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Pulmonary angiography - Risks

Alternative Names

Pulmonary arteriography; Pulmonary angiogram; Angiogram of the lungs

What the risks are:

Occasionally, abnormal cardiac rhythm can develop during the procedure. The doctors will monitor your heart and can treat any abnormal rhythms that develop.

Other risks include:

  • Allergic reaction to the contrast dye
  • Damage to the blood vessel as the needle and catheter are inserted
  • Blood clot traveling to the lungs, causing an embolism
  • Excessive bleeding or a blood clot where the catheter is inserted, which can reduce blood flow to the leg
  • Heart attack or stroke
  • Hematoma (a collection of blood at the site of the needle puncture)
  • Injury to the nerves at the puncture site
  • Kidney damage from the dye

There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits.

Pregnant women and children are more sensitive to the risks of x-rays.

  • Reviewed last on: 11/18/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Jackson JE, Allison DJ, Meaney J. Angiography: Principles, techniques (including CTA and MRA) and complications. In: Grainger RC, Allison D, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 6.

Rubens MB, Dalal P. Pulmonary Circulation and Pulmonary Thromboembolism. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 26.

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