Peripheral Artery & Vein Angiography
This procedure detects blockages or vascular issues so we can plan targeted treatments to improve circulation and reduce pain or risk
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Peripheral arterial & venous (vein) angiography is a diagnostic imaging procedure used to visualize the arteries and veins of the heart (the periphery).
What is a Peripheral Artery & Vein Angiography?
Why is the Procedure Performed?
The primary reasons for performing a peripheral angiography include:
Diagnosing peripheral artery disease (PAD), where the arteries that supply blood to the limbs are narrowed.
Evaluating venous conditions, such as deep vein thrombosis (DVT) or chronic venous insufficiency.
Identifying the location and severity of blockages or narrowing in the arteries and veins.
Planning for interventions, such as angioplasty or vascular surgery, to restore blood flow or address venous issues.
How is the Procedure Performed?
Peripheral angiography is typically performed in a hospital or ambulatory surgery center equipped with specialized X-ray equipment. The procedure involves the following steps:
Preparation: You’ll be awake but may receive medication to help you relax, and the insertion area is cleaned and numbed.
Catheter Insertion: A small cut is made to insert a thin tube into a blood vessel, guided by X-ray.
Contrast Dye Injection: Dye is injected through the catheter to highlight blood vessels on X-ray images.
Completion: The catheter is removed, pressure is applied to stop bleeding, and you’ll move to recovery.
What are the Risks and Benefits?
Benefits
Provides detailed images of the blood vessels, aiding in accurate diagnosis and treatment planning.
Can help prevent more serious conditions by identifying vascular issues early.
Minimally invasive with a relatively short recovery time.
Risks
As with any medical procedure, a Peripheral Artery & Vein Angiography does involve potential risks. These may include:
Infection at the implantation site.
Bleeding or bruising.
Allergic reaction to the dye
Damage to the heart or blood vessels from the leads.
Rarely, kidney damage (particularly in patients with pre-existing kidney issues).
Preparing for Your Peripheral Artery & Vein Angiography Procedure
What to Expect
You will be awake during the procedure, which typically takes about 1-2 hours. he insertion area is numbed, so while you may feel some pressure, you shouldn’t feel pain. When the contrast dye is injected, you might feel a warm sensation as real-time X-ray images capture blood flow and help identify any abnormalities.
How to Prepare for Your Procedure
Fasting: You may be instructed to not eat or drink anything for a certain period before the procedure, usually 8 hours.
Medication: Continue taking your medications as prescribed unless advised otherwise by your physician. You might need to adjust or stop certain medications, especially those that affect blood clotting.
Showering: You may be asked to shower with an antibacterial soap on the morning of the procedure to reduce the risk of infection.
Medications to Discuss Before the Procedure
Blood Thinners: Let your doctor know if you take blood thinners. Some may need to be stopped a few days in advance.
Diabetes Medications: You may need to adjust your dosage due to fasting.
What to Bring with You
A complete list of all your medications, including supplements and over-the-counter items.
Identification and insurance cards.
Have the name and contact information of a family member or friend who can be reached if necessary.
After the Procedure
Recovery: You’ll stay in a monitored recovery area for a few hours to ensure there are no immediate complications, such as bleeding from the catheter insertion site.
Activity: Avoid heavy lifting or strenuous activity until cleared by your care team.
Wound Care: Follow instructions carefully to keep the insertion site clean, dry, and free of infection. You may be advised on when it's safe to shower or bathe.
Tips for a Healthy Recovery
Give yourself time to rest and recover. Listen to your body and do not rush back into your normal activities.
Pay attention to any signs of infection at the incision site, such as redness, swelling, or discharge.
Over-the-counter pain medication can be used to manage any discomfort at the implant site.
When to Call Your Doctor
Seek immediate medical attention if you experience symptoms of infection, such as fever, increased pain, or drainage from the incision site.
If you notice any new, severe pain or discomfort in the area where the catheter was inserted should be reported immediately.
If you notice any changes in sensation, such as numbness or tingling in the limb used for the catheter insertion, please contact your healthcare provider immediately.
Have a Question? Check Here!
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Peripheral Artery & Vein Angiography is a procedure that helps helps identify blockages, narrowing, or other abnormalities in the arteries and veins, aiding in the diagnosis and treatment planning for vascular conditions.
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You may need to stop eating or drinking for several hours before the procedure and review your medications with your doctor ahead of time. Wear comfortable clothing and arrange for someone to drive you home afterward.
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You’ll be awake but relaxed. A local anesthetic is used to numb the insertion site. You may feel a warm sensation when the contrast dye is injected. The procedure typically lasts 1 to 2 hours.
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While complications are rare, risks may include bleeding, infection, or an allergic reaction to contrast dye. Your healthcare team will take precautions to minimize these risks.
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You’ll need to rest and be monitored for a few hours, and can go home the same day. You might experience some soreness at the insertion site. Avoid strenuous activities for at least 24-48 hours.
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You can usually return to regular activities within a day or two, but your doctor will give you specific instructions based on your health and how the procedure went.
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Keep the site clean and dry, and follow your provider’s instructions on bandage changes and signs to watch for.
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Call your doctor if you experience signs of infection at the insertion site, severe pain, swelling, changes in the color or temperature of the limb used for the procedure.
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Depending on what was found or treated during the procedure, your doctor may prescribe new medications, especially to prevent blood clots.
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Once you’re fully awake and stable, you’ll be allowed to eat and drink—often starting with water and light food.
