Mesenteric arteriography

• Alternative Names

  Abdominal arteriogram; Arteriogram - abdomen

• How the test is performed

  This test uses x-rays and a special dye (contrast material) to make blood vessels show up on the images.

  This test is done in a hospital. You will lie on an x-ray table. You may ask for a sedative if you are anxious about the test.

  The health care provider will shave and clean the groin area. A numbing medicine (anesthetic) is applied, and a needle inserted into an artery. A thin flexible tube called a catheter is passed through the needle, into the artery, and up through the main vessels of the belly area and chest until it is properly placed into a mesenteric artery. The doctor can see live images of the area on a TV-like monitor, and uses them as a guide.

  Contrast dye flows through the catheter into the blood vessels. X-ray images are taken. The catheter is occasionally flushed with saline solution containing a drug called heparin to help keep blood in the tube from clotting.

  Your pulse, blood pressure, and breathing are monitored during the procedure. After the x-rays are taken, the needle and catheter are withdrawn.

  Pressure is immediately applied to the puncture site for 10-15 minutes to stop the bleeding. After that time the area is checked and a tight bandage is applied. The leg should be kept straight for an additional 4 hours after the procedure.

• How to prepare for the test

  You should not eat or drink anything for 8 hours before the test.

  You will be asked to wear a hospital gown and sign a consent form for the procedure. Jewlery should be removed from the area being imaged.

  Tell your health care provider:

  • If you are pregnant
  • If you have ever had any allergic reactions to x-ray contrast material or iodine substances
  • If you are allergic to any medications
  • Which medications you are taking (including any herbal preparations)
  • If you have ever had any bleeding problems
• How the test will feel

  The x-ray table is hard and cold, but you may ask for a blanket or pillow. You may feel a brief sting when the numbing medication (anesthetic) is given. You will feel a brief sharp pain as the catheter is inserted into the artery, and some pressure as it is moved into place.

  As the dye is injected, you will feel a warm, flushing sensation. You may have tenderness and bruising at the site of the injection after the test.

• Why the test is performed

  This test is done:

  • When endoscopy cannot locate the source of bleeding in the gastrointestinal tract
  • When other studies fail to provide enough information about abnormal growths along the intestinal tract
  • To possibly look at blood vessel damage after an abdominal injury

  A mesenteric arteriogram may be performed after more sensitive nuclear medicine scans have identified active bleeding. The radiologist can then pinpoint and treat the source. See: Endovascular embolization.

• Normal Values

  Results are considered normal if the arteries being examined are normal in appearance.

• What abnormal results mean

  Abnormal results may be due to

  • Angiodysplasia of the colon
  • Bleeding in the upper or lower gastrointestinal track
  • Blood vessel rupture from injury
  • Cirrhosis
  • Growth of abnormal cells
• What the risks are

  There is some risk of the catheter damaging the artery or knocking loose a piece of the artery wall, which can reduce or block blood flow and lead to tissue death. This is a rare complication.

  Other risks include:

  • Bleeding
  • Blood clot
  • Infection
  • Reaction to the contrast dye

Review Date: 1/13/2009

Reviewed By: Benjamin Taragin M.D. Department of Radiology Montefiore Medical Center, Bronx, N.Y. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.