What is a Venogram?
If your doctor feels there are blockages in the large veins returning blood to the heart they will perform a venogram. A small tube similar to an IV is inserted into the groin. A catheter is advanced and contrast injected and visualized under X-ray. Using a special catheter, an ultrasound can be done inside the veins to better determine the severity of the compression/blockage. The doctor can see the blockages and determine the best way to treat them.
What is expected from you prior to the test?
You will need to have blood work done at last three days before the procedure. You should receive an order from your physician.
You will be instructed on how to take your medications and which ones to stop prior to your exam.
Nothing to eat after midnight prior to the procedure. You may have clear liquids up to two hours before your arrival.
You will need a driver to bring you and take you home. YOU CAN NOT DRIVE! If you need transportation please let us know when you are scheduled.
What to expect when you arrive.
You will be taken back to the pre-op area where you will sign your consent and change your clothes into a patient gown.
An intravenous (IV) line will be started in your arm or hand and you will be connected to a monitor to record your heart rate, breathing, and blood pressure.
Your procedure will be explained and you will be able to ask questions.
What to expect during the procedure.
The skin areas to be used for access will be shaved and prepped. Oxygen will be applied thru a cannula. You will receive medication (Consious Sedation) to relax by the nurse who will be monitoring you. You will then be given a local anesthesia to numb the area and a needle inserted into the veins. A catheter will then be inserted and the X-ray images taken. The doctor will then determine if intervention is needed to fix the blockage. Once the procedure is completed the physician will remove the catheter and pressure will be applied to the site.
After the procedure.
You will be taken to the post-op area for recovery where your access site will be watched and vital signs monitored. You will lie flat for some time before being able to sit up. You will be given fluids to drink and a snack when you sit up.. Your discharged time is based upon the type of closure of the access site and no signs of bleeding. Discharge instructions will be reviewed and a copy given when you are able to leave.
What to expect at home.
You should plan to relax the rest of the day. You will watch the access site for signs of bleeding. Some bruising may be seen. Drink plenty of fluids to help flush the contrast from your body. There will be limitations on activity and bathing which will be explained to you.