Angiography 170411210116
Angiography 170411210116
CT
MRI (MRA)
Ultrasound (particularly Doppler)
Nuclear Medicine
are all used to image vessels and each
has its advantages and disadvantages
Vessel imaging is a constantly evolving
area.
Radiologist/ Specialist
Nurse
2-3Radiologic Technologists (CV)
Sometimes Anesthesiologist
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
Previous severe reaction to contrast
Allergic reactions
Severe: anaphylactic shock
Shock, rapid shallow breathing, high pulse rate &
ALOC
Mild: Hives or slight difficulty breathing
Once you are home you should drink plenty of
fluids
(avoiding alcohol) for the first 24 hours, and take
things
easy for 48 hours. You should avoid driving,
strenuous
activity and sexual intercourse. This allows time
for the
artery to heal. A more detailed booklet will be
given to
you called "Discharge advice following a Vascular
Radiology Procedure" when you go home.
Conventional angiography is usually a very safe
procedure but because it is more invasive than MRA
or CTA, the risks of complications are greater. The
risks include: minor bleeding/bruising and a small risk
of damage to the vessels, but the risk of serious
complications is rare.
It is possible to suffer an allergic reaction due to the
contrast medium required during the test. Thankfully,
they are uncommon and usually minor (mild rash or
itching). More severe reactions are possible (1 in 2500
patients) and very rarely can be life threatening (1 in
25,000).
It is important to tell your Doctor or radiographer if
you have had a previous reaction to contrast medium
before your test commences.
Maintain flow rate
Includes heating device
( To reduce the viscosity of
the contrast media by
keeping it near body
temperature )
In most angiographic studies
contrast must be administered at a
consistent speed
either faster
as in abdominal angiography
or slower as in lymphangiography
SAFETY MEASURES: P 638
LIGHT / ALARM /
16
Now primarily uses:
DSA: Digital subtraction angiography
2. Guide Wire
--Soft flexible wire with the strength to pass
through curved vessels (.6 – 1.0)
Vascular access
needles
Size based on
external diameter of
needle
Allows for
appropriate
Guidewires matching
So
internal diameter
must also be known
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
Short catheters used
when multiple
catheters will be used
Placed in lieu of a
catheter
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
1. www.sth.nhs.uk/clientfiles/File/pd6831_Angiography.pdf
2. http://www.elcamino.edu/faculty/mcolunga/RT%20255/A
ngiography%20and%20Arteriography.ppt
3. https://en.wikipedia.org/wiki/Angiography
4. https://www.slideshare.net/jdtomines/angiography-basics
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