Carotid Angiography

What is cerebral or carotid angiography?

With this method, the condition of the patient’s cerebral arteries and the percentage of their stenosis can be so well-determined, that the doctor can choose the type of treatment for patient’s condition with confidence. It is a cost reductive diagnostic way, which reduces complications after surgery. With this method, doctors can assure a shorter hospitalization for the problem. Carotid angiography is still considered the gold standard for carotid artery imaging. Angiography is not recommended for people who has allergy to contrast agents, active infections, pregnancy, kidney and liver dysfunction, Refractory Arrhythmia and uncontrolled high blood pressure.

Who is a good candidate?

• People with narrowed cerebral arteries.
• Any patients with a problem of cerebral arteries that doctors will need an exact diagnosis test.

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Before the procedure

The medical team asks about medical history and allergies. They take some special tests and the doctor will adjust the medicines such as insulin. Patients should not eat or drink from the midnight before the procedure. Anticoagulants such as warfarin will be discontinued 2 to 3 hours before the test.

During the procedure

Patients usually would be under local anesthesia during the procedure. This procedure usually lasts 2 to 4 hours. Patients should breathe deeply and relax. The heartbeat, blood pressure, breathing and oxygen are continuously controlled during the procedure.

After the procedure

If the angiography is performed through the groin, patient should stay motionless for about 6 hours and the hemorrhage is controlled by a sand bag. Patients may have tenderness or bruising for one or two weeks which are normal. Lifting heavy things should be avoided for some days. Patients have to drink a plenty of water or other liquids the days after. Patients may feel tired for a few weeks after surgery which is normal.

Scars

Probable scars

Discomfort

Moderate

Duration of results

 N/A

Potential risks

Soreness, swelling or pain, scars, infections and bleeding

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