1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Peripheral Angiogram?
A Peripheral Angiogram is usually performed when your doctor suspects that you may have a significant blockage in one or more of the arteries of your peripheral circulation. Doctors use a peripheral angiogram if they think blood is not flowing well in the arteries leading to your legs or, in rare cases, to your arms. The angiogram helps you and your doctor decide if a surgical procedure is needed to open the blocked arteries. Peripheral angioplasty is one such procedure. It uses a balloon catheter to open the blocked artery from the inside. A stent, a small wire mesh tube, is generally placed in the artery after angioplasty to help keep it open. Bypass surgery is another procedure. It re-routes blood around the blocked arteries.
Your doctor will give you instructions about what you can eat or drink during the 24 hours before the test.
You'll be asked not to eat or drink anything for 6 to 8 hours before your peripheral angiogram.
Tell your doctor about any medicines (including over-the-counter, herbs and vitamins) you take. He or she may ask you not to take them before your test. Don't stop taking your medicines until your doctor tells you to.
Tell your doctor or nurse if you are allergic to anything, especially iodine, latex or rubber products, medicines like penicillin, or X-ray dye.
Before the test, a nurse will put an IV (intravenous line) into a vein in your arm so you can get medicine and fluids. You'll be awake during the test.
A nurse will clean and shave the area where the doctor will be working. This is usually an artery in your groin.
A local anesthetic will be given to numb the needle puncture site.
The doctor will make a needle puncture through your skin and into your artery, and insert a long, thin tube called a catheter into the artery. You may feel some pressure, but you shouldn't feel any pain.
The doctor will inject a small amount of dye into the catheter. This makes the narrowed or blocked sections of your arteries show up clearly on X-rays. The dye may cause you to feel flushed or hot for a few seconds.
After the procedure
You will go to a recovery room for a few hours.
To prevent bleeding, the nurse will put pressure on the puncture site. After about 45 minutes, the nurse will remove the pressure and check for bleeding.
The nurse will ask you not to move the leg used for the catheter.
The nurse will continue to check often for bleeding or swelling.
Before you leave, the nurse will give you written instructions about what to do at home.
Risks of peripheral Angiogram
A thin tube (catheter) that doctors insert into your artery during a peripheral angiogram damages the artery.
Some people may have allergic reactions to the dye used in the test. Discuss with the doctor if you have ever had an allergic reaction to x-ray contrast dye or to iodine substances.
Do not do strenuous exercise and does not lift, pull, or push anything heavy until your doctor says it is okay. This may be for a day or two. You can walk around the house and do light activity, such as cooking. If the catheter was placed in your groin, try not to walk up stairs for the first couple of days.
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