What is arteriography?
An arteriogram is an x-ray image of the arteries or blood vessels to evaluate various conditions, such as an aneurysm (ballooning of a blood vessel), stenosis (narrowing of a blood vessel), or blockage.
How is an arteriogram performed?
After giving local anesthesia similar to that used in dental work, a needle is placed in a blood vessel and used to thread a thin tube or catheter into it. Contrast materal (dye) is injected through the catheter into the body's circulatory system. This causes the blood vessels to appear opaque on the x-ray image. This allows the physician to better visualize the structure of the vessel(s) under examination.
Many arteries can be examined by an arteriogram, including: arterial systems of the legs, kidneys, brain, and heart.
Generally, an arteriogram procedure follows this process:
- The patient is positioned on an x-ray table.
- An intravenous line is inserted into a vein in the patient's arm.
- The patient is connected to an EKG monitor that records the electrical activity of the heart and monitors the heart during the procedure using small, adhesive, electrode patches.
- Local anesthesia is given in the arm or groin and a small catheter is inserted.
- The catheter is threaded into the artery to be examined.
- A injection of contrast material is given.
- A series of x-rays are taken.
- The catheter is then removed and hand pressure is applied over the arm or leg to keep the artery from bleeding.
- The patient lies flat in a recovery area for a few hours after the procedure.
- Once at home, the patient should monitor the puncture site for bleeding, unusual pain, swelling or abnormal discoloration. A small bruise is normal. The patient may be advised not to do any strenuous activities for a day or so.