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Neurointerventional Radiology: Cerebral Angiogram (7417)

Neurointerventional Radiology: Cerebral Angiogram (7417) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Stroke


Cerebral Angiogram

What Is It?

A cerebral angiogram is a test to look at the blood vessels in your brain. It is a test in
which we take a series of x-ray pictures (fluoroscopy) with the use of (x-ray dye)
contrast. The contrast allows the doctor to see the blood vessels (arteries) in your neck
and head on TV screens in real time. The test often lasts 1-2 hours.

Why Do You Need an Angiogram?

This test is used to check the blood flow through an artery. Your doctor may want you to
have this test to check blood flow before surgery or to look for an area of blockage.

Let us know if you have sleep apnea or use a machine at night when you sleep. This is
important to know so we can safely use medicines that make you sleepy during the

Day of the Test

The morning of the test, do not eat solid foods or milk for 6 hours before the exam. Do
not drink clear liquids (anything you can see through) less than 2 hours before the exam.
On the morning of the test, you may take your oral medicines with small sips of water
unless your doctor or nurse has told you otherwise.

If you have diabetes and take insulin, we ask you to take one half (1/2) of your normal
morning dose on the day of the test. If you take a medicine called Glucophage
(metformin) you should NOT take it the morning of the angiogram. You will not take
this medication for 48 hours after the angiogram. Please tell your doctor if you are taking
any oral diabetes medicines.

A nurse will take you to a special room (the angio suite). A small tube may be placed into
your bladder to drain urine since you will not be able to get up to go to the bathroom
during or after the test. We may need extra blood or urine tests before your angiogram
and will get them at that time.

A doctor (a neuroradiologist) will go over details of the angiogram with you and answer
any questions you might have.

When it is time for your angiogram, you will be taken to a special room (the angio suite).
You will lie flat on a table that moves. The nurse will connect monitors to watch your
heart rate, breathing, and blood pressure. You will be given medicine to make you sleepy.
Once you are ready, the groin area just above your leg (near the hip bone and inner thigh)
will be shaved and then cleansed with a liquid that may feel very cold. You will be
covered by sterile sheets and an anesthetic will be used to numb that site before the small
tube (catheter) is placed into the artery.

During the Test

During the test, you will need to lie very still to get the best results. As the catheter is
guided through your blood vessels, the path will be checked by x-rays. Once the catheter
is in place, there will be several injections of x-ray dye. You may have a warm feeling on
the side of your neck and face, lasting 30-60 seconds. This is normal. The clicking noise
you hear from the x-ray machines is normal. You may also notice the lights in the room
turning on and off. The doctors and staff step out of the room for a short time while the x-
rays are being taken. At any time during the test, if you feel uncomfortable or short of
breath, tell your doctor.

After the Test

Once the angiogram is done, the catheter will be removed and firm pressure placed on the
area for about 15-30 minutes to prevent bleeding. For some time, you will need to keep
your leg straight. You may roll side to side with help from your nurse. A nurse will check
your blood pressure, pulse, and the catheter site often in the first hours following the test.
You will also be asked to drink plenty of fluids to help flush the dye from your system,
10-20 glasses of fluid for the first 24 hours. You may remove the bandage over the groin
the next day and gently wash the area with a mild soap and water. Do not rub this area to
dry the skin. You should only ‘blot’ the area with a towel.

Activities for the Next Week
ξ Do not soak in a bath tub or hot tub.
ξ You should not do any heavy lifting (over 10 pounds).
ξ No vigorous activity.
ξ No swimming.
ξ You may remove the bandage over the groin the next day and gently wash the
area with a mild soap and water. Do not rub this area to dry the skin. You should
only ‘blot’ the area with a towel.

What to Expect
ξ The puncture site might be tender or sore. This often goes away after a few days,
but it can last up to one week.
ξ You may notice some bruising in your groin. This goes away after 2-3 weeks.
ξ Some patients feel a small hard bump about the size of a peanut at the groin site.
This is normal and generally goes away after several months.

When to Call the Doctor
ξ If puncture site becomes red and/or hot.
ξ If any yellow or green drainage comes from site.
ξ If swelling occurs at the site.
ξ If your temperature goes above 100°F.
ξ If you have severe pain or spasm in the leg.
ξ If numbness or tingling occurs in foot or leg.
ξ If itching, hives, or rash appear.

Your health care team may have given you this information as part of your care. If so, please use it and call
if you have any questions. If this information was not given to you as part of your care, please check with
your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical
condition. Because each person’s health needs are different, you should talk with your doctor or others on
your health care team when using this information. If you have an emergency, please call 911. Copyright ©
6/2016 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the
Department of Nursing HF#7417.