BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuExtremity angiographyAngiography of the extremity; Peripheral angiography; Lower extremity angiogram; Peripheral angiogram; Arteriography of the extremity; PAD - angiography; Peripheral artery disease - angiographyExtremity angiography is a test used to see the arteries in the hands, arms, feet, or legs. It is also called peripheral angiography. Angiography uses x-rays and a special dye to see inside the arteries. Arteries are blood vessels that carry blood away from the heart.x-raysX-rays are a type of electromagnetic radiation, just like visible light. An x-ray machine sends individual x-ray particles through the body. The im...Read Article Now Book Mark Article How the Test is Performed This test is done in a hospital. You will lie on an x-ray table. You may ask for some medicine to make you sleep and relax (sedative).The health care provider will shave and clean an area, most often in the groin. A numbing medicine (anesthetic) is injected into the skin over an artery. A needle is placed into that artery. A thin plastic tube called a catheter is passed through the needle into the artery. The doctor moves it into the area of the body being studied. The doctor can see live images of the area on a TV-like monitor, and uses them as a guide. Dye flows through the catheter and into the arteries. X-ray images are taken of the arteries.Certain treatments can be done during this procedure. These treatments include:Dissolving a blood clot with medicine Opening a partially blocked artery with a balloon Placing a small tube called a stent into an artery to help hold it openThe health care team will check your pulse (heart rate), blood pressure, and breathing during the procedure.PulseThe pulse is the number of heartbeats per minute.Read Article Now Book Mark Article The catheter is removed when the test is done. Pressure is placed on the area for 10 to 15 minutes to stop any bleeding. A bandage is then put on the wound.The arm or leg where the needle was placed should be kept straight for 6 hours after the procedure. You should avoid strenuous activity, such as heavy lifting, for 24 to 48 hours. How to Prepare for the Test You should not eat or drink anything for 6 to 8 hours before the test.You may be told to stop taking certain medicines, such as aspirin or other blood thinners for a short while before the test. Never stop taking any medicines unless told to do so by your provider.Make sure your provider knows about all the medicines you take, including those you bought without a prescription. This includes herbs and supplements.Tell your provider if you:Are pregnant Are allergic to any medicines Have ever had an allergic reaction to x-ray contrast material, shellfish, or iodine substances Allergic reactionAllergic reactions are sensitivities to substances called allergens that come into contact with the skin, nose, eyes, respiratory tract, and gastroin...Read Article Now Book Mark Article Have ever had any bleeding problems How the Test will Feel The x-ray table is hard and cold. You may want to ask for a blanket or pillow. You may feel some stinging when the numbing medicine is injected. You may also feel some pressure as the catheter is moved.The dye can cause a feeling of warmth and flushing. This is normal and most often goes away in a few seconds.You may have tenderness and bruising at the site of the catheter insertion after the test. Seek immediate medical help if you have: Swelling Bleeding that doesn't go away Severe pain in an arm or leg Why the Test is Performed You may need this test if you have symptoms of a narrowed or blocked blood vessel in the arms, hands, legs, or feet.Narrowed or blocked blood vesselPeripheral artery disease (PAD) is a condition of the blood vessels that supply the legs and feet. It occurs due to narrowing of the arteries in the...Read Article Now Book Mark Article The test may also be done to diagnose:Bleeding Swelling or inflammation of the blood vessels (vasculitis) Normal Results The x-ray shows normal structures for your age. What Abnormal Results Mean An abnormal result is commonly due to narrowing and hardening of the arteries in the arms or legs from plaque buildup (hardening of the arteries) in the artery walls.Hardening of the arteriesAtherosclerosis, sometimes called "hardening of the arteries," occurs when fat, cholesterol, and other substances build up in the walls of arteries. ...Read Article Now Book Mark Article The x-ray may show a blockage in the vessels caused by:Aneurysms (abnormal widening or ballooning of part of an artery) AneurysmsAn aneurysm is an abnormal widening or ballooning of a part of an artery due to weakness in the wall of the blood vessel.Read Article Now Book Mark Article Blood clots Blood clotsBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...Read Article Now Book Mark Article Other diseases of the arteries Abnormal results may also be due to:Inflammation of the blood vessels Injury to the blood vessels Thromboangiitis obliterans (Buerger disease) Thromboangiitis obliteransThromboangiitis obliterans is a rare disease in which blood vessels of the hands and feet become blocked.Read Article Now Book Mark Article Takayasu diseaseTakayasu diseaseTakayasu arteritis is an inflammation of large arteries such as the aorta and its major branches. The aorta is the artery that carries blood from th...Read Article Now Book Mark Article Risks Complications may include:Allergic reaction to the contrast dye Damage to the blood vessel as the needle and catheter are inserted Excessive bleeding or a blood clot where the catheter is inserted, which can reduce blood flow to the leg Heart attack or stroke Hematoma, a collection of blood at the site of the needle puncture Injury to the nerves at the needle puncture site Kidney damage from the dye Injury to the blood vessels being tested Limb loss from problems with the procedure There is low-level radiation exposure. However, most experts feel that the risk for most x-rays is low compared with benefits. Pregnant women and children are more sensitive to the risks for the x-ray.Open ReferencesReferencesAmerican Heart Association website. Peripheral angiography. www.heart.org/en/health-topics/peripheral-artery-disease/symptoms-and-diagnosis-of-pad/peripheral-angiogram. Updated June 2, 2021. Accessed June 17, 2021.Desai SS, Hodgson KJ. Endovascular diagnostic technique. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 60.Harisinghani MG, Chen JW, Weissleder R. Vascular imaging. In: Harisinghani MG, Chen JW, Weissleder R, eds. Primer of Diagnostic Imaging. 6th ed. Philadelphia, PA: Elsevier; 2019:chap 8.Reekers JA. Angiography: principles, techniques and complications. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology. 7th ed. Philadelphia, PA: Elsevier Limited; 2021:chap 78.AllVideoImagesTog Tests for Extremity angiography Extremity angiographyArteriogramRelated Information X-ray(Medical Test)Arteriogram(Medical Test)Atherosclerosis(Condition)Blood clots(Condition)Aneurysm(Condition)Deep vein thrombosis(Condition)Thromboangiitis obliterans(Condition) Review Date: 10/30/2020 Reviewed By: Deepak Sudheendra, MD, RPVI, FSIR, Director of DVT & Complex Venous Disease Program, Assistant Professor of Interventional Radiology & Surgery at the University of Pennsylvania Perelman School of Medicine, with an expertise in Vascular Interventional Radiology & Surgical Critical Care, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. 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