Angiography
Starting as a diagnostic tool, angiography underwent a technological transformation over the last century and became a basis for interventional therapy as well - Demian J. Omeh

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The age of diagnostic coronary angiography is over
Diagnostic coronary angiography died some time ago, so why has it still not yet been buried alongside the exploratory laparotomy? The problem is clear: despite over half a century of experience, almost two-thirds of those undergoing elective diagnostic angiograms do not have obstructive coronary artery disease...
Is the age of elective diagnostic coronary angiography truly over? No, and this is because no widely available non-invasive imaging test offers a truly compelling ‘one-stop-shop’ for coronary anatomy and myocardial ischaemia. New hybrid imaging tests, such as coronary CT with rubidium-82 PET or coronary MRI angiography with hyperpolarised lactate mapping...
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Angiography
One of the most common procedures performed are coronary angiograms.. Angiographic imaging is also used to guide percutaneous coronary interventions (PCI) to clear atherosclerotic blockages, often by using stents. The imaging technique is also used to guide numerous types of interventional radiology and vascular surgery procedures, include tumor embolizations, endovascular aortic repair (EVAR) and peripheral artery disease (PAD) interventions.
Cardiac CT Scan Vs Angiogram: What's The Difference?
CT angiography is a less invasive version of the traditional angiogram. The main difference between the two procedures is that while a standard angiogram involves a catheter being inserted into the artery and to the area being studied, a CT angiogram does not require the insertion of a catheter. A significant advantage of a CT angiogram over a traditional angiogram is that a CT angiogram is non-invasive. However, for cases of abnormal CT angiogram results - such as one or several blood vessels being blocked or narrowed - a standard angiogram may be required as a follow-up.
Coronary Angiography after Cardiac Arrest without ST-Segment Elevation
Among patients with ROSC following OHCA but without signs of STEMI on ECG, immediate angiography was not superior to delayed angiography in 90-day mortality.
CT angiography for lower GI bleed: the University of Pennsylvania Experience
Overall this study supports a CT angiography-based strategy as a legitimate and evidence-based approach to lower GI bleeding. With ongoing improvements in multi-detector helical CT scanners and safer intravenous contrast, we expect that the pendulum will continue to swing towards CT angiography as an immediate and definitive approach to evaluate a patient with critical lower GI hemorrhage.
Doctors Often Order Heart Test But No Disease Is Found
The gold-standard test for heart disease is looking a little tarnished. Angiograms may be used too often. Wikimedia Commons A big study says most patients without known heart disease who undergo coronary angiography don't have clogged arteries after all. In such patients angiograms reveal coronary disease only 40 percent of the time. Worse yet, another 40 percent have essentially clear coronaries
Heart Test May Be Overused
A widely used test to detect blockages in the heart's arteries often turns up little or no evidence of disease, a new study found, suggesting that patients are frequently exposed unnecessarily to the risks and costs of the invasive examination.
Is elective coronary angiography overused in patients with suspected coronary artery disease?
The application of coronary angiography for diagnostic purposes will experience a major reduction during the next 5–10 years. For example, the diagnostic algorhythm in CAD will change from the current anatomic focus to a more functional assessment with MRI.
Mike’s angiogram: A journey inside the heart
The dye rushes along with the blood each time the heart pumps. I look closely at the image on the monitor to find any narrowing. If we find one – and the patient has agreed to it – we’ll proceed with inserting stents in a procedure called angioplasty.
What is an angiogram?
There are around 250,000 coronary angiograms performed across the UK every year. CT angiograms are less common at the moment, but in the future they will become more common.
Your Angiogram: What to Expect
If your cardiologist is concerned about your heart, you might be referred for an angiogram — a diagnostic procedure that provides detailed x-ray pictures of your heart and its blood vessels. As with any procedure, knowing what the test can tell you and your doctor as well as what to expect before, during, and after the test can help minimize stress.
The age of diagnostic coronary angiography is over
Coronary angiography stubbornly bucks the hospital-wide trend to non-invasive diagnostic tests. New imaging technologies offer paths to better ways to investigate and manage ischaemic heart disease.
Inside Radiology
Bleeding (haematoma) occurs in less than 5% of angiograms. This is usually seen as a raised bruise at the site, usually the right groin, where the catheter is inserted. In most cases this is not serious, and will disappear after a few weeks. One in 100 people having angiography will require observation in hospital overnight, and fewer than 1 in 500–1000 will require another procedure, surgery or blood transfusion to correct the bleeding.
NHS Inform
Blood vessels don't show up clearly on ordinary X-rays, so a special dye is injected into the area being examined. The dye highlights the blood vessels as it moves through them. The medical name for this is a catheter angiogram. Less commonly, angiograms can also be carried out using magnetic resonance imaging(MRI) and computerised tomography (CT) techniques.
StatPearls
Angiography is performed to image the anatomical and structural details of the vascular system, including the cardiac chambers. Initially used for structural diagnosis of intravascular pathologies, angiography has been expanded to offer functional assessment and therapeutic options.

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