PACE Hospitals is one of the best hospital in Hyderabad for angiogram test. The Department of Cardiology is equipped with The next generation image-guided therapy platform - a Philips Azurion Cath Lab for outstanding interventional cardiac, electrophysiology, neuro and vascular performance for precise diagnostic results with delivering evidence based treatment.
Our team of best cardiologist and interventional radiologists in Hyderabad, Telangana, India are having extensive experience in performing angiography procedure.
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Appointment Desk: 04048486868
Whatsapp: 8977889778
Regards,
Pace Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
Thank you for contacting us. We will get back to you as soon as possible. Kindly save these contact details in your contacts to receive calls and messages:-
Appointment Desk: 04048486868
Whatsapp: 8977889778
Regards,
Pace Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
Angiogram meaning
The angiogram test is a diagnostic procedure, used to assess anatomical and structural aspects of the vascular system by detecting the angiography contrast agent that has been injected into a blood vessel and projecting it on a series of X-rays to view the inner wall of the blood vessel, the presence of any blockages and blood flow through the lumen.
Angiography test provides therapeutic choices during initial diagnosis and enables real-time, dynamic imaging through conventional imaging technologies that include non-invasive techniques, such as X-rays, computed tomography (CT angiogram) and Magnetic resonance (MR angiography). Invasive angiography is typical, and it is the gold standard for identifying the majority of intravascular diseases and offers treatment alternatives.
There are different types of angiography, depending on the anatomical location or area of the body being examined.
Depending on the technique used to diagnose the blockage, there are three different methods of angiograms or angiography tests.
Computed Tomography Angiography (CTA) test: A CT angiography is a medical test that combines a computed tomography scan (CT scan) with an injection of a specialised dye to create images of the tissues and blood vessels in a specific area of the body. An intravenous line will be inserted in the patient’s peripheral blood vessels, and the angiogram dye will be injected. The dye used in angiography (CT angiography) is known as a contrast substance because it "lights up" the blood vessels and tissues being investigated.
Digital Subtraction Angiography (DSA) test: It provides a picture of the brain's blood vessels in order to detect problems with blood flow. The technique involves inserting a catheter, a tiny, thin tube, into the brain blood vessels through an artery in the leg. The catheter is used to administer a contrast dye, and the blood vessels are imaged using X-ray technology.
Magnetic Resonance Angiography (MRA) test:
Magnetic resonance angiography (MRA) is a non-invasive diagnostic procedure that combines MRI technology with intravenous (IV) contrast dye to examine blood vessels. The contrast dye makes blood vessels on the MRI picture seem opaque, allowing the interventional radiologist to see the blood vessels being assessed. Blood flow is frequently evaluated, and the heart and other soft tissues are examined with an MRA.
A diagnostic approach used to diagnose flow abnormalities in the blood vessels.
Angiography | Angiogram |
---|---|
It is a diagnostic procedure that is used to examine blood vessels with the help of a special dye known as a contrast agent, which will be injected into the blood vessels on standard X-rays. | It is a diagnostic image of an X-ray that depicts the blood flow in the blood vessels (arteries/arteriogram or veins/venogram) that produce through an angiography procedure. |
Angiography is a diagnostic procedure used to observe blood vessel health and its flow in various organ systems, diseases, and conditions such as the following:
Brain
Cardiovascular
Gastrointestinal:
Pulmonary
Renal:
Reproductive
Oncology
Trauma
Though the angiography procedure is safe and effective, it is not indicated for everyone. The following are the contraindications of angiography.
Absolute contraindications
Morbidly obese patients with weights exceeding 158.7 kilograms.
Relative contraindications in
In patients with kidney, liver, or thyroid problems, cerebral angiography is contraindicated.
Considerations of an interventional radiologist to reduce the risk of complications during the angiography procedure.
Though angiography is the most reliable diagnostic tool for determining the existence and severity of disease due to blockage of blood vessels, there are several complications a patient might experience, but the clinical acumen of an interventional radiologist would aid in reducing the risk of complications, thereby providing better patient outcomes.
Contrast media-induced nephropathy
Contrast-induced nephropathy (CIN; clinically defined as an increase in serum creatinine concentration≥ 0.5 mg/dl or 25% above the baseline value) has substantial short- and long-term consequences. The most important risk factors for developing CIN include preexisting renal insufficiency, advanced age, and diabetes. However, it can be reduced with proper risk stratification, choice of contrast agent, procedure staging, and other preventive measures.
The interventional radiologist or cardiologist takes the following initial prevention measures to avoid CIN by.
Allergic reactions
Rarely allergic and systemic reactions to local anaesthesia may occur, such as vasodepressor reaction, methemglobinemia, asthma-like reactions, and anaesthesia toxicity. The reactions are dermatologic or vagal and rarely anaphylactic which occur due to the presence of the preservatives in medicinal preparations.
It is a commonly followed protocol to learn about the allergic history of the patient so as to avoid any potential allergic reactions. Similarly, the skin testing method is done so that the operating radiologist or cardiologist would prefer preservative-free agents to reduce the risk of allergic reactions.
Oversedation
General anaesthesia is rarely necessary, and most procedures are carried out without the assistance of an anesthesiologist. However, interventional radiologists or cardiologists prefer to prescribe low doses of short-acting sedatives and analgesics to improve patients' comfort and decrease their anxiety throughout the procedure.
The interventional radiologist or cardiologists do take care extreme caution to avoid over-sedating the patient and closely monitor their oxygen levels, heart rate, blood pressure, and respiratory rate. In case of oversedation, the radiologist prescribes the reversal agents.
Anticoagulant Induced Thrombocytopenia
Anticoagulant Induced Thrombocytopenia is a life-threatening immune-mediated complication that occurs with an anticoagulant administration via saline flush or during percutaneous coronary intervention. Although the risk doesn’t occur during the procedure, patients with a medical history of anticoagulant exposure may develop potentially fatal thromboembolic problems following the days after post-procedure. A severe form of immune-mediated thrombocytopenia accompanied by venous and arterial thrombosis develops in about 1% to 3% of patients receiving unfractionated anticoagulants. In such instances, the interventional cardiologist would immediately stop the prescribed anticoagulant and initiate direct thrombin inhibitors.
The patient preparation for angiography includes the following.
Depending on the type of angiography being performed, access may be achieved through a large or medium-sized artery or veins in various different locations.
The angiogram procedure steps are as follows.
Even though overall angiography-related complications / side effects are uncommon, angiogram complication risks are higher in patients with elderly age, renal disease, calcified non-compliant arteries, reduced cardiac reserve, and patients with multiple comorbidities. The angiogram complications / side effects can be minor or major, such as:
Minor Side effects / Complications
Major Complications (Rare)
Cerebral angiography complications
The following are rare significant blood vessel and brain complications such as:
Complications of coronary angiography
The following are some of the potential problems of coronary angiography:
Angiography procedure is a method that uses X-rays to examine the blockage of blood vessels. If the cardiologist or interventional radiologist detects any blockage (stenosis) of a blood vessel, an angioplasty procedure will be used in order to widen the blood vessel and restore the blood flow.
Angiogram | Angioplasty |
---|---|
It is a diagnostic tool to visualise blood vessels | It is an interventional procedure used in the treatment of blocked vessels |
It can be performed on various parts of the body, such as the heart, brain, lungs etc. | It can be performed on the heart and peripheral arteries. |
Used to detect the location, extent, and severity of blockages in blood vessels. | Used to widen narrowed or blocked blood vessels in addition to location, extent, and severity. |
Risks of Bruising, soreness, and transient renal impairment. | Risks of Bleeding, blood clots, and blood vessel damage. |
Angiography is a traditional way of finding out the blocked blood vessels, where a catheter is used to insert the contrast media into the blood vessels, whereas, in CT angiography, contrast is inserted directly into the blood vessel. However, the following are the differences between CT angiogram and angiography.
CT angiography | Angiography |
---|---|
It is less invasive procedure, during this contrast media inserted directly through a blood vessel. | Comparatively it is more invasive procedure, during this contrast media inserted through the artery via a catheter. |
Less Bleeding, as it involves a vein puncture, and the contrast medium is directly injected without any catheter. | More bleeding, as it involves artery puncture and catheter insertion |
Less accurate and liable compared to traditional angiography | More accurate and liable than CT angiography |
100 to 150 ml of contrast reagent use | 10 to 20 ml of contrast reagent use |
It takes less time (20 minutes to an hour) | Comparatively it takes more time (3 to 7 hours). |
Preferably, in younger patients with no risk factors and mild positive treadmill test. | Preferably, in patients with high-risk factors and with associated comorbidities. |
All these are diagnostic images that provide the visualisation of blood flow through blood vessels using X-ray technology and contrast dye; however, the differences between them are as follows:
Angiogram | Arteriogram | Venogram |
---|---|---|
It depicts the blood flow in both arteries and veins | It depicts the blood flow of arteries. | It depicts the blood flow of veins. |
It can detect blockages in both arteries and veins. | It can detect only aneurysm (Ballooning of a blood vessel), stenosis (narrowing of a blood vessel) and other blockages in arteries. | It can detect only deep vein thrombosis and other vein abnormalities. |
These are diagnostic approaches that provide the presence of any abnormality in the blood flow of the arteries in various parts of the body; however, there is a minute difference between them.
These are diagnostic approaches that provide the presence of any venous blood flow abnormality in various parts of the body; however, there is a precise difference between them.
Frequently asked questions:
The pain of an angiography test procedure is minimal. The interventional radiologist or cardiologist will inject an anaesthetic to numb the area at the site of catheter insertion. The patient might feel the needle entering the skin. The patient won't experience any pain during the procedure.
An angiogram test is a diagnostic procedure that detects blockages in the blood vessels with the help of X-ray images. The interventional radiologist or vascular surgeon observes how blood flows through blood vessels at particular points in the patient's body by performing an angiogram test and detects the existing problems of blood vessels. The angiogram test can be used to identify blood vessel problems in the heart, legs, kidneys, neck and other areas.
The angiography procedure is a relatively painless and safe procedure; however, it might have a few rare serious complications, such as allergic reactions to contrast dye, acute renal impairment, and hematoma. In addition, in some cases, at the site of catheter administration, it occasionally results in bruises.
Heart angiography is a diagnostic procedure that reveals any blockage in the blood arteries that provide blood to the heart by injecting a dye into the catheter and taking X-rays subsequently. An angiogram test of the heart provides an image of heart blood vessels, that is used to diagnose heart valve disease, coronary artery disease, and congenital heart problems.
Computed Tomography (CT) angiography test is a kind of medical examination that combines a CT scan with a particular dye injected into the patient’s blood vessel to obtain images of blood vessels in a specific area of the body.
A computed tomography (CT) coronary angiography test is a non-invasive imaging procedure that examines the blood vessels that carry blood to the heart. A CT coronary angiogram test provides images of the heart and its blood vessels using a potent X-ray scanner and a contrast medium dye that is injected into the arteries. This test is used to identify various heart problems.
It depends on the patient's requirement and the procedure used; the traditional use generally takes between one to two hours. However, the angiography procedure time might extend if the interventional radiologist or cardiologist prefers to perform any further proceedings. The CT angiography test might take less time compared to traditional.
No, an angiography test cannot remove the blockage in the blood vessels; however, in combination of angiography and angioplasty procedure can aid in the widening of the blood vessel, thereby restoring the normal blood flow. Angioplasty is used to treat narrowed blood vessels during angiography through the balloon inflation technique and by placing the stent.
As per the research success rate of an angiogram was approx 98% for coronary angiography (CAG) and approx 97% for percutaneous coronary intervention (PCI).
It depends on the type of angiography test selected by the interventional radiologist or vascular surgeon. Iodinated contrast is used for computed tomography, angiography, and other X-ray procedures, whereas gadolinium contrast is used for magnetic resonance imaging (MRI).
Coronary angiography is a very common and safe cardiac catheterization procedure, which can help in diagnosing cardiovascular disease / heart disease. In some patients, the contrast dye may cause some side effects but that are rare.
Coronary angiogram cost in Hyderabad ranges varies from ₹ 15,000 to ₹ 20,000 (INR fifteen thousand to twenty thousand). However, price of angiogram/ angiography test in Hyderabad depends upon the multiple factors such as patient age, condition, and CGHS, ESI, EHS, insurance or corporate approvals for cashless facility.
Coronary angiography cost in India, ranges vary from ₹ 12,000 to ₹ 22,000 (INR twelve thousand to twenty-two thousand). However, price of angiogram / angiography test in India vary in different private hospitals in different cities.
Metro Pillar Number C1772, Beside Avasa Hotel, Hitech City Road, Near HITEC City Metro Station, Hyderabad, Telangana, India.
Mythri Nagar, Beside South India Shopping Mall, Hafeezpet, Madeenaguda, Hyderabad, Telangana, India.
040 4848 6868
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