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angina","Acute coronary syndrome, including myocardial infarction","Positive or inconclusive non-invasive stress testing","Unexplained heart failure or cardiomyopathy to assess coronary cause","Assessment before valve or other cardiac surgery","Planning of PCI or bypass surgery","Cardiac arrest or serious ventricular arrhythmia with suspected ischemia"],"main_risks":["Bleeding or hematoma at the access site","Vascular injury, pseudoaneurysm or radial artery occlusion","Contrast reaction, including allergy","Contrast-associated kidney injury","Arrhythmia","Coronary dissection (rare)","Heart attack, stroke or death (rare)","Radiation exposure"],"pain":"Mild pressure or ache at the access site; local anesthetic keeps insertion nearly painless.","preparation":["Consultation with a cardiologist before the procedure","Fasting for about 4-6 hours beforehand, as instructed","Blood tests, kidney function and clotting tests","Declare any contrast or iodine allergy in advance","Review of blood thinners and diabetes medication","Arrange an escort and transport home"],"recovery_timeline":[{"phase":"Procedure day","description":"Observation for a few hours after sheath removal; most patients go home the same day.","restrictions":["Keep leg straight after femoral access for a few hours","Rest until cleared by nursing staff"]},{"phase":"First 2-3 days","description":"Mild soreness, small bruise or tenderness at the puncture site is common.","restrictions":["Avoid heavy lifting with access arm for 2-3 days","Avoid strenuous physical activity"]},{"phase":"Days 3-7","description":"Return to normal daily life and desk work.","restrictions":["Avoid strenuous exercise until about one week"]}],"rehabilitation_days":{"min":0,"max":3,"unit":"days","qualifier":"No formal rehabilitation; only brief access-site restrictions."},"result_longevity":null,"revision_rate_pct":null,"scars":"No visible scar; only a tiny puncture mark at the access site.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Usually one visit for the procedure"},"stages":[{"code":"angiography","label":"Diagnostic coronary angiography","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure"}},{"code":"result_review","label":"Result review with cardiologist","after":{"min":0,"max":1,"unit":"days","qualifier":"Same day or next day"}}],"qualifier":"Single procedure; results discussed shortly after"},"success":{"metric":"Diagnostic-quality images obtained","value":98,"unit":"percent","horizon":"Single procedure","population":"Adults undergoing elective or urgent diagnostic coronary angiography","evidence_status":"limited"},"techniques":[{"name":"Transradial catheter coronary angiography","suits_whom":"Most adults; commonly preferred because of lower access-site bleeding risk, provided the radial artery is suitable.","recovery":"Early walking and usually same-day discharge after a short observation period; avoid heavy lifting with the wrist for a few days."},{"name":"Transfemoral catheter coronary angiography","suits_whom":"Patients with unsuitable radial arteries or when larger catheters or other access are needed.","recovery":"Bed rest with the leg straight for a few hours after sheath removal, then discharge the same day or next day."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Procedure plus short observation; excludes pre-tests and result discussion."},"initial_assessment_documents":["Recent resting ECG","Stress test or coronary CT report","Echocardiogram report","Cardiology discharge summaries or clinic letters","List of blood thinners and diabetes drugs","Recent creatinine and kidney function results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-day diagnostic procedure; stay 2-3 days for pre-tests, angiography, observation and result review."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care 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attack.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Internal bleeding from the groin","urgency":"emergency","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/understanding-coronary-angiography-and-coronary-intervention/","host":"leedsth.nhs.uk","quote":"Rarely, problems with the access site in the groin can cause internal bleeding which may require another procedure or an operation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment 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