Cardiology

Angiography

DESCRIPTION

In case of heart attack usually angiography procedure is performed. The patient will have to undergo certain tests before angiography to check the proper functioning of liver and kidney.

Doctor will ask you not to eat for several hours before angiography. Doctor may also asked you about your medical history whether you are taking any medication or have any allergies.

A cardiologist or radiologist will carry out the angiography procedure. To record your heartbeat electrodes (metallic discs, small) may be placed on your chest. A sheath (small plastic tube) will be placed into one of your arteries.

X-ray will create an image of your arteries. A blood pressure monitor may also be attached to your arm. To deliver sedative or any other medication an intravenous (IV) line will be inserted into a vein in your arm.

The procedure isn't painful but you may feel a slightly warm sensation, or a mild burning sensation, as the dye injected moves through your blood vessels. The completion of whole procedure can take time between 30 minutes to two hours.

Once the procedure has been completed, the catheter is removed and the incision is closed.

Once the procedure is done most people are able to leave the hospital on the same day. Patients may eat or drink as soon as he/she feel ready to, but it may take eight to 12 hours.

Angiography in India is a routine procedure in most hospitals offering cardiology as a specialty.

Cost of angiography in India varies from US$ 300 to US$ 600.

Complications

Angiography is very effectual procedure but there are some risks and possible complications also like any other procedure. Below mention are some risks and complications of angiography.

  • Arrhythmia (Abnormal heartbeat)
  • Very rare chances of impaired kidney function, death, eg surgery or blood clots
  • From the X-ray dye allergic reaction or kidney problems may occur
  • Infection, Stroke
  • Cracking of the artery lining
  • Bleeding or bruising at the insertion site

Post Operative Care

Pain medication is prescribed if the patient is experiencing discomfort from the puncture.

To reduce swelling a cold pack is also applied. During the procedure a hard mass created by the blood vessels broken may also develop which is called a hematoma. Hematoma may indicate continued bleeding of the arterial puncture.

Due to the arterial puncture, the patient is instructed to keep his /her leg straight for a few hours.

In order to avoid undue stress on the arterial puncture patient are advised to have two to three days of rest after the procedure.

Patients need immediate medical attention if he/she experience chest pain, dizziness, swelling of the puncture site or bleeding. Patient should not expose their eyes to direct sunlight and also should not drive.