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Patient
Information for
Outpatient Neuroradiology Angiograms
What
is an angiogram?
An
angiogram is an x-ray of a blood vessel. It is used to diagnosis
and treat vascular conditions.
Preparation
for outpatient angiogram:
-
Do
no eat anything after midnight the night before the angiogram.
If you take medication you should generally continue to take
all medication. The exception would be taking any blood thinning
medications and you should discuss this with your physician
before
the procedure.
-
On
the day of the angiogram you will meet one of the neuroradiologists
and he or she will explain the procedure and answer
any questions may have.
-
Be prepared
to stay in the hospital for at least 8 hours for your outpatient
angiogram. Make sure that a relative or friend is available
to take you home. You should not drive since we often use sedation
that will affect your ability to drive a car.
What happens during the angiogram?
You will have
to change into a hospital gown and lay on a radiographic table.
A nurse will start an intravenous line and you will be connected
to an EKG and an oxygen monitor. The area in your groin will be shaved,
cleaned with a sterile solution, and then draped with
sterile towels. Numbing medicine will be given as well as intravenous
sedation and pain medication. The neuroradiologist will insert a
catheter (small plastic tube) into the artery in your groin and this
catheter will be advanced to the artery in the neck or head that
is under investigation. To see the blood vessel a small amount of
contrast (radiographic dye) will be injected and pictures will be
taken. Several different vessels may be examined in different projections.
After finishing the procedure the radiologist will hold pressure
on the puncture site in the groin to prevent bleeding.
What happens after the procedure?
After the procedure
you will be moved back to the recovery room, where you will be
laying flat. You will be encouraged to take oral fluids.
The recovery period is 4 to 6 hours and then you will be able
to return home with your companion.
What should I do when I get home?
- You should drink plenty of fluids.
- Assume your normal diet and continue to take your medications.
- Avoid strenuous
activity for at least 12 hours.
- Do not take a hot bath or shower for at least 12 hours.
When do I find
out the results?
The results
of the angiogram will be communicated to the doctor that referred
you. He/she will contact you to discuss the findings and what to
do next. If you
experience any of the following symptoms call the neuroradiologist-on-call
at (585) 275-2222.
- Bleeding
at the puncture site.
- Unusual pain or swelling at the puncture site.
- Abnormal discoloration or temperature change at the puncture
site.
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