To help diagnose or provide treatment, 2 main types of arteriograms are performed by a vascular surgeon or the hospital radiologist.
While arteriography is safe, there are risks involved. These can include bleeding or bruising at the catheter insertion site (usually the groin), arterial injury, allergic reaction to the contrast dye and kidney problems related to the dye. If you have a seafood or iodine allergy, you will be required to take a steroid such as prednisone prior to the test.
For this test, we ask that you not eat or drink anything after midnight the night before the procedure. You will be able to take your normal morning medications with a sip of water. If you take insulin, we recommend that you follow the instructions of the radiology team. If you take Coumadin®, we will give you specific instructions about when to take it before the test. If you take Glucophage (a blood sugar lowering medication), you will need to stop it the day of your arteriogram. You can resume taking it 2 days after your test is completed.
Typically, patients go home the same day as the procedure. Because the arteriogram requires an arterial puncture to inject the dye, you will have approximately 6 hours of bedrest at the hospital prior to discharge. A family member or friend will need to drive you home. If your physician does not see you in the hospital on the day of your procedure, you will be discharged and contacted as soon as your films are reviewed to discuss the results.
If you have additional questions or concerns, contact our office between 8 a.m.-4:30 p.m., Monday through Friday. After hours, and for emergencies, contact our answering service at our office number 913-262-9201.
What to expect following arteriogram
- The instructions you receive about your arteriogram come primarily from the hospital radiology team. A radiologist performs this test, so you should follow the instructions given to you at the time of the procedure. The following list includes instructions you may receive from the hospital following your procedure.
- Have someone drive you home and rest quietly for the remainder of the day. You will receive pain medication to keep you comfortable throughout the day. No driving. Resume normal activities the day after your procedure.
- Resume your normal diet following the procedure, and drink 6-8 extra glasses of nonalcoholic fluids that day. This helps clear the contrast material through your kidneys. If you receive hemo or peritoneal dialysis, do not drink extra fluids. You will receive instructions regarding the procedure and dialysis.
- If you develop bleeding at the catheter insertion site, lie flat and apply direct pressure to the site for a minimum of 15 minutes. Placing an ice pack on the site while you are applying pressure may also help. If bleeding persists, continue holding pressure and call 911 so an ambulance can take you to the nearest emergency room.
- You should not experience severe pain or redness at the catheter insertion site. You may develop some bruising and a small (quarter to half dollar size) lump at the puncture site. This should resolve in 7-10 days. Severe pain associated with a growing lump or loss of circulation to the foot should be treated as an emergency, and you should go to the nearest emergency room.
- Do not smoke, especially for 24 hours after the procedure. Smoking increases your risk of complications.
- If you did not see Dr. Beezley, Dr. Arnspiger, Dr. Hance, Dr. Connelly, Dr. Cho or Dr. Thors at the hospital following your procedure, we will contact you at home to discuss the results or set up an appointment to discuss the results. If you have not been contacted, please call the office at 913-262-9201 between 8 a.m.- 4:30 p.m.
- If you have any problems or questions after you are home, contact our office. After hours, and for emergencies, contact our answering service at our office number 913-262-9201.