Carotid arteriography is an invasive imaging procedure used to evaluate the carotid arteries, the blood vessels that carry oxygenated blood to the brain. This investigation helps diagnose narrowings, blockages, or other vascular abnormalities that may increase the risk of stroke. At Topmed Medical Center in Târgu Mureș, we offer this investigation using state-of-the-art technology and experienced medical teams.
Carotid arteriography involves injecting an iodine-based contrast agent into the carotid arteries through a thin catheter, followed by X-rays to obtain detailed images of blood flow. The procedure is essential for identifying narrowings, blockages, or other arterial abnormalities and is recommended for diagnosing and treating carotid artery diseases.
When is Carotid Arteriography recommended?
Carotid arteriography is indicated for:
- Neurological symptoms:
- Episodes of dizziness (vertigo), fainting (syncope), or temporary vision loss.
- Carotid atherosclerosis:
- Narrowing of the carotid arteries detected by non-invasive techniques – angioCT or Doppler ultrasound.
- Transient ischemic attack (TIA):
- Temporary loss of neurological functions caused by decreased blood flow to the brain.
- Preoperative monitoring:
- Evaluation of arteries before cardiovascular or neurosurgical interventions.
- Neck trauma:
- Suspicion of carotid artery injuries caused by trauma.
Advantages of Carotid Arteriography
- High-precision diagnosis:
- Allows exact identification of carotid artery narrowings or blockages.
- Treatment planning:
- Helps doctors decide between various treatment options, such as medication, stenting, or carotid endarterectomy.
- Minimally invasive:
- Compared to other methods, requires only a small incision and allows rapid recovery.
- Disease monitoring:
- Can be used to assess the progression of carotid atherosclerosis or the effectiveness of treatments.
How is the procedure performed?
Carotid arteriography is a quick and safe procedure performed under sterile conditions:
- Patient preparation:
- A local anesthetic is administered at the site where the catheter will be inserted.
- Catheter insertion:
- The catheter is guided through the blood vessels to the carotid arteries.
- Contrast agent injection:
- The contrast agent is injected through the catheter, and X-rays capture detailed images of the arteries.
- Image analysis:
- The interventional doctor analyzes the images to identify blockages, abnormalities, or narrowings of the carotid arteries.
- Completion of the procedure:
- The catheter is removed, and a compressive dressing is applied to the puncture site.
Risks and contraindications of carotid arteriography
Although considered a safe procedure, carotid arteriography may involve some risks:
- Vascular: bruising/bleeding at the catheter insertion site.
- Allergic reactions: to the iodinated contrast agent.
- Contrast-induced nephropathy: risk for patients with pre-existing kidney disease.
- Radiation exposure: requires proper monitoring, although the dose is controlled.
- Low probability of neurological complications: such as a transient ischemic attack (very rare).
Relative contraindications:
- Previous allergic reaction to contrast agent, without prior glucocorticoid preparation.
- Acute renal failure.
- Severe anemia (hemoglobin below 8 mg/dl).
- Decompensated heart failure.
- Uncooperative patient.
A detailed discussion with the interventional doctor before the procedure is essential to assess the risks and benefits.
Preparation for Carotid Arteriography
- Pre-procedure consultation:
- The attending physician will assess medical history and any allergies.
- Dietary restrictions:
- Avoid eating and drinking for 4 hours before the procedure.
- Medication:
- Inform your doctor about current treatments, especially anticoagulants.
Why choose Topmed Medical Center for Carotid Arteriography?
- Top medical experience. Our vascular imaging specialists have extensive experience in diagnosing vascular diseases.
- Advanced technology. We use state-of-the-art equipment for precise imaging and safe interventions.
- Personalized care. Each patient benefits from an individualized diagnostic and treatment plan.
At Topmed Medical Center in Târgu Mureș, Reghin, and Sighișoara, we put vascular health first. Schedule a consultation today to learn more about Carotid Arteriography and other modern solutions for your health!
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