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Can Angiogram and Angioplasty be Done at the Same Time?

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Before venturing into the subject, it is preferable to understand the difference between angiogram and angioplasty. An angiogram is the testing procedure that helps the doctor to view the circulation of the blood in the arteries and veins in the heart region. Angioplasty is a surgery that involves placing a stent that narrows the passage to increase the flow of the blood as required for the heart. Angiogram provides a detailed description of the region that needs medical attention. It uses a special dye, which helps in displaying the area using the X-ray machine.

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Can Angiogram and Angioplasty be Done at the Same Time?
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Can Angiogram and Angioplasty be Done at the Same Time?

Yes, angiogram and angioplasty can be done at the same time immediately one after another. Angiogram with angioplasty involves the testing as well as the surgery at the same time. As angioplasty falls under the specialized category of operation and helps in treating blockages, using angiogram is the best way to prevent surgery. During the procedure, the specialist will insert a balloon attached to a thin tube. They can insert it through the groin or use a small incision in the skin. They then guide the tube to the required location using the X-rays. After the tube reaches the particular site that requires attention, the interventional radiologist will inflate the balloon and remove the tube, which leaves the blood vessels wide open.

Note: If patients are using blood-thinning medications, it is critical to stop using the same at least four days before the test. Talk to the doctor related to this issue. Also, diabetic people too should reduce their quantity of medication. They can speak with their concerned doctor about the dosage level.

What to Expect at the Angiogram/ Angioplasty Test Facility?

A pre-registration is essential. A nurse will attend to your request and briefs you about the procedure. She will then collect answers related to your medical history, and explains in detail about the angiogram with an angioplasty procedure. Based on the input, you may or may not require attending additional tests.

Apart from the pre-screening test, the nurse will also provide details about the activities that you should not perform. The major priority is not consuming food or liquids. You can continue to take your heart and blood pressure medicines.

The Angiogram/ Angioplasty Procedure

The Interventional Radiologist will monitor your blood pressure, oxygen levels, and pulse using the screens. Secondly, he/she will inject local anesthesia into the region where they will be inserting the thin tube. They move it through the vein or groin until it reaches the desired area. The Interventional Radiologist will inject the contrast dye and monitor the same using x-ray results. It will display the narrowness and obstructions present surrounding the heart.

After identifying the narrow region, the Interventional Radiologist will insert a new catheter that contains a balloon at the tip. He/she will then slowly inflate it and remove the catheter leaving the blood vessel open. In few occasions, it is not possible to open the narrowness using the balloon. It is here that the Interventional Radiologist will use the stent.

The doctor will hand over the angiogram results of the procedure the next day or the same day depending on your recovery period. After completion of the task, the Interventional Radiologist will apply pressure on the entry site for at least 20 minutes to ensure there is no bleeding. They will monitor you for a few hours before they discharge from the facility.

Before heading to the home, you will be receiving instructions on how you can look after yourself after the procedure. It is crucial to drink plenty of fluids to drain the dye from the body.

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Team PainAssist
Team PainAssist
Written, Edited or Reviewed By: Team PainAssist, Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:August 1, 2019

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