Angiography is generally a safe procedure, but minor side effects are common and there's a small risk of serious complications . You'll only have the procedure if the benefits outweigh any potential risk. Speak to your doctor about the risks with having angiography.
Most people feel fine a day or so after having the procedure. You may feel a bit tired, and the wound site is likely to be tender for up to a week . Any bruising may last for up to 2 weeks.
Angiography generally is a safe procedure. The mortality rate for patients undergoing this procedure is less than 0.5% , and the morbidity rate is less than 5%. Patients who have long-standing pulmonary arterial hypertension and right ventricular failure are considered high-risk patients.
If your physician decides that surgery is a better option, he will obtain any additional X-ray images needed to plan a surgical bypass of the blocked vessel/s and will then conclude the angiogram. Risks: An angiogram is considered a safe procedure, but it is not risk-free .
Will an angiogram hurt? Neither test should hurt . For the conventional angiogram you'll have some local anaesthetic injected in your wrist through a tiny needle, and once it's numb a small incision will be made, in order to insert the catheter.
Rest at home until the morning after the procedure . Keep the wrist where the procedure was done as straight as you can for 6 hours. Do not do any sports, heavy work or lifting with the arm that was used for your procedure for 4 -7 days. Gradually increase your activity over the first week.
Do not do strenuous exercise and do not lift, pull, or push anything heavy until your doctor says it is okay . This may be for several days. You can walk around the house and do light activity, such as cooking. If the catheter was placed in your groin, try not to walk up stairs for the first couple of days.
Risks associated with cardiac catheterization and angiograms include:
- allergic reactions to the local anesthetic, contrast dye, or sedative.
- bleeding, bruising, or soreness at the insertion site.
- blood clots.
- injury to an artery or vein.
- damage to the walls of the heart.
- acute kidney failure.
- irregular heartbeat.
You can walk around the house and do light activity, such as cooking. If the catheter was placed in your groin, try not to walk up stairs for the first couple of days. If the catheter was placed in your arm near your wrist, do not bend your arm deeply for the first couple of days.
As of Spring 2018 the ABNS Directors, after soliciting advice from several stakeholders, decided to include diagnostic cerebral angiography as a “major” procedure . As a result, these will be included as part of the required major case total for primary certification.
Depending on the complexity of the investigation, an angiography takes between 30 minutes and 2 hours. You will usually be allowed to go home on the same day, although in some cases you may need to stay in hospital overnight . An angiography is usually a planned procedure.
During the Angiogram
Your angiogram will be performed by an interventional cardiologist. The procedure will be performed in a hospital's catheterization laboratory, or “cath lab.” An angiogram typically takes from 45 minutes to one hour . You will lie on a table, awake but mildly sedated.
The angiography procedure
For the test: you'll usually be awake, but general anaesthetic (where you're asleep) may be used for young children . a small cut is made in the skin over 1 of your arteries, usually near your groin or wrist – local anaesthetic is used to numb the area so it does not hurt.
After an angiogram, your groin or arm may have a bruise and feel sore for a day or two . You can do light activities around the house but nothing strenuous for several days. Your doctor may give you specific instructions on when you can do your normal activities again, such as driving and going back to work.
The contrast dye will outline your arteries and show if there are any blockages. The x-ray camera also records a movie of your heart's pumping chamber and arteries. While most people do not feel the dye injection, some feel minor discomfort in their chest, lightheadedness, or nausea