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Left heart ventricular angiography
Alternative namesAngiography - left heart; Left cardiac catheterization; Left ventriculography
DefinitionLeft heart ventricular angiography is a procedure that studies the left side of the heart and sometimes the heart's arteries. A dye is injected through a thin flexible tube (catheter) into the heart, followed by a series of x-rays to look at blood flow.
How the test is performed
You are given a mild sedative prior to the test. An intravenous line is started in your arm to allow for the administration of medication during the procedure. A cardiologist then inserts a catheter through a small incision in an artery in your arm or groin after cleansing and numbing the site.
The catheter is then carefully threaded into your heart using x-ray images called fluoroscopy to guide the insertion. When the catheter is in place, dye is injected to view the left heart, the blood vessels that supply the heart (the coronary arteries), or both.
How to prepare for the test
Food and fluid are restricted for 6 to 8 hours before the test. The procedure takes place in the hospital. Sometimes, admission the night before the test is required. Otherwise, admission as an outpatient or inpatient on the morning of the procedure is required.
A health care provider will explain the procedure and its risks. You must sign a consent form for the procedure. You will be given a mild sedative 1/2 hour before the procedure. The procedure may last from 1 to several hours. You will wear hospital clothing.
How the test will feel
The procedure takes place in a radiology department or cardiac diagnostic laboratory. You will be given sedation to relax you prior to the procedure, but you will be awake and able to follow instructions during the test. You will remain on a stretcher throughout the entire test.
You are given local anesthesia to insert the catheter, and the only sensation is one of pressure at the site. A puncture is made into an artery in your arm, neck, or groin for threading the catheter into your heart. Occasionally, a flushing sensation occurs after the dye is injected. Discomfort may arise from having to lie still for prolonged periods of time.
Why the test is performedLeft heart angiography is performed to detect abnormalities in blood flow through the left side of the heart, abnormalities of the left cardiac valves, or coronary obstructions.
Normal ValuesNormal blood flow through the left side of the heart, plus normal volumes and pressures are the expected result.
What abnormal results meanLeft atrial abnormalities may be present. Left ventricular abnormalities or dysfunction may be present. Valve diseases may need to be documented. Coronary angiography (x-ray images of heart arteries) may be needed when obstruction of the coronary arteries is suspected.
What the risks areRisks of the procedure are cardiac arrhythmias , cardiac tamponade , trauma to the artery, low blood pressure , infection, embolism from blood clots at the tip of the catheter, reaction to dye, hemorrhage, stroke , and heart attack .
Special considerationsRight heart catheterization may be combined with this procedure.
Update Date: 7/16/2003Elena Sgarbossa, M. D., Department of Cardiology, Cleveland Clinic Florida, Weston, FL. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT