What you need to know about:

Coronary Angiogram

Fast Fact

96%

Worth It Rating

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Recovery Period:

No downtime

Permanence:

Not specified

177

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Time it takes:

1-2 hours

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Anesthetize:

None

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Overview of

Coronary Angiogram

in Thailand

An angiogram is a diagnostic test that uses x-rays to take pictures of your blood vessels. A long flexible catheter is inserted through the bloodstream to deliver dye (contrast agent) into the arteries making them visible on the x-ray. This test can help diagnose a stroke, aneurysm, arteriovenous malformation, tumor, clots, and arterial stenosis.

Goals of

Coronary Angiogram

Your doctor may recommend that you have a coronary angiogram if you have: -Symptoms of coronary artery disease, such as chest pain (angina) -Pain in your chest, jaw, neck or arm that can't be explained by other tests -New or increasing chest pain (unstable angina) -A heart defect you were born with (congenital heart disease) -Abnormal results on a noninvasive heart stress test -Other blood vessel problems or a chest injury -A heart valve problem that requires surgery Because there's a small risk of complications, angiograms aren't usually done until after noninvasive heart tests have been performed, such as an electrocardiogram [EKG], an echocardiogram or a stress test.

Price of

Coronary Angiogram

Average Cost

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Pros and cons of

Coronary Angiogram

Pros

-Requires no hospital stay with a short recovery period.

-Most procedures allow patients to return to normal activity within a few days.

-Procedures in an outpatient setting allow for continuity of care and higher levels of individual patient care.

-Procedures in an outpatient setting have lower rates of infection.

-A very small incision is used to access the artery.

Cons

N/A

How It Works:

Coronary Angiogram

This is a minimally invasive outpatient procedure requiring no hospital stay with a short recovery period. Most procedures allow patients to return to normal activity within a few days. Local anesthetic is usually given in the area where a needle/sheath will be inserted into the artery. The catheter is threaded through this needle. You will feel pressure/pain when the sheath punctures the skin. The sheath allows the procedure to be completed within the artery. The procedure is performed either through the groin or the wrist or the front part of the elbow. The right side is preferable. It is done using local anesthesia. During the procedure, a small catheter is introduced to the root of the aorta (great artery). Contrast agent is injected directly into the coronary arteries. Pictures are taken during the contrast injection. There is no pain during the procedure. Additional images may be taken with the use of a special catheter that has an ultrasound device on the tip. This is called IVUS (Intravascular Ultrasound) and is used to gather more detailed information about the amount of plaque or blockage inside the artery.

Preparation before

Coronary Angiogram

Pre - treatment

In some cases, coronary angiograms are performed on an emergency basis. More commonly, though, they're scheduled in advance, giving you time to prepare. Angiograms are performed in the catheterization lab of a hospital. Your health care team will give you specific instructions and talk to you about any medications you take. General guidelines that you should follow include: -Don't eat or drink anything after midnight before your angiogram. -Take all your medications to the hospital with you in their original bottles. Ask your doctor about whether to take your usual morning medications. -If you have diabetes, ask your doctor if you should take insulin or other oral medications before your angiogram.

Recovery after

Coronary Angiogram

Post - treatment

You should refrain from any heavy lifting, straining, pushing or impact exercises (i.e. running, jogging, cycling) for the first 5 days. You may walk and climb steps so long as you do not have excessive bruising, swelling or pain at the puncture site. You may resume driving the next day after the procedure. You will be discharged with a dressing over the puncture site. This may be removed in 3 days. There are no sutures or staples present at the puncture site. Please inspect the puncture site daily for the first few days and notify us for any significant changes. Bruising around the area may be present and may not appear until a couple of days after the procedure. Refrain from soaking in a bathtub, hot-tub or pool until puncture is healed.

Risks & side effects

Catheter-Related Risks Any procedure that involves the placement of a catheter inside a blood vessel carries certain risks. These risks include damage to the blood vessel, bruising or bleeding at the puncture site, and infection. The chance of any of these events occurring is less than one percent. Precautions are taken to prevent/lower the risk such as the use of sterile technique when performing the procedure and close monitoring during recovery to reduce the risk of bleeding. Allergy to X-ray Contrast Material Patients may have an allergic reaction to the x-ray contrast material used during endovascular procedures. These episodes range from mild itching to severe reactions that can affect breathing or blood pressure. Patients having procedures are carefully monitored by a physician and a nurse during the procedure and recovery process. Patients with a known allergy to iodine-based products and/or shellfish can be pretreated to reduce the risk of an allergic reaction. Medications to counteract allergic reactions are kept on-site in the outpatient setting. X-ray exposure Endovascular procedures are done under an x-ray. Exposure levels usually are well below those where adverse effects on the patient or future children would be a concern. Potential Adverse Effects on the Kidneys Patients with a history of poor kidney functions are at higher risk of further damage. Blood work will be drawn to help identify patients at risk and levels will be monitored accordingly. IV fluids will also be given during and after the procedure to dilute the dye and filter the dye through the kidneys. CO2 may be used in cases where dye is contraindicated.

FAQs:

Coronary Angiogram

Are there any travel restrictions after the procedure?

After leaving the hospital, it is recommended that the patient stay close by for at least one day for convenience in traveling back to the hospital if any complications arise from the procedure.

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What medications should I avoid?

Medications such as Xarelto, Eliquis, Pradaxa, Coumadin (Warfarin) and injectable Heparin/Lovenox are potent blood thinners that can cause an increased risk of bleeding from the puncture site. We will give specific instructions to hold medications on a case by case basis. If you take aspirin, Plavix, Cilostazol or Aggrenox, you may continue to use these medications as prescribed and only hold the medication on the day of your procedure. Diabetic medications will be adjusted and/or held on the day of the procedure. Please provide updated medication information to your physician so that appropriate and accurate instructions may be provided to you.

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What kinds of information can an angiogram show my doctor?‍

Show how many of your coronary arteries are blocked or narrowed by fatty plaques (atherosclerosis) Pinpoint where blockages are located in your blood vessels Show how much blood flow is blocked through your blood vessels Check the results of previous coronary bypass surgery Check the blood flow through your heart and blood vessels Knowing this information can help your doctor determine what treatment is best for you and how much danger your heart condition poses to your health. Based on your results, your doctor may decide, for instance, that you would benefit from having coronary angioplasty or stenting to help clear clogged arteries. It's also possible that angioplasty or stenting could be done during your angiogram to avoid needing another procedure.

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