A standby coronary angiogram (otherwise called an angio ?proceed) is performed in an environment where immediate treatment can be undertaken if a significant coronary narrowing is identified during the investigation. Due to the complexity of equipment needed there are very few hospitals where this can be done (it cannot be done at Southampton Spire) and the procedure is mainly done in the Wessex Cardiac Unit at UHS.
What Happens During the Procedure?
A catheter is inserted through an artery in the wrist or groin and guided to the coronary arteries. Contrast dye is injected while X-ray images are recorded, producing a detailed map of the heart’s blood supply.
following this your consultant may go on to do advanced assessments of any narrowings involving a pressure wire device or ultrasound camera inside the arteries (called IVUS). Finally if indicated your doctor may go on to stretch any narrowings with balloons (called angioplasty) and finally place a metal scaffold to fix the artery (called a stent).
Why Might I Need a Coronary Angiogram?
You may be referred for an angiogram if you have:
- Symptoms of angina
- Abnormal stress test results
- Evidence of coronary artery disease
- Persistent chest pain
- A history of heart attack
- Planned cardiac surgery requiring coronary assessment
Benefits of a Standby Service
If a significant blockage is identified, further assessment or treatment planning can often begin immediately, reducing delays and providing a more efficient patient pathway.
After the Procedure
Following a period of observation, your cardiologist will review the findings and discuss any recommended treatment options.
If your doctor places a stent you should not drive for 7 days after the procedure so will need someone to drive you home once you are ready for discharge. If no stent is placed then the restriction is only 48 hours.
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Please note that with increased demand, and long NHS waits, our services and office are under more demand than ever. As a result our staff are exceptionally busy and often working under great pressure.