2. Patient and family will be advice regarding its indication, risk and preparation by the physician.
3. Coronary angiogram can be done either as inpatient or outpatient (daycare) basis. The choices of either depends upon the patient's condition. If the patient is stable, usually the coronary angiogram can be done as daycare.
4. Patient is required to fast at least 4 hours prior to this procedure.
5. The procedure is performed by puncturing an artery either at the wrist (transradial) or groin (transfemoral).
6. A small tube about 2mm diameter called diagnostic catheter is inserted through the arterial access.
7. Using guide wire, the diagnostic catheter is then positioned just at the mouth/origin of the coronary blood vessels.
8. Contrast solution is then injected though the catheter. As it flows down the coronary arteries, CINE is taken.
9. A few views were taken for each left and right coronary systems.
10. This procedure takes about 5 to 10 minutes.
11. At the end of the procedure, the doctor will explain to patient and family members regarding the findings and further plans.
12. If the plan is for coronary angioplasty, then with the same sheath, the doctor can proceed immediately. This will take further 30 to 60 minutes, depending on the complexity of the procedure.
13. At the end of this procedure, the sheath is removed. If the procedure was transradial (wrist), a specialized plaster, NICHIBAN, is applied to the wrist for about 4 hours. If the procedure was transfemoral (groin), a technician will press manually over the groin for about 15 minutes followed by lying flat for 6 hours.
14. Patients are advised not to move the wrist excessively for about 5 days if the procedure is transradial.
15. Patients are advised not to carry heavy objects and walk vigorously after transfemoral angiogram.
16. Patients are usually advice to seek medical attention if the developed pain, swelling at puncture site, fever and chest discomfort.
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