coldness or paleness of the
leg or arm
· Problems moving your toes or fingers
· Sharp
pain or stinging at the site
· Fever
or chills
· Numbness or weakness
· Confusion or you are less
alert
If you
have bleeding that will not stop
or a
lump that gets bigger
at the site, lie flat, hold pressure on the site and call .
Talk to your doctor or nurse if you have any questions or concerns.
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gks
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