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Basic Principals of Angiography

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9 views

Basic Principals of Angiography

Uploaded by

sherkhan48070
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Basic Principals Of

Angiography
Angiography
 Angiography is a type of X-ray used to
check blood vessels.
 Blood vessels do not show clearly on a normal
X-ray, so a special dye needs to be injected into
your blood first.
 This highlights your blood vessels, allowing
your doctor to see any problems.
 The X-ray images created during angiography
are called angiograms.
Why angiography is used
 Angiography is used to check the health of your blood vessels
and how blood flows through them.
 It can help to diagnose or investigate several problems affecting
blood vessels, including:
 Atherosclerosis– narrowing of the arteries, which could mean
you're at risk of having a stroke or heart attack.
 Peripheral arterial disease – reduced blood supply to the leg
muscles
 A brain aneurysm – a bulge in a blood vessel in your brain
 Angina – chest pain caused by reduced blood flow to the heart
muscles
 Blood clots or a pulmonary embolism – a blockage in the artery
supplying your lungs
 A blockage in the blood supply to your kidneys
 Angiography may also be used to help plan treatment for some
of these conditions.
 Stainless steel are made with alloys
of silicon, Nickel, Carbon, Nigrogen.
GUIDEWIRES
Guide the catheter.
Allowsafe introduction of catheter into the
vessel.
Made of stainless steel.
Usually about 145cm long
An inner core wire that is tapered at the end
to a soft flexible tip.
Performance characteristics of
guide wires
 Flexibility
 Is an ability to bend with direct pressure
 Stiffness
 Strength of guide wires
 Support
 Ability to deliver equipment
 Torquability
 The force applied by the physician to advance
the catheter to the designated therapeutic site.
 Trackability
 To follow its track or vascular course or to
navigate anatomy of vasculature
Length of conventional
guide wires

 145cm
 Has three components

1. Inner core (stainless steel/nitinol )


2. Outer core(hydrophilic,reduce
friction)
3. Tip(is flexible and made up of
platinum)
 Short guide wire used for( local

vessels)
 Long guide wire used for(major
WHAT ARE CATHETERS MADE UP
OF?
CATHETERS USES FOR BOTH THERAPEUTIC
AND DIAGNOSTIC PURPOSES
 DIAGNOSTIC PURPOSE
 For injecting contrast to diagnose (stenosis)
 For any type of pathology diagnose
 Therapeutic purpose
 For drainage purpose
 For body cavity fluid collection
 NEPHROSTOMY tube(a catheter thin tube
that is put in your skin through kidney to
drain your urine)
 FOLEY catheters (a thin sterile tube inserted
into the bladder to drain urine)
NEPHROSTOMY TUBE PLACEMENT
FOLEY CATHETERS PLACEMENT
DIAGNOSTIC ANGIOGRAPHIC
CATHETERS
It is used for injection of contrast
to diagnose stenosis
It is use for cardiac and vascular
procedures
MICRO CATHETERS
Used mostly for Neuro-intervention
e.g(cerebral vessels minute vessels)
Helpful in peripheral intervention(to select
smaller vessels for embolization)
Balloon Angioplasty
Catheter
 Eithervery soft and pliable as
occlusion balloon or fogarty balloon
to clear thrombosis or can be rigid
and used for dilatation(Angioplasty).
CENTRAL VENOUS CATHETERS

 Iv fluids inject directly into the central


venous system
 Catheter insert near the heart
(directly into the right atrium)
PROPERTIES OF
CATHETERS
 Flexibility
 Strength
 Radio opacity
 Low surface frictional resistance
PATIENT PREPARATION
 before procedure heparinization
 Explain procedure and risk to the
patient
 History taking
 Consent form
 Renal function,peripheral pulses,BP
check
 Contrast allergy
common access points
 RADIAL
 ULNAR
 FEMORAL
 Access site selection(radial,ulnar,femoral)
 18or 21G needle is inserted through single

wall or double wall puncture.


 Thread mini guidewire and then needle is

remove.
 Then sheath and dilator are connected and

dilator is inserted through mini guide


wire,remain in vessel,and then fix dilator into
sheath and remove mini guide wire and
dilator.
 Insert conventional guidewire

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