An angiogram is a diagnostic imaging procedure that uses a special contrast dye and X-rays to visualize blood vessels. Understanding the recovery process is important for a smooth experience and optimal healing.
Immediate Recovery and Monitoring
After an angiogram, you will typically spend several hours in a recovery area for close monitoring. If the catheter was inserted into your leg, you will likely need to lie flat for approximately four to six hours to prevent bleeding at the access site. Nurses will regularly check the puncture site, often in the groin or wrist, for any signs of bleeding or swelling. Your blood pressure and heart rate will also be monitored to ensure your stability.
It is common to feel some pressure or mild discomfort at the access site immediately after the procedure. Drink plenty of fluids to help your kidneys flush the contrast dye. While some go home the same day, others may require an overnight stay, especially if the procedure was complex or performed later.
Managing Recovery at Home
At home, attentive self-care is important. Expect some bruising, soreness, or tenderness at the catheter insertion site for a few days to a week. A small lump, about the size of a dime or quarter, may also form and persist for several weeks.
Proper wound care prevents infection and supports healing. Keep the access site clean and dry; your healthcare team will provide instructions on dressing removal. Showering is generally permitted 24 to 48 hours after, but avoid soaking the puncture site in baths, hot tubs, or swimming pools for about one week or until healed. For pain, use over-the-counter relievers like acetaminophen. Applying an ice pack for 10 to 20 minutes can reduce soreness and swelling.
Activity Limitations
Limit certain activities to facilitate proper healing and prevent complications. Avoid lifting anything heavier than 10 pounds for several days (three days to one week), depending on the access site and individual recovery. Also avoid strenuous activities or intense exercise for one to two weeks, as advised by your doctor.
Driving is restricted for at least 24 to 48 hours, potentially longer if a stent was placed. If the catheter was in your leg, avoid bending or squatting for about two days to minimize strain. Gentle movement around the house is encouraged; gradually increase activity over the first week to promote blood flow and recovery.
When to Call Your Doctor
Recognizing warning signs and knowing when to seek medical attention is important during your recovery. Promptly contact your doctor if you experience significant bleeding that doesn’t stop after applying pressure, or if a painful lump at the access site quickly grows larger. New or worsening pain, numbness, tingling, or a noticeable change in the limb’s color or temperature also warrant immediate medical review.
Signs of infection at the puncture site, such as increased redness, warmth, pus-like drainage, or red streaks, require prompt medical attention. If you develop a fever, chills, or new symptoms like chest pain or shortness of breath, contact your healthcare provider without delay.
Understanding Your Results and Next Steps
After your angiogram, your healthcare provider will communicate the findings, often during a follow-up appointment. The results will explain any identified blockages or narrowings in your blood vessels and their severity. This information guides the next steps in your care.
Depending on the angiogram’s findings, your doctor may recommend treatment options. These could include new medications, lifestyle adjustments (diet or exercise), or further procedures like angioplasty with stent placement or bypass surgery. Attending all scheduled follow-up appointments is important to discuss results and ensure appropriate ongoing care for your heart health.