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Kidney Disease
                                                                          — A Guide for Patients

         ANGIOGRAM                                                                                    Angiogram
            An angiogram is a
         test, using dye and
         x-ray, to detect if
         there are any problems
         in the arteries, valves
         or chambers of the
         heart. This test might
         be performed if you
         experience tightness
         or pain in the chest,
         jaw or arm. A catheter
         is inserted via the
         femoral artery (top of
         the leg) and fed into
         the bigger artery. The
         contrast dye is
         injected and a number
         of x-rays is taken. You
         can have an angiogram                            What preparation is required?
         of your coronary            Your doctor will explain the procedure to you and will ask you to sign a
         (heart) or renal            consent form to state that you understand the procedure and possible
         (kidney) arteries.          complications. Some complications may include irregular heart rhythms, chest
            Complications of         pain, allergic reaction to the dye, bleeding at the groin site and, very rarely,
         this test include           heart attack or stroke.
         bleeding and a                 You will be asked to remove your jewellery and be provided with a hospital
         formation of bruising       gown. It will be necessary to take some blood samples, which will be sent to
         at the catheter site, or    the laboratory, to ensure it is safe to perform this procedure. Your doctor will
         occasionally, further       also place a needle into your vein (cannula). It may be necessary for you to
         deterioration of kidney     take medication (n-acetylcystine), prior to this test, to protect your kidneys
         function.                   from the dye that is required for the test.

                                        What will happen after the procedure?
         After the procedure, you will be asked to remain on bed rest for 6 hours to allow the puncture site to
         heal completely. You will need to drink plenty of fluids for the following 24 hours providing you are not
         on fluid restriction. This will help to flush the dye from your system. A bedpan/urinal will be provided if
         required. It is very important that you do not bend your leg or sit up before your rest time is over. The
         nurse will be checking your blood pressure, pulse and the site where the procedure was carried out.
         Inform the staff if you have pain or discomfort as pain medication can be given.
            Your doctor will discuss your results with you before you leave the hospital or at your next
         appointment. It may be necessary to commence some medication or go for further tests, depending on
         your results.

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