Test Overview
An angiogram is an
X-ray test that uses a special dye and camera (fluoroscopy) to take pictures of the blood flow in an
artery (such as the
aorta) or a vein (such as the vena cava). An angiogram
can be used to look at the arteries or veins in the arms, legs, chest, or
belly.
Common angiograms can look at the arteries near the heart
(coronary angiogram), lungs (pulmonary angiogram), brain (cerebral angiogram),
head and neck (carotid angiogram), legs or arms (peripheral), and the aorta
(aortogram).
During an angiogram, a thin tube called a catheter is placed into
the femoral blood vessel
(femoral artery or vein) in the
groin or just above the elbow (brachial artery). The catheter is guided to the
area to be studied. Then an iodine dye (contrast
material) is injected into the vessel to make the area show clearly on
the X-ray pictures. This method is known as conventional or catheter angiogram.
The angiogram pictures can be made into regular X-ray films or stored as
digital pictures in a computer.
An angiogram can find a bulge in a blood vessel (aneurysm). It can also show narrowing or a blockage in
a blood vessel that affects blood flow. An angiogram can show if
coronary artery disease is present and how bad it
is.
Magnetic resonance angiogram (MRA) and computed tomography
angiogram (CTA) are being done instead of standard angiogram in many cases
because these tests are less invasive and easier to do.
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Should I have an angiogram to test for
coronary artery disease?