Vascular Interventional Suite

An ABI test and a Doppler vascular ultrasound are done from the surface of the skin, without a needle or radiation, to find out whether blood flow is reduced. In the Vascular Interventional Suite, the doctor places a catheter inside the blood vessel and uses X-rays and contrast dye. This gives a detailed map of the vessels and allows treatment in the same session, so it is generally used after initial tests show that a procedure may be needed.

Many procedures in this room are done with local anesthetic at the puncture site, and you may be given a sedative to help you relax. You stay awake and can talk with the team. For longer or more complex procedures, such as some EVAR procedures, the doctor may use regional or general anesthesia together with an anesthesiologist. The type of anesthesia will be explained to you before the procedure.

You will generally be asked to fast for several hours and have blood tests, including kidney function. Bring a list of your medications, especially blood thinners, antiplatelet drugs, and diabetes medication, because some doses may need adjusting. Tell the team if you have ever had an allergy to contrast dye, have kidney disease, or might be pregnant. Come with a companion, as you should not go home alone after the procedure.

The length depends on the type of procedure. Angiography alone is generally shorter, while angioplasty at several sites or EVAR can take a few hours. Afterward, you need to lie still for a few hours so the puncture site does not bleed. Your doctor decides how long you stay in hospital based on the procedure and your condition, and staff will give you an estimate when scheduling.

The radiation dose is kept to what the procedure needs, and the benefits of the procedure are weighed against its risks. Contrast dye can affect kidney function, especially in people with kidney disease or diabetes, and in a small number of people it can cause an allergic reaction. That is why your doctor checks kidney function beforehand, gives fluids when needed, and uses only as much contrast as necessary. Tell the team about any allergies.

Keep the puncture site clean and dry, and avoid lifting heavy objects for a few days as your doctor advises. Take your prescribed medications, especially antiplatelet drugs, and do not stop them on your own. Contact the hospital if the puncture site becomes swollen or more painful. Go to the emergency department right away if bleeding does not stop with pressure, if your leg becomes cold, pale, or very painful, or if you have severe shortness of breath or severe chest pain.