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Tests & procedures

Angiography and angioplasty: understanding the difference

One examines an artery; the other can treat a narrowing.

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An angiogram is an investigation

Coronary angiography gives the cardiologist images of arteries supplying the heart. An invasive angiogram uses a catheter, contrast and X-rays. It helps inform a treatment decision; it is not automatically followed by a stent.

Angioplasty is a treatment

Angioplasty uses a balloon to widen a selected narrowed artery, often with a stent. The decision considers your symptoms, artery findings and clinical circumstances.

Ask about the proposed plan

Before a planned procedure, ask whether the team intends diagnostic angiography alone or whether treatment might follow in the same session. Discuss alternatives and how consent will cover them.

Preparing and recovering

The hospital provides instructions about medicines, fasting, transport and aftercare. Both procedures have risks, including bleeding and contrast-related problems. Recovery and follow-up depend on what is done and why.

About this guide

General patient information, prepared from practice information and the references below. It does not replace a consultation, diagnosis or your hospital’s instructions.

For a possible medical emergency

New or severe chest pain, severe breathing difficulty or collapse needs immediate emergency care. Call 112 in India. Do not wait for an appointment or a message reply. Do not drive yourself.

Frequently asked questions

A few questions, answered.

General answers to support your discussion with the treating team.

Have another question?

Further reading: NHS: angiography

Does an angiogram automatically mean a stent?

No. Angiography investigates the coronary arteries. Whether treatment is needed depends on the findings and the clinical assessment.

Could investigation and treatment happen in one session?

They may, depending on the planned approach and clinical circumstances. Before a planned procedure, ask what the consent discussion covers.

How do I prepare for either procedure?

Follow your hospital’s instructions about medicines, fasting and transport. Ask about risks, aftercare and follow-up for the procedure actually planned.

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