Radiology

Arteriogram (Angiogram)

Read this information so you understand the procedure and its risks. Please ask questions about anything you do not understand.

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What is an arteriogram?

An arteriogram is an X-ray imaging test used by physicians to evaluate whether blood vessels (arteries) are narrowed, blocked, enlarged or malformed. (This procedure is also called an angiogram.)

How is an arteriogram performed?

The physician inserts a thin tube (a catheter) into the body through an artery, most often in the groin area (upper leg). The catheter can be moved around into other arteries to allow the physician to evaluate them. To obtain the X-ray images, the physician injects dye (called contrast) through the catheter into the artery of interest. This allows the physician to see the arteries on live X-ray (fluoroscopy). Then the X-rays images (stills) are taken. After the catheter is removed, a bandage is applied to the catheter insertion site.

Your child will be protected by an X-ray shield during the procedure.

Will my child be awake during the procedure?

No. We will give either IV sedation or general anesthesia so that your child is asleep.

How long does the procedure take?

This procedure generally takes one to three hours.

Will my child feel any pain?

Some children experience a warming sensation from the contrast dye. Some may feel mild discomfort around the catheter insertion site for several days after the procedure.

What are the risks of arteriogram?

The procedure is considered low-risk. However, potential complications include:

What happens after the procedure?

Your child will be monitored for four to six hours in the recovery area. It is very important that your child keep the arm or leg that was punctured straight and still during that time. This will minimize the risk of bleeding at the site.

When can I remove the bandage?

The bandage must stay dry and in place for 48 hours. Your child shouldn’t take a bath or shower during that time. After 48 hours, you may remove the gauze and clear bandage; do not remove the Steri-Strips® (white strips). (Not all children will have Steri-Strips.) If the Steri-Strips haven’t fallen off after seven days, you may remove them.

When can my child bathe?

While the bandage is still on, you may spongebathe your child, taking care to keep the bandage dry and in place. After 48 hours, your child can resume bathing as usual. However, if your child has Steri-Strips, do not submerge the site in water (bath or pool) until they have fallen off.

Are there any activity restrictions?

Your child can resume activity such as school or day care. However, you should limit your child’s physical activity and particularly avoid contact sports such as football or rough playing for one week.

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Appointments

Contact us immediately if your child experiences any of the following:

  • fever higher than 101° Fahrenheit
  • increased pain, swelling or bruising at the groin site
  • change in color or temperature of the affected extremity
  • numbness, swelling or pain in the affected extremity

Call Interventional Radiology
between 8 a.m. and 4:30 p.m., Monday through Friday,
at 215-590-7000. At the first prompt push 1 and at the second prompt push 2.

At all other times, call 215-590-1000 and ask to speak to the interventional radiologist on call.