You lie on an X-ray table on your back during the treatment. Safety straps may be put across your chest and legs because the table may tilt while the treatment is being performed. Your head and chest will be moved about by X-ray cameras while they take many perspectives of your body.
Your arm's vein is used to implant an IV line. Along with additional drugs and fluids, you can receive a sedative through an IV to help you unwind. Although you could nod asleep while the treatment is being done due to your extreme drowsiness, you will still be able to be readily roused to follow any instructions.
Your heart is continuously monitored by electrodes on your chest. The quantity of oxygen in your blood is measured by a pulse oximeter and is tracked by a blood pressure cuff.
Your arm or groin, which will be the location of a flexible tube (catheter), may need to have a tiny quantity of hair removed. After cleaning and disinfecting the region, a local anesthetic injection is used to numb it.
A tiny cut is created at the point of entrance, and a sheath—a little plastic tube—is placed into your artery. The catheter is gently threaded to your heart or coronary arteries by being introduced via the sheath into your blood vessel.
You shouldn't feel the catheter traveling through your body or experience any pain when threading it. If you experience any discomfort, let your healthcare staff know.
Through the catheter, dye (contrast material) is administered. When this occurs, you could experience a momentary flushing or warming feeling. But once more, let your medical staff know if you have any pain or discomfort.
On X-ray scans, the dye is clearly visible. Your doctor can see the flow of the blood as it passes through your blood vessels and spot any obstructions or constrictions. You could undergo further catheter treatments concurrently, such as a balloon angioplasty or stent implantation to widen a narrowed artery, depending on what your doctor learns during your angiogram. Your doctor may use other noninvasive procedures, including ultrasonography, to assess any blockages found.
An angiography typically takes an hour; however, this time may increase, particularly if further cardiac catheterization procedures are involved. Time might be extended by preparation and post-procedure care.