Even in emergency heart attacks, if the patient reaches the hospital within the golden hours angiogram, angioplasty and stenting can be carried out through hand and can walk after few hours in most cases.
Most of angiograms or balloon angioplasties are carried out using local anesthetic to numb the area where the catheter is going to be inserted.
The procedure will be carried out by us. A nurse and technician will also be present to assist with the procedure.
An intravenous (IV) line will be inserted into a vein in your arm. It can be used to deliver sedatives or any other medication as required. Electrodes (small, metallic discs) may be placed on your chest to record your heartbeat. A blood pressure monitor may also be attached to your arm.
A small plastic tube called a sheath will be placed into one of your arteries. A catheter (a long, thin flexible tube) is inserted through the sheath and on to the arteries being examined. Depending on the area being examined, the catheter is usually inserted into an artery in your wrist or groin.
X-rays are used to help guide the catheter to the right place. Contrast agent will then be injected through the catheter and a series of X-rays will be taken. This will allow a map of the arteries to be created.
The procedure isn’t painful but you may feel a slightly warm sensation, or a mild burning sensation, as the contrast agent moves through your blood vessels. It can take between 10 to 15 minutes for angiogram.
In some cases, other procedures can be carried at the same time, such as inserting a balloon or a small tube called a stent through the catheter to open a blocked. This is known as angioplasty.
Once the procedure has been completed, the catheter is removed and the incision is closed using manual pressure, or wrist band or with some special device
Following angiogram or angioplasty, you’ll be taken to a recovery ward. You’ll be asked to lie still for a few hours, to prevent bleeding at the site of the incision.
Most people are able to leave hospital on the same day or the next day. You’ll be able to eat and drink as soon as you feel ready to, but it may take eight to 12 hours before you’re well enough to resume normal activities.