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Bilateral Carotid and Cervical Vessel Angiography With Contrast (Right Femoral Artery Access)

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

A contrast-based X-ray procedure that creates detailed images of the major arteries in the neck to evaluate blood flow and vessel abnormalities.

Quick summary

["This test uses contrast dye and X-ray images to evaluate the arteries in your neck and identify narrowing, blockage, or other vascular problems."]

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

Key facts at a glance

LOINC
39098-9
Short code
RFA Carot a cervical-Bl Views W contr IA
Synonyms
RFA Carot a cervical-Bl Views 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 cervical angiography is an X-ray-based procedure that uses contrast dye to show the major blood vessels in the neck. If the order specifies right femoral artery access, a catheter is typically inserted through a blood vessel in the groin and guided to the arteries being examined.

Why might I need this test?

This test may be ordered to evaluate reduced blood flow, a suspected blockage, an abnormal enlargement of an artery, or symptoms that could be related to a stroke or another vascular condition. It may also be performed before certain vascular procedures.

How is the test performed?

After a small catheter is placed in an artery, contrast dye is injected and X-ray images are taken as it travels through the vessels supplying the head and neck. Local anesthetic is generally used at the catheter insertion site, and you may be given medication to help you remain still.

How do I prepare for the test?

Follow your imaging center's instructions. Tell the care team about prior contrast reactions, kidney disease, bleeding problems, blood-thinning medicines, or possible pregnancy, because these details may affect the procedure or its preparation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Carotid angiography

Frequently asked questions

Is carotid angiography the same as a CT angiogram?
No. Carotid angiography uses a catheter and contrast dye to create detailed X-ray images, while a CT angiogram uses injected contrast and a CT scanner. Your order and imaging center will specify which procedure is being performed.
Will I feel the catheter and contrast injection?
You may feel pressure at the insertion site and a brief warm or flushing sensation when contrast is injected. The procedure is usually performed with local anesthetic, although you may remain aware of some movements or sounds.
How long does the test take?
Timing varies with the vessels being examined and the complexity of the procedure. The imaging center can provide a more specific estimate and tell you when you may return to normal activities.
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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