Post Angiography Care

In-Hospital Post Angiography Care

Because life-threatening internal bleeding is a possible complication of an arterial puncture, an overnight stay in the hospital is sometimes recommended as a part of post angiography care, particularly with cerebral and coronary angiography. If the procedure is performed on an outpatient basis, the patient is typically kept under close observation for a period of at six to 12 hours before being released.

If the arterial puncture was performed in the femoral artery, the patient is instructed to keep his or her leg straight and relatively immobile during the observation period. The patient’s blood pressure and vital signs are monitored, and the puncture site observed closely.

As a part of the post angiography care, pain medication may be prescribed if the patient is experiencing discomfort from the puncture, and a cold pack is often applied to the site to reduce swelling. It is normal for the puncture site to be sore and bruised for several weeks. The patient may also develop a hematoma at the puncture site, a hard mass created by the blood vessels broken during the procedure. Hematomas should be watched carefully, as they may indicate continued bleeding of the arterial puncture site.

In-Home Post Angiography care

Angiography patients are also advised to have two to three days of rest after the procedure in order to avoid placing any undue stress on the arterial puncture site.

Patients who experience continued bleeding or abnormal swelling of the puncture site, sudden dizziness, or chest pain in the days following an angiographic procedure should seek medical attention immediately.

Patients undergoing a fluorescein angiography should not drive or expose their eyes to direct sunlight for 12 hours following the procedure.