Coronary angiography

Coronary angiography

Mit diesem bildgebenden Verfahren können unsere erfahrenen Kardiologen Ihre Gefäße rund ums Herz während der Herzkatheteruntersuchung darstellen und gezielter behandeln.

Using coronary angiography, our cardiologists at the Heart Center Leipzig can improve the visibility of the coronary arteries with the help of a special X-ray examination. Coronary angiography usually takes place as part of cardiac catheterization, and uses a contrast agent which is injected through the cardiac catheter. This technique is harmless to you, but can supply our doctors with valuable information to improve your treatment.


Coronary angiography takes place during a more advanced procedure, such as cardiac catheterization. The latter involves very little risk for you, and the same applies to coronary angiography, as it merely involves the use of a contrast agent which improves the visibility of your coronary arteries on an X-ray image. The method, together with all of its various elements, has been tested over many years, and our cardiologists regularly perform it as a matter of everyday routine.

  • Coronary angiography is generally performed using either the artery in your left forearm or your femoral artery; local anesthetic is first applied.
  • The artery is punctured and a thin wire inserted into the blood vessel.
  • The catheter is now pushed through an arterial port and the aorta as far as the heart, where the contrast agent is dispensed.

Radial or femoral coronary angiography:

In recent years, a trend has developed in areas of therapy such as coronary angiography and cardiac catheterization whereby preference is given to accessing the radial artery in the forearm. One benefit is that bleeding complications are considerably less frequent, and the need for a long period of subsequent bedrest is much less likely. If possible in your individual circumstances, our doctors will use this procedure. This means that accessing the heart via the femoral artery in the groin has become much less common

Die Coronary angiography is usually performed as part of a left cardiac catheterization. It provides an accurate picture of the coronary arteries and thus enables an evaluation to be made of their condition. Coronary angiography fulfills the same function for coronary bypasses. It shows up any existing blockages or narrow sections in the vessels, and thus helps doctors to make decisions about treatment such as a stent implantation.

Coronary angiography is one of the most efficient and consequently one of the most important techniques for viewing the coronary arteries and assessing their condition.

It is used for disorders such as:

  • cardiac insufficiency of uncertain etiology
  • acute myocardial infarction (with/without ST segment elevation in the ECG)
  • coronary heart disease
  • stable/unstable angina
  • circulation problems in the coronary arteries ventricular cardiac arrhythmia/survival from sudden cardiac arrest
  • after resuscitation
  • diagnosis before cardiac surgery/intervention in the case of congenital or acquired heart defects

Imaging techniques

The staff at the Leipzig Heart Center have considerable expertise in cardiodiagnostics and the use of imaging techniques. You can find out more at Radiology.