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Home >> Mercy Heart & Vascular Institute >> Procedures >> Diagnostic Procedures >> Coronary CT Angiogram

Coronary CT Angiogram


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Angiography is a minimally invasive medical test that helps physicians diagnose and treat a number of medical conditions. In computed tomography angiography (CTA), you will have a computed tomography (CT) scan using a contrast material that will produce multiple detailed images. CT imaging uses special X-ray equipment to produce the images and a computer to join them together in multidimensional views.
 
Before the test
  • Be sure to mention the medications you take and ask if it is okay to take them before the test
  • If instructed, stop eating and drinking 8 hours before your CT
  • If instructed, drink contrast (a liquid that improves the image) 8 hours before your CT
  • Wear comfortable, loose-fitting clothing to your exam. You may be given a gown to wear during the procedure
  • Remove metal objects including jewelry, eyeglasses, dentures and hairpins. You may also be asked to remove hearing aids and removable dental work
  • Women should always inform their physician and the technologist if there is any possibility that they are pregnant.
  • The test may take 10 minutes to 2 hours, depending on whether contrast is used and the part of the body being scanned
  • Arrive on time to check in
During the test
  • You may be given contrast through an intravenous (IV) line or by injection
  • You will lie on a table. The table slides into the CT scanner
  • The technologist will ask you to hold your breath for a few seconds during your scan
After the test
  • After a CT exam, you can return to your normal activities
  • You can go back to your normal diet and activities right away. Any contrast will pass naturally through your body within a day
  • Before leaving, you may need to wait briefly while your images are being reviewed
  • Your doctor will discuss the test results with you during a follow-up appointment or over the phone
Benefits vs. Risks of CTA
 
Benefits
Risks
  • May eliminate the need for surgery. If surgery remains necessary, it can be performed more accurately
  • Ability to detect narrowing of blood vessels in time for corrective therapy to be done
  • More precise anatomical detail of blood vessels than magnetic resonance imaging (MRI)
  • A less invasive and more patient-friendly procedure than catheter angiography
  • No radiation remains in a patient's body after a CT examination
  • Usually have no side effects from X-rays in CT scans
  • Slight chance of cancer from excessive exposure to radiation
  • Special medication may be required if you have a history of allergy to X-ray contrast material to lessen the risk of allergic reaction
  • Skin damage or damage to blood vessels and nerves, though unlikely, can result if a large amount of X-ray contrast material leaks out from the vessel being injected and spreads under the skin where the IV is placed
  • Risks associated with exposure to radiation for pregnant women
DIAGNOSTIC PROCEDURES
 
 
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Coronary Artery Angiography screenings are offered Mondays through Fridays at Mercy General Hospital in Sacramento.