Asian old woman holding a leg that pain from varicose veins

Angiogram: Diagnosing Peripheral Artery Disease

When it comes to diagnosing peripheral artery disease (PAD), an angiogram provides detailed images of the arteries in your legs, helping to identify blockages or narrowing that could be causing symptoms such as pain, numbness, or cramping. It involves using contrast dye and X-ray imaging to create detailed pictures of blood vessels in order to diagnose PAD. Angiograms allow our specialists to see the exact location and extent of arterial blockages, helping us develop an effective treatment plan for each patient.

Angiogram Candidates

An angiogram is typically recommended for individuals who have the following risk factors and symptoms of PAD.

  • 50 years of age or older
  • Smoke
  • Have diabetes
  • Have high blood pressure
  • Have high cholesterol
  • Individuals experiencing leg pain, weakness, or numbness
  • Had previous diagnostic tests that were inconclusive

Benefits of Angiogram

An angiogram offers several benefits for diagnosing and treating peripheral artery disease.

  • Provides an accurate diagnosis 
  • Provides a clear picture of the arteries and any blockages
  • Helps determine the severity of PAD
  • Reduces the risk of amputation and complications
  • Improves treatment planning

Angiogram Preparation

Before your angiogram procedure, you will receive specific instructions on how to prepare. You should be sure to:

  • Discuss all medications and supplements you take with your doctor
  • Inform your doctor of any allergies, especially to contrast dye
  • Fast for 6 hours before the procedure 
  • Wear loose-fitting clothing to allow easy access to the injection site
  • Arrange for someone to drive you home
PAD
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Find out if you are at risk for Peripheral Artery Disease.

Angiogram Procedure

At American Endovascular, an angiogram procedure is performed in an outpatient setting. The procedure usually takes 30 minutes to an hour and involves the following steps:

  • Sedation: A local anesthetic is administered to numb the area where the catheter will be inserted.
  • Catheter Insertion: A thin, flexible tube called a catheter is inserted into a blood vessel, usually in the groin or arm, and carefully guided to the affected artery.
  • Injection: The catheter injects a contrast dye into the bloodstream, making the blood vessels visible on X-ray images.
  • Imaging: X-ray images are taken as the dye flows through your arteries, providing detailed pictures of any blockages or abnormalities.
  • Recovery: Once the images are captured, the catheter is removed and pressure is applied to the insertion site to prevent bleeding. You may need to lie flat for a few hours to ensure proper healing.

The angiogram procedure is generally well-tolerated with minimal discomfort. Most patients can go home the same day, although you will need someone to drive you due to the effects of sedation. It’s normal to experience some bruising or soreness at the catheter insertion site, which typically resolves within a few days.

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Interpreting Your Results

The results of your angiogram will be reviewed by our vascular specialists, who will discuss your results with you in detail. Based on the images taken, we can determine the presence, location, and severity of PAD and recommend the most appropriate course of action. Depending on the results of your angiogram, several treatment options may be considered. These may include medications, lifestyle changes, and minimally invasive treatments such as angioplasty and stenting.

Why is an Angiogram for PAD Important?

PAD is a common but serious condition that can lead to pain, difficulty walking, and in severe cases, tissue damage or limb loss. An angiogram is important because it accurately diagnoses PAD, providing clear images of the blood vessels and pinpointing the exact location and severity of blockages.

It also helps doctors determine the most effective treatment options, including lifestyle changes, medications, or surgical interventions. Early diagnosis of PAD using an angiogram can also prevent serious complications such as ulcers, infections, and amputations.

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Why Choose American Endovascular for Your Angiogram?

Our team consists of highly experienced vascular experts specializing in the diagnosis and treatment of PAD. We utilize cutting-edge diagnostic tools and methods to guarantee results from your angiogram. Our state-of-the-art technology enables thorough examination of your arteries, which is essential for accurate diagnosis and treatment planning.

We are dedicated to delivering individualized care that caters to your specific needs and stage of PAD. We ensure your comfort and convenience by creating a welcoming and supportive atmosphere. Our committed team can assist you throughout the entire process, offering guidance, answering your queries, and addressing your concerns.

Angiogram Frequently Asked Questions

Is an angiogram test painful?

You may feel a brief sting when the local anesthetic is administered and some pressure when the catheter is inserted. The injection of the contrast dye might cause a warm or flushing sensation, but the procedure is generally not painful.

What happens if an angiogram shows a blockage?

Angiogram results can show the presence of blockages and narrowing in the blood vessels. If there is a blockage, your doctor may treat it right away with an angioplasty, a minimally invasive procedure that widens the blocked artery and enhances blood flow.

How soon will I know the results of my angiogram?

Initial results are often available immediately after the procedure, and a full report is usually prepared within a few days.

Our Vascular Specialists

Our affiliated vascular specialists are board-certified interventional radiologists in New York and New Jersey who are experts at diagnosing and treating PAD. Our team will take the time to accurately diagnose your symptoms and identify whether or not you have PAD when you schedule an appointment with American Endovascular.

Vascular Centers in New York and New Jersey

With locations throughout New York and New Jersey, American Endovascular makes it easy for you to get the PAD diagnosis and treatment you need. Visit your closest American Endovascular for early detection and prevention.

Brooklyn, NY
71 Carroll Street
Brooklyn, NY 11231
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Harlem, NY
505 East 116th Street
Harlem, NY 10029
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Queens, NY
28-18 31st Street
Queens, NY 11102
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West Orange, NJ
347 Mount Pleasant Avenue
West Orange, NJ 07052
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What Our Patients Are Saying

Sheer perfection. The care and expertise and teamwork are the best I have ever experienced. I’m a former nurse and I recognize and give a shout out to the best!!!!
Barbara Murray
Barbara Murray
16:22 02 May 24
First Impressions are lasting impressions! First, the staff are phenomenal! How is it possible that each and every one of them are incredibly kind, caring, professional, personable and treat you like you are THE most important person in the world!? Well, meet this team for an experience that will make you feel valued as a person, not just as a patient. In walks this amazing Doctor and now you understand why his team are the way they are! They regard each other with the utmost respect, and kindness, and they communicate with each other like family. And as a new patient, I had the honor and pleasure to experience excellence in patient care and concern. I am so very grateful to have found a Doctor who is in my opinion perfect with a team who are exceptional! I’m excited for my next visit, honestly! I write this with a great big Smile on my face!
CC
CC
14:57 24 Apr 24
EXCELLENT, EXCELLENT, EXCELLENT ALL AROUND!!! THANK YOU!!!
Marion Moore
Marion Moore
13:44 17 Apr 24
Excellent, professional, organized and efficient all best describes the service here.
Delsi Cunningham
Delsi Cunningham
17:28 05 Apr 24
Very nice and friendly staff.I was so nervous, they all made me feel relaxed and comfortable.They explained everything to me step by step.
Keith Dickens
Keith Dickens
13:10 02 Apr 24
Excelente servicio es lo mejor que me a pasado gracias a sus buenos tratamiento ya no tengo dolor
The staff are the best. Very elated,with the exceptional care,professionalism, and genuine concern, displayed by all the staff.
Constance Sidberry
Constance Sidberry
03:50 17 Mar 24
I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
Yes it was a good place
Carmen Diaz
Carmen Diaz
14:22 20 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Is good to be with friendly and professional staff at doctor’s offices like this one.
Dr. Joseph Sham and the entire Team were very professional, knowledgeable, informative and had incredible patience with me by answering all my questions and concerns. Great Team…Thank you all! 👍
Marion
Marion
22:17 27 Dec 23
I was treated very well. The staff was very professional and made me feel comfortable. Looking forward to my next visit.
Stephen Lapinsky
Stephen Lapinsky
20:17 20 Dec 23
This experience was great I’m so happy with everything
stephanie suazo
stephanie suazo
22:53 13 Dec 23
Love this Dr and staff. They are all kind courteous and professional with excellent medical care. I would highly recommend them to anyone in need.
Sybil Wilkins
Sybil Wilkins
21:58 28 Nov 23
I love this place stuff is helpful an they all were nice. I had a wonderful experience Dr Shams was great.
Victoria Pacheco
Victoria Pacheco
22:07 17 Nov 23
Professional services
Ricky Mo
Ricky Mo
22:14 15 Nov 23
I like the doctor they were kind of pretty thorough he says that he could help me he found out the filter in my abdomen from the surgery I had in 1996 has been clogging my blood flow for 25 years and that’s causing the swelling at every other doctor told me was lymphedema it was not lymphedema it caused the lymphedema because no other doctor took the time or care enough to find out the reason for my leg swelling this doctor was the only one who finally found out and he’s going to see if you could put a stent inside the filter to open it up and and stop my legs from swelling hopefully this will all go good it hasn’t happened yet but I’ll keep you posted thankful for this docto I just pray and hope that it works otherwise I like the doctor very much
Mitchell Dedios
Mitchell Dedios
21:01 27 Oct 23
Excellent service , good customer service and friendly staff. Thanks
Raysa Polanco
Raysa Polanco
20:54 27 Oct 23
You may likely have to wait. Avoid anxiety and frustration. Schedule extra time for the visit. Allow for personal attention to your care needs once in the examination room. Friendly, nice staff and doctor puts you at ease. Bottom line: worth the wait!
Sisle
Sisle
21:49 26 Oct 23
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
I was given good advice about my blood circulation
Gary Jackson
Gary Jackson
17:04 08 Oct 23
Dr. Shams office is amazing. Whitney and Angela were AMAZING. Great sense of humor. Staff is WONDERFUL.
Sara Correa
Sara Correa
21:13 18 Sep 23
Nice office, personnel friendly, & caring, good informative information concerning my care.
Loretta Johnson
Loretta Johnson
21:26 22 Aug 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
Dr Shams was very attentive and explained everything in detail. The staff was very nice, the staff/nurse were all so very helpful, It was a Monday morning and I didn’t expect such happy staff.
Stacy Lebeau
Stacy Lebeau
21:22 06 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
Good service!
Veronika Shopina
Veronika Shopina
21:09 24 May 23
There is a friendly atmosphere, fast medical attention and an advanced medical equipment !!!The Staff is very knowledgeable and the best care possibly !!!100 % Satisfied !!!
Cruz Figueroa
Cruz Figueroa
03:06 08 May 23
Whole staff was very friendly and professional. I feel confident that I came to the right place for treatment.
Rudy Padilla
Rudy Padilla
02:08 13 Apr 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
I am pleased w/my experience @ endovascular. I hope they can save my foot.
Margo A Williams
Margo A Williams
19:19 29 Mar 23
This has been the best medical experience I’ve had in over thirty years. I was nervous to have a procedure after only knowing about my condition a year ago. They made this process so easy for me that I’m in shock that I had no pain, no discomfort thanks to an excellent doctor and professional staff! Thank you all and best of luck to your practice.
Stacey Marius
Stacey Marius
14:16 29 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
Excellent, Patience, don’t Rush you to be finished. The Doctor explains everything and answers your questions. I would Recommend Dr.Sham service anytime, they are. Great!
Debra Farmer
Debra Farmer
00:16 01 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Very good and very responsive.
James Young
James Young
19:33 22 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
Everything always goes well.staff are very caring.
Lillian Rodriguez
Lillian Rodriguez
19:00 11 Dec 22
Excellent Doctor he explains the procedure process so that it is understandable and comfortable for the patient!
T. J.
T. J.
14:48 06 Dec 21
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