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Coronary Angiography

Coronary Angiography
1providers
1doctors
USD 4750 – USD 9450

Quick facts

Treatment type Diagnostic, catheter-based
Procedure time About 20-40 minutes
Hospital stay Usually same-day discharge
Anaesthesia Local

What is it

Coronary angiography is a test that shows the inside of the arteries supplying the heart. A thin catheter is passed to the heart and a contrast dye is injected, so the arteries show up clearly on X-ray images.

Why it is done

It shows exactly where the coronary arteries are narrowed or blocked, and how severely. That picture is what the heart team uses to decide between medicines, angioplasty with a stent, or bypass surgery.

Who needs it

Chest pain or tightness on exertion An abnormal stress test or ECG After a heart attack, to find the blockage Before heart valve or other cardiac surgery Unexplained breathlessness where coronary disease is suspected

Types and options

Diagnostic coronary angiography - imaging only, to see the arteries. CT coronary angiography - a scan without a catheter, used in selected patients. Where a blockage is found and suitable, angioplasty and stenting can sometimes be carried out in the same sitting.

Tests before treatment

ECG Echocardiography Stress test or CT coronary angiogram, where done first Blood tests including kidney function, because contrast dye is used Review of medicines, especially blood thinners and diabetes medicines

How it is done

The test is done in a catheterisation laboratory under local anaesthetic, and usually takes about twenty to forty minutes.

Recovery

Most patients rest for a few hours afterwards so the puncture site can be watched, and many go home the same day. Heavy lifting and strenuous activity are avoided for a few days. Bruising at the wrist or groin is common and settles.

Benefits and outcomes

Shows the arteries directly, rather than inferring the problem from a stress test Identifies exactly which artery is narrowed and by how much Allows treatment to be planned properly, or carried out in the same sitting Minimally invasive, usually under local anaesthetic Usually a same-day discharge

Risks and complications

Bruising or bleeding at the puncture site Reaction to the contrast dye Effect on kidney function, usually temporary Blood vessel injury Rarely, heart rhythm disturbance, heart attack or stroke

Preparing to travel

Fasting for a few hours beforehand, as advised Bring a list of your medicines and tell the team about any allergy to contrast dye Blood tests including kidney function Arrange for someone to accompany you home Follow instructions on blood thinners and diabetes medicines

How it is done

  1. 1
    Preparation

    You lie awake on the table and local anaesthetic is given at the wrist or groin.

  2. 2
    Access

    A short tube is placed into the artery and a thin catheter is guided to the heart.

  3. 3
    Contrast injection

    Dye is injected into the coronary arteries while X-ray images are recorded.

  4. 4
    Assessment

    The images show where the arteries are narrowed and how severely.

  5. 5
    Removal and pressure

    The catheter is removed and pressure or a closure device is applied to the puncture site.

Where you can have this

1 listed

Doctors who perform this

What it costs

USD 4750 – USD 9450 The range hospitals publish for this treatment. Your own price is confirmed after a surgeon reviews your reports. (1 providers) Get a treatment quote

What changes the price

Access route, wrist or groin Contrast and equipment used Hospital selected Cardiologist and team Whether angioplasty is carried out in the same sitting Length of stay

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