ANGIOGRAM BASIC

 

ANGIOGRAM BASIC

PREPATION

1. Serum Creatinine.
2. Empty Stomach.
3. Tray.
4. Injection Phenergan / Hydrocortisone.
5. Apply 18G Cannula to Right Hand.
6. Old Documents.

 

 

ANGIOGRAM ROI (REGION OF INTEREST) 

1. Neck / Cerebral ------------------ Arch of Aorta.
2. Coronary Artery  ----------------- Descending  Aorta.
3. Pulmonary------------------------- Pulmonary Trunk.
4. Renal / Abdominal Artery -------Renal / Abdominal  Aorta (First Slice).
5. Upper Limb ---------------------- Arch of Aorta.
6. Lower Limb ----------------------Abdominal Artery / Arch of Aorta (if need arch of aorta).

CT CONTRAST VOLUME  AND FLOW RATE

1. Neck / Cerebral-----------------50 ml--------------05 ml/sec.
2. Coronary Artery---------------- 60-70 ml----------05 ml/sec.
3. Pulmonary-----------------------50-60 ml--------- 05 ml/sec.
4. Renal / Abdominal Artery ---- 80-100 ml--------05 ml/sec.
5. Upper Limb -------------------- 100 ml------------05 ml/sec.
6. Lower Limb -------------------- 120-130 ml-------05 ml/sec.

IV CANULA SIZES FLOW RATES 

1. DEEP GREEN------------18G--------- 5-7 ml/sec-----------------76 ml/min
2. PINK-----------------------20G--------- 3.5-4.5  ml/sec------------54 ml/min
3. DEEP BLUE--------------22G--------- 2.5-3.5  ml/sec------------31 ml/min

 CT ANGIOGRAPHY INDICATION

1. Aneurysms.
2. Blockages.
3. Blood clots.
4. Congenital (birth-related) abnormalities of the cardiovascular system, including the heart.
5. Disorganized blood vessels, such as vascular malformations.
6. Injury.
7. Tumors.
8. Vessel rupture or tears.

INDICATION FOLLOWING SURGERY

1. Identify abnormalities, such as aneurysms, in the aorta, both in the chest and abdomen, or in other arteries.
2. Detect atherosclerotic (plaque) disease in the carotid artery of the neck, which may limit blood flow to the brain and cause a stroke.
3. Identify a arteriovenous malformation inside the brain or elsewhere.
4. Detect plaque disease that has narrowed the arteries to the legs and help prepare for angioplasty/stent placement or surgery.
5. Detect disease in the arteries to the kidneys or visualize blood flow to help prepare for a kidney transplant or stent placement.
6. Guide interventional radiologists and surgeons making repairs to diseased blood vessels, such as implanting stents or evaluating a stent after implantation.
7. Detect injury to one or more arteries in the neck, chest, abdomen, pelvis, or limbs following trauma.
8. Evaluate arteries feeding a tumor prior to surgery or other procedures such as chemoembolization or selective internal radiation therapy.
9. Identify dissection or splitting in the aorta in the chest or abdomen or its major branches.
10. Show the extent and severity of coronary artery disease and its effects and plan for an intervention, such as a coronary bypass and stenting.
11. Examine pulmonary arteries in the lungs to detect pulmonary embolism (blood clots, such as those traveling from leg veins) or pulmonary arteriovenous malformations.
12. Look at congenital abnormalities in blood vessels, especially arteries in children (e.g., malformations in the heart or other blood vessels due to congenital heart disease).
13. Evaluate stenosis and obstructions of vessels.

CT ANGIOGRAPHY

1. Brain/Cerebral.
2. Neck/carotid.
3. Coronary Artery.
4. Pulmonary artery
5. Abdominal aorta
6. Renal Artery.
7. Pelvis.
8. Legs and feet.
9. Arms and hands.

CONTRAINDICATION

1. Previous severe reactions to iodinated contrast media
2. Non-compliance