Angiogram procedure of the arm

Common Questions and Answers about Angiogram procedure of the arm


Later I learn that it is a known symptom of angina. As per <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> angiogram, unless that you suffer a great, great phobia to <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> needles (as I did) you will not have any problem, you just feel some pressure when they enter your groin and nothing else .... If you have a sever phobia, with vasovagal shocks and faints when you see or think in a needle, my advise is to speak seriously in advance with the dr that is going to make it.
I had a 2 hour procedure <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> other day and a LOT of contrast. As soon as <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> procedure was over, I was given 2 cups of water to gulp down, even though I felt nauseous. I was then supervised to drink 3 litres of water in 2 hours which certainly flushed me out. I was then given a healthy lunch and the nausea disappeared. Most people suffer dizziness and sickness because they don't drink lots of fluids to aid removal from the body.
A good book is good advice, but to add to it, make sure you empty your bladder before going in for the procedure. <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> contrast they inject in you to provide <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> images makes <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> kidneys work overtime. Also, <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> Angio suite is a cold place, it has to be cold for the equipment. I ask for lots of blankets so I'm as snug as a bug in a rug. With regards to spine problems, yes they can make pains seem to appear from anywhere in the body.
One of my friends, a physician's assistant with coronary artery problems which have required several catheterizations in the past, just told me about his last angiogram in which they ran <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> catheter through <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> WRIST, via <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> radial artery. He said it was a piece of cake compared to his previous experiences. Here is more info about this procedure:
A common type of bypass graft, the internal mammary artery (IMA), actually comes off of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> subclavian artery, which supplies blood to <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> arm. <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> most commonly used graft to the left anterior descending coronary artery is the left IMA. the most likely reason why your physician recommended against a radial artery catheterization in your case is that your bypass anatomy was not known.
You will be given anti-anxiety meds before the procedure and will be largely out of it during <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> procedure. <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> difficult part is keeping your leg or arm still afterwards, they use arteries in either limb to gain access. An angiogram will either rule in or out a problem. If there is no problem, you will have a baseline to compare if you have problems down the road. If you have a problem now it will be identified.
Soft plaque resides between <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> layers of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> vessel To add what others have said. <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> CT score is a procedure that views <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> anatomy of the vessel and looking for any soft plaque that would be observed between layers of the vessel. Your score represents "Soft plaques seen in proximal LAD and D1 segment. LAD - (Prox/Middle/Distal)- Type -III LAD with normal course. Focal Eccentric non-calcified plaque seen with moderate luminal narrowing".
I was told he went in through the groin, the heart looked good, but did find a blockage in his right arm, and was going to do a second proceedure <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> next day to fix <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> right arm. <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> doctor was going to start at the shoulder for the second proceedure. His wife had relayed this to me. She then called me back 15 minutes later to tell me he had a stroke. It turned out to be massive 1/4 of his brain, affecting his left side, speech and swallowing.
and it turned out that his assistant scheduled me for the wrong procedure, and I essentially had a CT version of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> MRA instead of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> whole invasive kind of angiogram with catheters, etc. <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> neurosurgeon then said that on the CT (with contrast to make it a CTA), it appeared that what I had was an "infundibulum" on the "posterior communicating artery.
WHAT does it all mean? My Cardiologist is a real Quack, I think. He 's suggesting I'm merely suffering from Heartburn! and won't listen to/answer my questions... just smiles and pretty much shuts me up and leaves. Due to being sick for over a year (nausea, breathlessness, chest pain, fatigue, congestion whenever lying down, etc) my new PC doctor did a treadmill stress test...
epicardium can be assessed for abnormalities and it will also provide the calcium score (percentage of hard plaque in <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> arteries). <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> only limitation of this test compared to <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> conventional invasive angiogram, is that we cannot undertake any interventions such us angioplasty or stenting during our procedure as it is non-invasive.
Your grandmother likely had a small stroke, judging from <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> immediate loss of her left arm/hand, <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> subsequent betterment of movement, and the diffusion weighted scan. This makes her carotid stenosis symptomatic. Although there is a risk of angiography, it is the test to do if one is hesitant to do the carotid surgery. Since she has had an event, the MRA suggests a significant stenosis as does the ultrasound then surgery might be warranted.
I know what a 64 slice CT is but do you mean cardiac cath/angiogram for tomorrow? not another CT?? <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> doctors must be at <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> point that <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> only way to check out your coronaries is to do a cath in order to eliminate or find an answer for your pain.. That will give a definitive answer as to the state of those large heart vessels.You have to decide, based on your doctor's recommendation, whether or not to have the heart cath/angiogram, if that is what you are referring to. Joan.
they could see one of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> grafts, but not <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> other two. If there is no blood in a vessel during an angiogram, <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> vessel is invisible which can be a drawback and requiring a different test. I was then booked for a CT angio which did show the two other grafts, but empty of blood. All I know is that I was laid back on a bench, sitting up at about a 30 degree angle. I had two largish, what looked like some kind of cylinders next to my shoulder and a tube from these into my arm.
Calcium score was 3 - small degree of mild sof plaquing along with specks of calcium in LAD - proximal to <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> takeoff of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> first diagonal brnach. Sof plaue is nonocclusive. Rest of LAD is small but free of significant disease. All other vessels/arteries free of soft plaque and calcium. Cardio doesn't feel angiogram is warranted at this time. Patient on Toprol 50mg 1 x day, asprin 81 mg 1 x day, Lipitor 10 mg 1xday. ER cardio suggested that this blockage may have happened years ago.
That does not hurt I promise, you dont even feel <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> scratch because of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> meds they give you to relax you. they then tell you they are about to inject the a die into you, they do this for about twenty seconds and you feel a flutter in your heart. It does not hurt and it passes quickly, it feels weird, kind of like when you turn the tv on and their is static and you run your hand over it, that is the sensation that you feel in your chest.
If your physician is worried about a possible coarcation, a CT angiogram can be done. You could consider an angiogram of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> major vessels taking off from the aorta as well, although if you are asymptomatic I am not sure I would recommend an invasive procedure. Please discuss the findings with your cardiologist and/or vascular surgeon.
I had an angiogram 1 week ago. My arm was used for <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> insetion. After <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> procedure my arm has bruised from my armpit to my wrist. Swelling has receded, arm is sore but just wondered if that much swelling and bruising below the site of the entry is normal.
Most of the time I felt that I could touch <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> source of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> pain if my ribs were not in <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> way. -occasional shooting pains down <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> arm and numbness/fatigue in the left arm -felt that stretching helped the pain or holding my arm to my chest -no issues breathing and big breaths did not have any effect on the pain -sometime pain is constant for hours and sometime just a few stabbing pains, regardless of if I am stressed or relaxed.
This may be due to blockages in the arteries to the heart and limit <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> amount of blood supply. Patients with this problem will frequently complain of chest pains and shortness breath - much like you. In order to determine if the arteries are blocked, your cardiologist will perform an angiogram. He will place a small catheter into the arteries and inject dye into the coronary arteries. Using an xray machine he will be able to determine whether there are blockages present.
00PM and one hour later I had <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> spasm. It's strange that I haven't had the pain in a month and the one day I screw with the medication it returns. This leads me to believe it is a coronary artery spasm or esophageal spasm. Have you, or anyone else out there, experienced fast chest pain like this as a result of arrythmias or otherwise? This morning I had a strange irregular rhythm for about 10seconds.
the doctors will be performing an angiogram to look to see if you have blockages in your coronary arteries (the arteries which supply blood to the heart) which are the cause of your slightly low ejection fraction and wall motion abnormality (which means that part of your heart isn't beating a vigorously as your would like). It is a simple procedure in which <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> doctors will pass catheters either from <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> arm or leg into the heart.
sometimes I feel I've run a marathon with <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> smallest of task. <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> doctors before my PFO closure asked if I was depressed..... well, my life has stopped as I knew, I wish they could understand, YES... I am depressed. It is depressing to loose your abilty to connect your thoughts, to loose your ability to connect with others and to loose your ability to connect with your normal life. I have a hard time making it through the day.
the stress from wondering and speculating is magnitudes worse than going to the hospital and finding out it was nothing and all is ok. I've been back to <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> ER a couple of times in <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> last 12 weeks and the cardio once - they did the EKG and were very dismissive of me. But I don't give a rats patootie what they think anymore. My heart attack symptoms were so atypical that they misdiagnosed me with a pinched nerve a month before I had the big one.
Since you have heat sensation (inflammation) that comes on and off, I think you could have deep vein thrombosis of the deep veins of the leg or maybe valvular dysfunction of the deep veins of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> legs. This can be diagnosed by color Doppler or by angiogram of <span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'><span style = 'background-color: #dae8f4'>the</span></span></span> leg veins. High blood pressure, kidney dysfunction, diabetes and hypothyroidism should be ruled out.
I could say "Ditto" to all of the above; however, in addition to the swelling on the right side of my neck and the pain/sensitivity, I also have had this huge, loud pulsing in my head. Large doses of Ibuprofen have lessened the pulsing, but it is unnerving and wearing me out. I'm waiting for the results of blood work to determine if I need Prednisone, but don't want to go on it if I can help it. Will the Ibuprofen do the same thing?
jlaracuente is right. An angiogram shows all the arteries and if one or two are blocked the drs insert a stent to keep it open. Sometimes if the blockage isn't too bad, they just use a balloon to push the plaque against the artery walls and don't use a stent. the angiogram itself is a series of "pictures". the patient lies down flat, you don't have to be sedated but can request sedation if you're really nervous.
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