Angiocardiography

Angiocardiography is a technique for radiographic examination of the heart chambers and thoracic veins and arteries. A liquid radiocontrast agent, typically containing iodine, is injected into the bloodstream, then the tissues are examined using X-rays.^[1] To avoid dilution, the radiopaque material is typically introduced with a catheter, a process known as selective angiocardiography. The X-ray image is normally captured on high speed serial media that allows the motion to be observed, such as 35mm film.^[2] The process requires fasting before the test, with a sedative and an antihistamine being administered before the test.^[3]

Procedure

A catheter is introduced in to the artery in either radial artery or in femoral artery then the caterter is guided in to the heart chamber by moving it across the artery. A contrast medium is then introduced to the specific part through the catheter and during which a series of images are produced.

Angiocardiography can be used to detect and diagnose congenital defects in the heart and adjacent vessels.^[3] The use of angiocardiography has declined with the introduction of echocardiography. However, angiocardiography is still in use for selected cases as it provides a higher level of anatomical detail than echocardiography.^[4]^[5]

References

^ Nath, Judi Lindsley (2005). Using medical terminology: a practical approach. Lippincott Williams & Wilkins. p. 97.
^ Selzer, Arthur (1992). Understanding heart disease. University of California Press. p. 43.
^ ^a ^b Timby, Barbara Kuhn; Smith, Nancy Ellen (2004). Essentials of nursing: care of adults and children. Lippincott Williams & Wilkins. p. 359.
^ Stark, Jaroslav; De Leval, Marc; Tsang, Victor T. (2006). Surgery for congenital heart defects (3rd ed.). John Wiley and Sons. p. 95–96.
^ Donoghue, Veronica (2002). Radiological imaging of the neonatal chest. Medical radiology. Springer. p. 121.

Medical testing : Medical imaging
Radiology
(ICD-9-CM V3 87–88, ICD-10-PCS B, CPT 70010–79999)

X-ray/
medical radiography/
Industrial radiography

Medical:	Pneumoencephalography Dental radiography Sialography Myelography CXR Bronchography AXR KUB DXA/DXR Upper gastrointestinal series/Small-bowel follow-through/Lower gastrointestinal series Cholangiography/Cholecystography Mammography Pyelogram Cystography Arthrogram Hysterosalpingography Skeletal survey Angiography Angiocardiography Aortography Venography Lymphogram

Industrial:	Radiographic testing

3D / XCT

Medical:	CT pulmonary angiogram Computed tomography of the heart Computed tomography of the abdomen and pelvis Virtual colonoscopy CT angiography Computed tomography of the head Quantitative computed tomography Spiral computed tomography High resolution CT Whole body imaging Full-body CT scan Electron beam tomography

Industrial:	Industrial computed tomography

Other

Fluoroscopy

MRI

Ultrasound

Radionuclide

2D / scintigraphy

Cholescintigraphy Scintimammography Ventilation/perfusion scan Radionuclide ventriculography Radionuclide angiography Radioisotope renography Sestamibi parathyroid scintigraphy Radioactive iodine uptake test Bone scintigraphy Immunoscintigraphy

full body:	Octreotide scan Gallium 67 scan Indium-111 WBC scan

3D / ECT

SPECT gamma ray: Myocardial perfusion imaging

PET (positron):	Brain PET Cardiac PET PET mammography PET-CT

Optical laser

Thermography

Breast thermography

Categories

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Angiocardiography