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Neuro·Vascular Center

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Cerebrovascular angiography

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It is the most precise and safe test method to determine the state of cerebral blood vessels in which a 2mm tube called a catheter is inserted through the femoral artery, a contrast agent is injected, and an X-ray is taken.

Purpose of examination

Cerebrovascular angiography is an essential test for diagnosing cerebrovascular diseases (cerebral aneurysm, cerebral blood vessel stenosis and occlusion, carotid artery stenosis, etc.) and establishing a treatment plan. In particular, it is performed as the most accurate final stage examination because it can determine the condition of blood vessels more accurately than MRI/MRA (magnetic resonance imaging and angiography) and CT (computed tomography) examinations.

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Before examination

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  2. You will be admitted to the hospital a day before or on the day of the examination.

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  4. An allergy to the contrast agent needs to be checked and fasting for 6 hours is needed.

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  6. Before the examination, you need to be informed of and sign the consent form for cerebrovascular angiography.

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  8. The examination is conducted in the brain angiography room on the 3rd floor of the main building.

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  10. You lie down under a special imaging device in which the blood vessels of the brain are projected and observed.

※ If you have any inconvenience or questions, notify the waiting medical staff.

During examination

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  2. Test areas include the upper leg (groin) femoral artery or the upper brachial artery of the arm, which will be sterilized before local anesthesia is performed.

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  4. After the sterilized area is punctured (the blood vessel is pierced), the catheter is inserted and the contrast agent is injected.

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  6. The test takes about 30 minutes to 1 hour.

※ Since it is performed under local anesthesia, the pain is not severe, but there may be some discomfort. During the test, you may feel a burning sensation, nausea, or headache, but it will disappear quickly, so you can rest assured. If your symptoms are severe, inform the medical staff right away.

After examination

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  2. If there is no stenosis or blockage of cerebral blood vessels or abnormal findings, the test is terminated.

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  4. If there is an abnormal finding, thrombolysis and cerebrovascular intervention are performed at the discretion of the medical staff.

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  6. Cerebrovascular intervention is usually performed immediately following the angiography, but depending on the lesion, it may be scheduled and performed on a different date.

※ If you experience chest pain, shortness of breath, or dizziness after the test, notify the medical staff immediately.

Precautions on cerebrovascular angiography
  • 1) If you have past surgeries, medical history, and allergies (drugs, contrast agents, etc.), notify the medical staff in advance.
  • 2) You must tell us the name and dosage of the drug you are currently taking, and in particular, when taking warfarin (Coumadin), consult with your medical staff in advance and stop taking it.
  • 3) If you are pregnant or of childbearing age, please inform the medical staff in advance.
  • 4) After the examination, the patient's condition can be intensively observed in the intensive care unit.
  • 5) It is recommended to drink plenty of water and urinate frequently to drain the contrast agent.