Discharge Instructions for Cerebral Angiography

You had a procedure called cerebral angiography. This is an X-ray study of the blood vessels that supply your brain. During the procedure, the doctor put a thin, flexible tube (catheter) into a blood vessel in your groin, arm, or neck through a small cut (incision). The doctor injected contrast dye into your bloodstream to help take clear X-ray images. Here's what to do after you are back at home.

The most common complication of this test is a collection of blood (hematoma) where the catheter was inserted. This is usually in the groin. It may appear as a lump under the skin. The care team usually notices this before you leave the imaging facility. A hematoma is treated by putting pressure on the site for a few hours to prevent it from getting bigger. You will be told to put cold packs on your groin for 24 hours to ease the pain. It takes a couple of weeks for the hematoma to heal. If the lump increases in size or if it is still present after 4 weeks, have it looked at by your doctor.

A less common complication is transient ischemic attacks (TIA) or a stroke. A TIA or stroke is caused by less blood flow to your brain. You might have weakness of an arm or leg, have trouble speaking and understanding words, or lose some vision or not remember things well. A TIA can last just a few hours. A stroke can last for days or weeks. Or its effects can be permanent. The older you are, the greater the risk for a TIA or a stroke after a cerebral angiography. You might notice these symptoms at the time of the test or after you have left the imaging facility or, sometimes, days later.

• Rest at home in bed for 12 hours, or as long as directed.
• Go back to your normal diet, and take your regular medicines.
• Do only light and easy activities for 2 to 3 days.
• Drink 6 to 8 glasses of water a day. This will keep you from losing fluid. It will also help flush the X-ray dye out of your body.
• Don't drive until the day after your procedure.
• Don't do strenuous activity for 2 weeks. Don't lift anything heavier than 10 pounds for 3 to 4 days.
• You can shower the day after your procedure. But don't swim or sit in a bath or a hot tub until your incision site has healed.
• Take your temperature and check your incision site for signs of infection every day for 1 week. Check for redness, swelling, or warmth at the site.
• Ask your doctor when you can go back to work.

Call 911 right away if you have:

• Weakness, tingling, or loss of feeling on one side of your face or body.
• Sudden double vision, or trouble seeing with one or both eyes.
• Sudden trouble talking, or slurred speech.
• Sudden, severe headache.

These are all symptoms of a stroke or TIA. A stroke is a medical emergency.

B.E. F.A.S.T. is an easy way to remember the signs of stroke. When you see these signs, you know that you need to call 911 fast.

The letters in B.E. F.A.S.T. can help you know what to look for and what to do:

• B is for balance. Sudden loss of balance or coordination.
• E is for eyes. Vision changes in one or both eyes.
• F is for face drooping. One side of the face is drooping or numb. When the person smiles, the smile is uneven.
• A is for arm weakness. One arm is weak or numb. When the person lifts both arms at the same time, one arm may drift downward.
• S is for speech difficulty. You may notice slurred speech or trouble speaking. The person can't repeat a simple sentence correctly when asked.
• T is for time to call 911. If someone shows any of these symptoms, even if they go away, call 911 right away. Make note of the time the symptoms first appeared.

Contact your doctor right away if you have:

• Trouble breathing.
• Dizziness.
• Constant or increasing pain or numbness in your leg, arm, or neck.
• A fever of 100.4°F (38°C) or higher, or as directed by your doctor.
• Signs of infection at the incision site, such as redness, swelling, or warmth.
• Shortness of breath.
• A cold feeling in your leg, or your leg looks blue.
• Bleeding, bruising, or a large swelling where the catheter was inserted.
• Not enough urine, or no urine.