It has been reported that death after coronary angiography is rare (0.02%). Left main coronary artery lesion, advanced age, multivessel disease, heart failure, aortic stenosis and renal failure are reported as the risk factors causing sudden death after coronary angiography.
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.
The success rate was 97.6% for CAG and 96.3% for PCI. Seven patients (0.25%) had minor hematoma and 49 patients (1.7%) had reduced radial pulse 3-4 hours post procedure. Conclusion: Transradial coronary intervention is safe and practical. It should be favored over femoral artery as an initial access point.
Coronary angiography was performed in 46% of patients aged 30-49 years, in 53% of those aged 50 to 64 years, in 33% of those aged 65 to 74 years, and in only 18% of those aged > or = 75 years (chi2 test for trend, p < 0.0001).
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.
Injury to the catheterized artery. Irregular heart rhythms (arrhythmias) Allergic reactions to the dye or medications used during the procedure. Kidney damage.
Time-in-bed standards vary widely, from 3 to 12 hours after cardiac catheterization to more than 24 hours of bed rest after angioplasty. Bed rest with restricted movement causes patient discomfort, increases nursing workload, and prolongs length of hospital stay.
You may decide to have an angiogram because: It can help your doctor see if a change in treatment might lower your risk of heart attack or death from heart problems. An angiogram can show your doctor where plaques have narrowed your arteries and if blood flow is slowed.
If your doctor finds a blockage during your coronary angiogram, he or she may decide to perform angioplasty and stenting immediately after the angiogram while your heart is still catheterized. Your doctor will give you instructions to help you prepare.
Narrowed coronary arteries may possibly be treated during the angiogram by a technique known as angioplasty. A special catheter is threaded through the blood vessels and into the coronary arteries to remove the blockage. Another surgical option for severely narrowed coronary arteries is a bypass operation.
Injecting a dye shows on x-rays whether arteries are gunked-up or clear. More than a million Americans get angiograms every year. One in five angiograms involves a patient without known heart disease--and often no symptoms.
An angiogram isn't very painful. You'll feel a needle going into your skin when your provider injects an anesthetic to numb the area where they'll insert a catheter. After that, you most likely won't feel any more pain during the procedure.
Cardiac CT angiography has become an important tool for the diagnosis and treatment of congestive heart failure.
Stroke is reported to occur in 0.05-0.1% of diagnostic cardiac catheterizations and in 0.18-0.44% of patients treated with percutaneous coronary intervention in clinical routine today.
A CT coronary angiogram is mainly used to check for narrowed or blocked arteries in the heart (coronary artery disease). However, it can check for other heart conditions.
Contrast Induced Nephropathy (CIN) is a potentially serious complication of coronary angiography with significant short and long term sequelae.
Although blockages can occur in other arteries leading to the heart, the LAD artery is where most blockages occur.
They're a major pipeline for blood. If blood gets 100% blocked at that critical location, it may be fatal without emergency care.
By clinical guidelines, an artery should be clogged at least 70 percent before a stent should be placed, Resar said. "A 50 percent blockage doesn't need to be stented," he said.
An angiogram is an X-ray procedure that can be both diagnostic and therapeutic. It is considered the gold standard for evaluating blockages in the arterial system. An angiogram detects blockages using X-rays taken during the injection of a contrast agent (iodine dye).
The angiogram usually takes under an hour, but you'll stay in hospital for up to 6 hours, while your healthcare team monitors your blood pressure, heartrate and breathing, as well as the site where the tube was inserted.
After angiography
After the test, you'll be taken to a recovery ward where you'll be asked to lie still for a few hours to prevent bleeding from the cut. You'll usually be able to go home the same day, although sometimes you may need to stay in hospital overnight.
A test called an echocardiogram is often the best test to diagnose your heart failure. Your doctor can also use this test to find out why you have heart failure, and then monitor your condition going forward every three to six months.
You may remove the bandage 1 day after your angiogram. You may shower 1 day after your angiogram. Do Not sit upright for more than 1 hour at a time during the first day at home. If traveling for long periods, stretch your legs out and get up and walk every hour during the first day going home.