Angiography

What is angiography?

Angiography is a modern, highly informative technique for diagnosing vascular pathologies, as well as an effective tool for detecting tumor processes. Angiography is used for:

  • The need to study the state of the vessels;
  • Detection of congenital anomalies;
  • Identification or clarification of the location of tumors accompanied by a pronounced vascular network;
  • Identifying the source of bleeding.

During the procedure, a contrast agent is injected into an artery or vein, which allows you to more clearly display the vessels on the angiograph monitor. The introduction of a substance can be selective and non-selective. In the first case, the contrast agent is injected directly into the test vessel. When using the second type of study, a catheter for the introduction of a contrast agent is installed in nearby large vessels.

Indications and contraindications

Indications for vascular angiography:

  • Atherosclerosis of the coronary arteries;
  • Aneurysm;
  • Stroke or heart attack;
  • Ischemic heart disease;
  • Atherosclerosis;
  • Angioma and others.

Contraindications

Despite the invasiveness, subject to all conditions, angiography is a safe diagnostic method. There are no absolute contraindications to its implementation. Relatives include:

  • Overweight patient in excess of 200 kg;
  • Chronic comorbidities in the stage of decompensation;
  • Mental disorders;
  • Presence of some allergic reactions;
  • Blood clotting disorders.

To clarify the order of the study and preparation for it, you can use the special form on the website to make an appointment with the doctor online.

Preparation and conduct of vascular angiography

Before the procedure, patients undergo some examinations, for example:

  • ECG;
  • fluorography;
  • Blood test;
  • Coagulogram;
  • Consultations with doctors such as a cardiologist, neurologist, surgeon, endocrinologist, etc.

On the day of the examination, you should not eat or drink before the procedure. The puncture site through which the catheter will be inserted is disinfected and anesthetized, incised. A tube with a catheter is installed and contrast is injected, which will allow you to see the vessels in the pictures.

Restore

The recovery process and its speed depend on the scale of the procedure. After angiography of the vessels, bleeding is stopped with a tight bandage. Then it is advised to observe bed rest from 6 hours to several days, follow a diet for the first time, exclude physical activity and stress.

Types of vascular angiography

Cerebral angiography

Cerebral angiography is a study of cerebral vessels. Most widely used in research such pathological processes as:

  • Cerebral aneurysm;
  • Malformations;
  • Hematomas;
  • Brain tumor;
  • Thrombosis and stenosis of blood vessels, etc.

Depending on the location of the study area, such types of cerebral angiography can be used, as carotid angiography (angiography of the carotid artery), angiography of the vertebral arteries.

Thoracic aortography

Thoracic aortography is most widely used in cardiac surgery, which contributes to the effective choice of method treatment. By examining the thoracic aorta and its branches, it is possible to clarify the following pathologies:

  • Aortic aneurysm;
  • Coarctation of the aorta;
  • Determine the defects of large vessels, as well as the valvular apparatus.

Angiopulmonography

Angiopulmonography allows you to diagnose the pathology of the vessels of the pulmonary trunk. The value of the study in pulmonary embolism is difficult to overestimate, since in addition to diagnosis, the procedure plays a therapeutic role. Angiopulmonography allows you to carry out various activities, consisting in the removal of a blood clot or the introduction thrombolytic drugs. Timely thrombolytic therapy will help to avoid the development of conditions, life-threatening. The study is also used to diagnose various vascular malformations, clarify lung tumors.

Bronchial angiography

Bronchial angiography allows you to assess the condition of the arteries that supply blood to the lungs. Such a technique required in the following cases:

When determining the localization of pulmonary bleeding, which greatly simplifies the procedure for embolization of a bleeding vessel;

When specifying a congenital anomaly of the heart and lungs;

As part of the diagnosis of tumor and non-tumor processes in the lungs.

Abdominal aortography

Abdominal aortography is indicated if it is necessary to clarify the pathology of the abdominal aorta. Indications for carrying out studies are:

  • The need to clarify the diagnosis of "abdominal aortic aneurysm";
  • Determination of localization of abdominal aortic stenosis;
  • Clarification of the source of bleeding into the abdominal cavity;
  • Early diagnosis of kidney and liver tumors.

Portography is a special case of angiography used to diagnose the condition of the portal vein of the liver. By using studies can confirm the presence of portal hypertension and clarify the pathology of the liver, pancreas, spleen. All types of angiography are presented at the K + 31 Clinic.

Angiography of the eye

This is an angiography of the fundus vessels. This method of research allows to identify diseases such as keratitis, glaucoma, retinopathy, retinal inflammation, optic nerve defects, neoplasms and tumors, etc. For this retinal angiography is performed using a special device that allows you to take pictures of the fundus.

Angiography of coronary vessels

Also – coronary angiography. The catheter is inserted into the radial or femoral artery under x-ray guidance. Assigned to determination of myocardial infarction, heart defects, atherosclerosis, angina pectoris.

Features of angiography at K+31 Clinic are:

  • The use of the Toshiba Infinix device, with which the doctor of our medical center receives image in 3D format and easily saves it to digital media;
  • Safety of the study due to a special algorithm for preparing patients of the clinic, developed American experts. Strict adherence to the recommendations allows you to avoid allergies to iodine-containing contrast agent;
  • Conducting a study by catheterizing the vessels of the arm, which allows the patient not to limit himself in movements, move around, feel more comfortable during the study in our center.

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