Though rare, serious complications can occur after a coronary angiogram. Some patients may experience severe chest pain, allergic reactions to the contrast dye (such as rash, swelling, or itching), or signs of infection at the catheter insertion site, such as redness or warmth. In rare cases, kidney issues can arise due to the contrast dye, causing symptoms like swelling in the legs or reduced urine output. If any of these serious symptoms occur, it is important to seek medical help immediately. Persistent or severe bleeding, heart attack-like symptoms, or extreme dizziness should be addressed promptly.