this was originally a comment I posted on Connie K.'s wall, but I realized it's a big question and I wanted to seek more opinions.
I don't know much about my options for treatment, as I actually haven't seen a doctor. I sent my CT reports and was referred to the interventional neuroradiologist for the angiogram, which they scheduled over the phone. No one has actually looked at my head/neck - it kind of seems like they want to do the angiogram before they even meet me. Looking around this site, it seems like the angiogram is pretty standard. Most people have had one, regardless of being embolized or not. No one at this doctor's office has mentioned to me that I might be emobolized during the angiogram - in fact, they said they were only 'signed up' to use the procedure room for an hour (so I doubt they could emoblize). I'm not usually a proponent of western medicine (I have a number of autoimmune diseases I treat holistically), and so I'm not one to proceed with something just because the doctor recommended it, but I am sort of surprised that many on this site are discouraging in regards to the angiogram. Yes it's invasive, but it's also fairly routine, and it is a diagnostic procedure. I cannot get myself too worked up over this angiogram, or else how can I face the treatment ahead? I've read CTs are not as definite as angiograms, so perhaps they suspect the issue is greater than the CT can detect? Do you recommend I push for another CT or an MRI before agreeing to the angiogram? I just don't want to have an MRI and then be told they need more info and have to do the angiogram anyway. My CT was done over a year ago.
Comment

sounds fine. they might stabilize your head somehow, so there is no movement.
Comment by carsonokeeffe on February 20, 2013 at 9:08pm thank you everyone. actually I've been told that they only give anesthetia to people who really want it or those with heart conditions, so I'm going to be given a sedative instead & local anesthetic at the puncture site. does that sound right?

To avoid confusion for you, Carson, patients with brain AVMs are generally awake during angiograms; patients with peripheral avms are generally under general anesthesia.
Comment by Ben Mrl on February 20, 2013 at 8:40pm I've had 4 angios and I never had a problem with them. As a matter of fact - I don't mind them at all. The pictures that they take, are much more clearer and accurate than what MRI's are. CT scans never showed much for me. Many times it didn't even pick up my AVM. Which was 3 1/2 cm then.
For the angio's they give you a local anesthesia.
Ben

The CT from a year ago is useful only for comparison now; new tests will definitely be needed before treatment. You do not need to be fearful of the angiogram; I cannot remember anyone here ever mentioning a problem after angiogram, and most members here have had at least one. I would not recommend pushing for an extra CT, as we need to be careful to limit our exposure to radiation as much as possible. Angiograms are already fairly radiation-intensive.
Here are some folks to contact, so you are not just hearing from Connie and me: Debra, Monica Longood, Keith R, Jaz, Bonnie, and Kim R.
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