Coronary angiography (coronary angiography)

Coronary angiography (coronary angiography) - radiopaque method for studying the state of coronary arteries. You can use it to identify the location and degree of narrowing of the coronary arteries, as well as other types of arterial disease: the presence of a thrombus, strain (dissection), spasm, or myocardial bridge.
Coro narografiya   at the moment - the most accurate and reliable method for the diagnosis of coronary heart disease, which can solve the issue of patient management in a given situation, for example, to evaluate the treatment strategy specific medications, need for angioplasty and stenting, or coronary artery bypass surgery.
The operation is considered invasive, i.e. at the time of the operating conditions in the human body to introduce a special catheter. Such an operation may be performed for diagnostic purposes and for monitoring the condition of vessels after operations already carried out.

Specific terms

Hemostasis - stop bleeding at the puncture site with an elastic bandage.
Arterial puncture - puncture a special tool.

Contraindications to angiography

Absolute contraindications exist.

Terms of the transaction

Coronary angiography is performed only in the operating room tend to require hospitalization for 2-3 days. On the first day - sampling tests and allergy tests to contrast media,
on the second day of the study is carried out, after which the need to comply with bed rest day, on the 3rd day: remove the pressure bandage, heart surgeon koronarogrammy analyzes and recommends treatment.

Indications for coronary angiography

- High risk of complications according to a survey (including asymptomatic CHD)
- Ineffectiveness of medical treatment of angina pectoris
- Unstable angina not amenable to medical treatment,
- Post-infarction angina,
- Inability to identify the risk of complications using non-invasive methods,
- Upcoming open-heart surgery (valve replacement, correction of congenital heart disease, and so on. D.) In patients older than 35 years.

Special conditions

Coronary angiography is carried out in a planned and urgently.
Do it only in a hospital, because during operation there is a need peripheral arterial puncture and the associated potential complications.

Description of operations

Low-traumatic surgery, so the patient is awake, under local anesthesia identities.
First performed arterial puncture (femoral, axillary, radiation). In some cases, the catheter is inserted through an artery of the forearm, which reduces the period of follow-up after coronary angiography performed.
The artery was a small hollow tube with a diameter of less than 2mm. Through the catheter tube is carried to the coronary arteries of the heart.
Then the catheter is inserted through the contrast agent, which is carried by the blood flow in coronary vessels, and under the control of a special X-ray angiography apparatus is recording studies.
After performing coronary angiography the patient is carried out hemostasis.
Currently, the operation lasts 10 to 20 minutes.
If necessary, you can simultaneously conduct other surgical interventions, for example, the installation of vascular prostheses - stents.

During the operation, the result is displayed on the monitor and placed in a digital archive.
After study at the hands of the patient and given a written opinion on the coronary recorded CD-ROM.
This allows you to use the recording for the study by doctors at any hospital and on any computer that allows opredelelit dynamics of the disease.

Where is the coronary angiography

In any large hospital, where there appatarura and trained doctors.

Cost of operation

Coronary angiography is performed on a fee or free of charge.
Estimated cost - 20-25 thousand. Rubles.

Treatment and prevention

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