Carotid angiography is a procedure to examine and detect any narrowing or blockage of the carotid arteries. This x-ray is non-surgical and can be performed alongside a diagnostic angiogram.
Synonym
Carotid angio & Arteriogram,
About the Procedure
To reduce the risk of any blood clotting, your surgeon will prescribe certain medicine before the procedure takes place. The first thing your doctor will do is numb the targeted area and inject a sheath. He or she will next insert a narrow tube via a catheter which will go through the aorta to the carotid artery. An x-ray machine will assist in this matter, and you may be asked to hold your breath or turn your head in different directions while the X-rays are taken at which timeand you must lie very still. When it is complete, the sheath and catheter are removed.
Length
A carotid angiography takes up to 2 hours to complete. Recovery time can last up to 8 hours.
Benefits
This procedure can detect complications in the carotid arteries. Complications which, if not detected and treated, could lead to a stroke or sudden death.
Who is an ideal candidate?
An ideal candidate would have restricted blood flow in their arteries and suffer from all the symptoms.
Who is not an ideal candidate?
A candidate who would not be ideal would be pregnant, have unhealthy kidneys, diabetes and be unable to hold their breath.
Recovery
Immediately after the procedure, you ought to relax and take it steady by simply staying in bed for a few hours. When you awake and return home, you should keep the wound site clean and drink plenty of liquids. To assist in the recovery, also adhere to your doctor’s recommendations concerning medication and diet. You will probably have to take special medication for 4-6 weeks after the procedure.
Preparing your surgery
Before the procedure, tell the doctor if you have had any kidney problems or reactions to iodine-containing substances such as kidney contrast dye or seafood.
For a few days prior to the surgery, your doctor may ask you to take some special medication to combat any possible clotting of the blood. He/she may also advise you to stop or adjust taking any of your regular drugs, especially those for diabetes. Your doctor will also advise on eating habits before the procedure.
Anesthesia
Local anesthetic
Risks / Complications / Side effects
There several risks and side-effects involved with this procedure, including:
• Bleeding
• Blood clot
• Slurred speech
• Balance problems
• Allergic reaction
• Difficulty in breathing
• Drop in blood pressure
• Loss of consciousness
• Kidney problems
After your surgery
After the procedure, it is hoped that you will adhere to a much healthier lifestyle:
• Quit smoking
• Take a healthy diet
• Cut down on cholesterol
• Take medication as prescribed