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ANGIOGRAPHY

Angiography is an x-ray procedure used to visualize blood vessels. Contrast dye is injected to make vessels visible. It is commonly used to identify issues like atherosclerosis, diagnose heart disease, and evaluate kidney function. The procedure provides surgeons with a "map" of vessels prior to certain surgeries. Patients are awake during the 1-2 hour procedure. Afterward, the access site is monitored for bleeding and the patient rests with the affected extremity immobilized. Instructions are provided about follow-up care before discharge.

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717 views8 pages

ANGIOGRAPHY

Angiography is an x-ray procedure used to visualize blood vessels. Contrast dye is injected to make vessels visible. It is commonly used to identify issues like atherosclerosis, diagnose heart disease, and evaluate kidney function. The procedure provides surgeons with a "map" of vessels prior to certain surgeries. Patients are awake during the 1-2 hour procedure. Afterward, the access site is monitored for bleeding and the patient rests with the affected extremity immobilized. Instructions are provided about follow-up care before discharge.

Uploaded by

Akazukin Aine
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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ANGIOGRAPHY

WHAT IS
ANGIOGRAPHY?
Angiography is the x-ray (radiographic) study of the blood
vessels. An angiogram uses a radiopaque substance, or contrast
medium, to make the blood vessels visible under x ray.
PURPOSE:
Angiography is used to detect abnormalities, including narrowing (stenosis) or
blockages in the blood vessels (called occlusions) throughout the circulatory
system and in some organs. 

The procedure is commonly used to identify atherosclerosis; to diagnose


heart disease; to evaluate kidney function and detect kidney cysts or
tumors; to map renal anatomy in transplant donors.

It is also used to provide surgeons with an accurate vascular "map" of the


heart prior to open-heart surgery, or of the brain prior to neurosurgery .

Angiography may be used after penetrating trauma, like a gunshot or knife wound,
to detect blood vessel injury; it may be used to check the position of shunts and
stents placed by physicians into blood vessels.
BEFORE THE PROCEDURE

Assess the client’s and family’s knowledge and understanding of the procedure.
Provide additional information as needed. Explain that the client will be awake during
the procedure, which takes 1 to 2 hours to complete. A sensation of warmth (a “hot
flash”) and a metallic taste may occur as the dye is injected. A rapid pulse or a few
“skipped beats,” also are common and expected during the procedure

Provide routine preoperative care as ordered

Administer ordered cardiac medications with a small sip of water


unless contraindicated
Assess for hypersensitivity to iodine, radiologic contrast
media, or seafood

Record baseline assessment data, including vital signs, height, and


weight. Mark the locations of peripheral pulses; document their
equality and amplitude.

Instruct to void prior to going to the cardiac catheterization


laboratory, to promote comfort.
AFTER THE PROCEDURE

• Assess vital signs, catheterization site for bleeding or hematoma,


peripheral pulses, and neurovascular status every 15 minutes for
first hour, every 30 minutes for the next hour, then hourly for 4
hours or until discharge.

• Maintain bed rest as ordered, usually for 6 hours if the femoral


artery is used, or 2 to 3 hours if the brachial site is used. The
head of the bed may be raised to 30 degrees
• Keep a pressure dressing, sandbag, or ice pack in place over the arterial
access site. Check frequently for bleeding (if the access site is in the groin,
check for bleeding under the buttocks).

• Instruct to avoid flexing or hyperextending the affected extremity for 12 to


24 hours.

• Unless contraindicated, encourage liberal fluid intake. An increased fluid


intake promotes excretion of the contrast medium, reducing the risk of toxicity
(particularly to the kidneys).

• Promptly report diminished peripheral pulses, formation of a new hematoma


or enlargement of an existing one, severe pain at the insertion site or in the
affected extremity, chest pain, or dyspnea

Provide instructions about dressing changes, follow-up appointments, and


potential complications prior to discharge.

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