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Please contact your physician with specific medical questions or for a referral to a radiologist or other physician. CCTA is often not useful in patients with many areas of old, calcified (hardened) plaque, which is often the case in older patients. Unlike CTA, which is only a diagnostic test, coronary angiography can be used for both diagnosis and treatment in a single session.
Although CCTA examinations are growing in use, coronary angiography is still the main method for detecting coronary artery stenosis , which is a significant narrowing of an artery that could require treatment such as a stent or bypass surgery. Patients who are extremely overweight or who have abnormal heart rhythms are usually not good candidates for this test because image quality may be compromised. If you feel any pain in your arm at the location of the IV during contrast material injection, you should immediately inform the technologist.
X-rays used in CT scans should have no immediate side effects. CT can be performed if you have an implanted medical device of any kind, unlike MRI. CT has been shown to be cost-effective for a wide range of medical problems.
An alternative test, cardiac catheterization with a coronary angiogram, is invasive, has more complications related to the placement of a long catheter into the arteries and the movement of the catheter in the blood vessels, and requires more time for the patient to recover. Follow-up examinations are sometimes the best way to see if treatment is working or if a finding is stable or changed over time. Your doctor will explain the exact reason why another exam is requested.
If you are actively having chest pain, your results will be given to the emergency room doctor by the radiologist, and a preliminary result will be reported right away. After a CT exam, the intravenous line used to inject the contrast material will be removed by the technologist, and the tiny hole made by the needle will be covered with a small dressing. You may experience a sensation like you have to urinate; however, this is actually a contrast effect and subsides quickly.
You will likely have a warm, flushed sensation during the injection of the contrast materials and a metallic taste in your mouth that lasts for at most a minute or two. The technologist or nurse, under the direction of a physician, may offer you some medication to help you tolerate the CT scanning procedure.
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