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Arteriography and Angiography PowerPoint Presentation

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On : Mar 14, 2014

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  • Slide 1 - Angiography and Arteriography SPRING 2009 FINAL 3-10-09
  • Slide 2 - Angiography Is the general term that describes the radiologic examination of vascular structures within the body after the introduction of an iodinated contrast medium or gas
  • Slide 3 - Types of Angiographic Procedures
  • Slide 4 - ppt slide no 4 content not found
  • Slide 5 - Angiography Team Radiologist CIT (Radiologic Technologist) Sometimes more than one Other specialists (if needed) Nurse Anesthesiologist (if needed)
  • Slide 6 - Indications Verify the presence of tumors Blood supply to tumors Internal bleeding Possible anemia Stenosis Can be caused form atherosclerosis Occlusions Clots Thrombus Embolus Aneurysms Heart disease
  • Slide 7 - Contraindications Previous severe reaction to contrast Impaired renal function Impaired blood clotting factors Inability to undergo surgical procedure
  • Slide 8 - Contrast Media Iodinated contrast media is used Can produce nausea & an uncomfortable burning sensation Allergic reactions Severe: anaphylactic shock Shock, rapid shallow breathing, high pulse rate & ALOC Mild: Hives or slight difficulty breathing
  • Slide 9 - What is this?
  • Slide 10 - ppt slide no 10 content not found
  • Slide 11 - Angiographic Trays and Sterile Supplies
  • Slide 12 - Other Supplies for Angiography
  • Slide 13 - Needles Vascular access needles Size based on external diameter of needle Allows for appropriate Guidewires matching So internal diameter must also be known
  • Slide 14 - Guidewires Used as a platform over which a catheter is to be advanced Once positioned guidewire is fixed and catheter is advanced until it meets the tip of the guidwire Mostly constructed on stainless steel & coated with Teflon
  • Slide 15 - Introducer Sheaths Short catheters used when multiple catheters will be used Placed in lieu of a catheter
  • Slide 16 - Catheters
  • Slide 17 - ppt slide no 17 content not found
  • Slide 18 - DSA A subtraction mask is taken before contrast injected Each of digitized image is from the mask Images acquired form 1 image every 2-3 sec Up to 30 images per sec
  • Slide 19 - Three Dimensional (3-D) Intraarterial Angiography
  • Slide 20 - What Method is this?
  • Slide 21 - Catherization: Selinger Technique
  • Slide 22 - Selinger Technique Catheters and Guidewires
  • Slide 23 - Pre-Procedure PT’s are usually limited to a liquid diet and routine medications Adequate hydration An IV line placed Sedative may be given History taken and vitals taken Informed consent
  • Slide 24 - Preparing the Patient Room Must be extensively cleaned Equipment checked Room thoroughly stocked Extra supplies as needed
  • Slide 25 - Radiation Protection PT is protected by no less than 2.5 mm of Aluminum Beam restriction Avoidance of repeat exposure Cardinal rules Time Distance Shielding
  • Slide 26 - Post Procedure PTs usually can resume normal activity after 24 hours Most often can go home after 24 hours Because internal bleeding can be life threatening Vitals are monitored Puncture site is monitored for bleeding
  • Slide 27 - Stent Placement http://images.google.com/imgres?imgurl=http://www.nhlbi.nih.gov/health/dci/images/stent_restenosis.gif&imgrefurl=http://www.nhlbi.nih.gov/health/dci/Diseases/stents/stents_all.html&usg=__xDlbsaX9JhuYbpVojLcz19apr-I=&h=513&w=450&sz=59&hl=en&start=20&tbnid=vWwqaG-RNW7M-M:&tbnh=131&tbnw=115&prev=/images%3Fq%3Dabdominal%2Bstents%26gbv%3D2%26hl%3Den
  • Slide 28 - Abdominal Arteries
  • Slide 29 - Abdominal Angiography
  • Slide 30 - AAA Pre and Post Stent Placement
  • Slide 31 - ppt slide no 31 content not found
  • Slide 32 - Abdominal Stent
  • Slide 33 - AAA
  • Slide 34 - Renal Arteriogram
  • Slide 35 - Lower Limb Arteries
  • Slide 36 - ppt slide no 36 content not found
  • Slide 37 - Leg Atherosclerosis
  • Slide 38 - Atherosclerosis Left Leg
  • Slide 39 - Upper Limb Arteries
  • Slide 40 - Upper Extremity Anatomy
  • Slide 41 - Brachial and Axillary Arteriogram
  • Slide 42 - Axillary Arteriogram
  • Slide 43 - Hand Arteriogram
  • Slide 44 - Hand Arteriogram with Occlusion
  • Slide 45 - ppt slide no 45 content not found
  • Slide 46 - Circle of Willis
  • Slide 47 - Neck and Brain Arteries
  • Slide 48 - Middle Cerebral and Internal Carotid
  • Slide 49 - DSA showing embolization before and after procedure
  • Slide 50 - Carotid and Brain
  • Slide 51 - Carotid Atherosclerosis
  • Slide 52 - Posterior Vertebral Artery
  • Slide 53 - Posterior Vertebral Angiogram
  • Slide 54 - Aneurysms
  • Slide 55 - Pulmonary Circulation
  • Slide 56 - Pulmonary Arteriogram
  • Slide 57 - Lateral RT common Carotid Arteriogram
  • Slide 58 - Balloon Angioplasty
  • Slide 59 - ppt slide no 59 content not found
  • Slide 60 - Balloon Angioplasty Procedure
  • Slide 61 - Femoral Artery Angioplasty
  • Slide 62 - Angioplasty Pre and PostIntracranial
  • Slide 63 - Placing a Stent after Angioplasty with Balloon
  • Slide 64 - Intravascular Stents
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