Venogram

A venogram is a minimally invasive imaging procedure used to visualize the veins and assess how well blood is flowing through them. It’s an essential diagnostic tool for evaluating conditions such as chronic venous insufficiency, deep vein thrombosis (DVT), iliac vein compression (May-Thurner syndrome), or venous blockages that may be causing leg pain, swelling, or varicose veins. A venogram provides a detailed map of the venous system, enabling accurate diagnosis and effective treatment planning

Preparation: A venogram is typically performed as an outpatient procedure under local anesthesia. The skin near the access site is cleaned and numbed.

Catheter Insertion: Using real-time X-ray imaging (fluoroscopy) for precision, a tiny puncture is created where a thin, flexible catheter is inserted into the vein. The catheter is carefully guided through the venous system to the area being examined.

Injection of Contrast Dye: A contrast dye is gently injected through the catheter, making the veins visible on X-ray images. This allows for a clear view of their shape, size, and flow patterns.

Imaging and Assessment: As the dye moves through your veins, a series of X-ray images are taken in real time. These images reveal narrowed, blocked, or damaged veins, as well as abnormal blood flow or reflux that may be causing symptoms.

Optional Interventions:
If a significant narrowing or blockage is found, additional procedures — such as angioplasty, stent placement, or IVUS (intravascular ultrasound) — may sometimes be performed immediately during the same session to treat the problem.

Completion and Recovery: After the imaging is complete, the catheter is removed, and a small bandage is applied. Most patients can go home the same day.

Recovery and Results: Recovery after a venogram is typically quick and easy. Most people return to normal activities within 24 hours. Mild bruising or soreness at the insertion site is common and usually resolves quickly. Your physician will review the results with you and discuss any next steps, such as additional treatment or follow-up imaging.