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Carotid and Cerebral Angiography, Right Femoral Artery Approach, with Intra-arterial Contrast

Published: August 9, 2026Updated: August 16, 2026

An X-ray–based vascular study that uses contrast to examine the carotid and cerebral arteries and identify narrowing, blockage, or other abnormalities.

Quick summary

["This test uses contrast and X-rays to evaluate blood flow through the arteries supplying the brain."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
39095-5
Short code
RFA Carot a+Cerebral a Vs W contr IA
Synonyms
RFA Carot a+Cerebral a Vs W contr IA
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
rf-angio
CPT
86430
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Carotid and cerebral angiography is an imaging test that uses contrast material and X-rays to show the arteries that carry blood to the brain. It can reveal problems such as narrowed or blocked vessels and may also provide information needed to plan treatment.

Why might I need this test?

This test may be ordered to evaluate symptoms of reduced brain blood flow, such as stroke-like symptoms, or to investigate an aneurysm, abnormal blood vessel connection, or suspected artery narrowing. It may also be performed before a procedure to open or treat a blood vessel.

How is the test performed?

After numbing the access site, a clinician inserts a thin catheter, usually through the right femoral artery in the groin, and guides it to the arteries being examined. Contrast material is then injected while X-ray images are taken. You may be asked to hold still or briefly hold your breath.

How do I prepare for the test?

Follow the facility's instructions about fasting and medication use. Tell your care team about any prior contrast reaction, kidney disease, bleeding problems, pregnancy, or allergy history before the procedure.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may indicate an artery narrowed by plaque, a blockage, an aneurysm, or an abnormal connection between blood vessels. The location and severity of the finding help the clinician determine whether medication, surgery, or another vascular procedure may be appropriate. Angiography can also be used as part of a planned treatment rather than solely for diagnosis.

Short name

Carotid/cerebral angiography

Frequently asked questions

Is carotid and cerebral angiography the same as a CT angiogram?
No. Catheter angiography uses a catheter and injected contrast with X-ray imaging, while CT angiography uses contrast injected into a vein and images taken with a CT scanner.
What are the main risks of this test?
Possible complications include bleeding or bruising at the catheter site, allergic-like reaction to contrast, kidney injury in people with existing kidney problems, and damage to a blood vessel. The clinical team will review your risk factors before the procedure.
Will I need someone to drive me home?
You may need to stay for observation after the procedure because of the catheter insertion and contrast. Arrange transportation home if you are sedated or instructed not to drive afterward.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy