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CVS Procedure Rad

The document outlines various techniques and procedures for studying pulmonary and vascular conditions, including catheterization and angiography. It details the use of contrast media, imaging techniques, and indications for specific interventions. Additionally, it discusses the management of complications and the importance of monitoring during these procedures.

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Arush Das
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12 views29 pages

CVS Procedure Rad

The document outlines various techniques and procedures for studying pulmonary and vascular conditions, including catheterization and angiography. It details the use of contrast media, imaging techniques, and indications for specific interventions. Additionally, it discusses the management of complications and the importance of monitoring during these procedures.

Uploaded by

Arush Das
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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Comomary PRIERTOG RAPHY. > TE 78 clemonstration of Coronos pertene S ly selective Cathet aisatfon ty an) oF Contrast Media wnto eee asi be.” Trdiicattons om _y To estalat?sh eVidertce of Sechaenie meant dag when clinical & ECG -find- ngs ome Hot eguiévocal ; E> gt drtfenanttag DHD'Srom Conge Stive cosdiomyppacthy . _>Belore [Link]?saccfon Procecoses such OS Gostocovenany, Ry/[Link]*e Cond’! ASAE ER AARVOR culan’sation procedtne , tp Show patercy of Geotts ,€0 show eccule uxon Cor) stenosrs at the Shoe of Asafés - ‘ _sBefore onot?c Vobue Pee tds \ > fusvescoptc imoge eterno, &. Cha! modogwea phy axe. wsecl. ee os re: coef) cirevlon Colimo-tioen of onde, is ao vay tube ts prelemed to CONC ed rod s on candfac sregion only { sn doligue & Cooter Veewss oe tak, wet oot moving he pt. —>"“eent ERG monitovng & cothebey preseae | ones” 3 ie essentiot tac out ‘Wvedy _daertea of “Smoges often tnjectfons! aay i yecoxded by Cane _ftuno wophy & Vediot j —artemacively pee ; ey tt l a- 6 Hlms / 5*¢ rye tly Si2e: Can! gu of Contrast Meda 5 - 3 Somt of Condio- Conroy Bsr a c . V 6% ope vse. 1 _>-Aovt Blom i & aooms bottle s Pnrectedat at is el °nfugon ts ysed. _— Controxt raed °a., ‘Satine & Mane ame «Connected to cortheten by pAcal Canrne c tor: : eee ae S dopire & ferroras aortery Cor “pnfsed by DUairng AS method % al “ype, APPBOPB Oke Cactheter Fo¥ 7th Say -to be dois ron iporabed ¢ aE ein OCP nal fr Goide WiS4)S Le retin a examine acto & foe RECA PE dante SP at oxrsteror Hb rontso3t meoalivmn Ss : py . ‘ cakenol : _5fo¥ corey ane Laodteno) & kathAo (rec SP pigeoel Coctheten fs positioned 2 & LV angiols Rs pebosres to ervobuate Lu function ° > AL the end Ly £ ihe Catheter Is wemoved plred act ponctere ai te b «Secure haemo - & Pressune OP Jor aboot ts min + stasis. TRANSLUMBAR ARETE RAPHY, opt cbretty Usen!* ah hes fovea £ Lesfors of GoKooT oor £ Covy | Pache mec PlPaC cortenPe S - ; 7 ; 5 — ae te bettie when femoral corel. adtrartion Ps conbra ‘indtcated aes fo ecthayorOe: > covsuie ove onder GA 2 Scout fils ¢ — pt Lies ?y Prone oariak ofl hwy on side Su $ Fog Bi PALS "x 1a" film °s useal woe eh, Lowe, end ab the level of symphy posts Uy slss 12 Sentara Quet-3 3%. 47 | —> Lows KV (es Jo) tregh WAS, C1201" —Teelhnigire ia fs (Enuscl 0 * =e serve > of Over Lapp? HPims ar reeh qvadual cocnword olfsplace ne” Cousette Changer @ tube Colom NS the eo fi lwo eo % Coenen boxclen “is oct As i gal ol po stentor Sttac spines: isthe and Flr —3* 0 include cathole pelts isthe $9\_fy[nq —3 70 include entire “lerovol for A> View, pt es placed such, the Uven onca. %s (on mid lne of t Fox hepatic Vasculature & to stony ete Vosertatore , Splenicrasea”'s On midlthe of toble - Fern changer *- : ee films/sec for (3-5 Sec SvupERIOR MESENTERTC ARTERIE Eqistere® * okie geeen Cor) oe preshope! Conbsot Krecdio. ee Angiogvot lt n, region fit So% Dose = 2O-25™M™). Ly pero nical Infection ~ 1S expose odltey eal ( Podiography -téchnigie ioe of taf 4 . —Ap Projection > rohan suspected ~to estan °s ovale tke spine, Obi*gire views Totty he weguivct | d oe Ly cla a7 9 4+ Inn coon yer QL lris (sector y sec. PPFERIOR M EN TRIC A RTERIOGRAPH Y pregadlorve 1 bove, , but. -fox selecive > Same os Oo erfetor me senteatc Cotbetenisatton of anteay , afin odentitying Wt lay -Fleeh aortegqvorhy _»5 KifA- ved Catheter 1S Osed _5-plout (5 ™! of Contyost 7S given ly rronuc) in) . yarn tee egufp mant+ Conbort_noedionn t- Pleat sx salt of : Gvoguecf? nN 60% aS rae Hj Loctors 3—-[frat. exposure Ps i on as soon asthe Snj fs Commences) | = 2 Ap projection neeb the re al?s ad trom mid (The oF Bucky table +. . ae contsataterct srde —to loving 7 sth Onder study on nvd tine ot -tabte. => olaligute Views te Coned Vrews ma, be needeal. 8 ln ob en s- stand Srongen _ als ela” 5 Pattee doh Os Pace ores: Tay Day: goctiolog pencftts ~to patients E ovolvi ceca ques th secliagwphy, Lohkich ame Savane 2 noture . poke Babe Mwe Sore —tl ona petsbic Mme Attic. arteventional Veaclor techniques # t: Vasctanatherapy 2. Boy USF OIN ot SemotRarapueCic agents aetec tively ertp-the vessels supplying i: Leumouns &e 9° metostants an Given. 2. Voscutol Falesion of Constvictor cogent for Corntsol of Git late eaing | Bs Vosceslor Safuston “of Vessco lator ‘cogent > DPE te aclectivel done oA vonfeffes a Pap oemic disoxders, Such as Rey aud's dey , eo ote” Syosthite , ts as Q Dhovt ab yne thara py ‘ u Yosculo extractfon stecly ¢- Prbrovosculos foreign ood es aenhos Cocfretey Tips f goufde Lorre bPtS Can be Sternoved without major DUMRY eng looped Lotwe —-SnoAaes onder To Contre |. Ye portal Venocs | Coctha-ten system . Cae | Arbo vos culo Ebro lous can be Aemoved percotaneously pros OX Spoe Svuckfon Codhilens Via Venbus %oote | S: Vasevlon prosthes? Ss i —> Tye car be entermupted nit Veng | cova feiter fin Cases of ~treatersd Polmonoan emlool? sation form lower < él (uic Venous —ebaombo sis Drentey Cor) Pe > Contcal pros@ctte plogs Used 6 ¢/, Congenttob Vasculor otefects On Potent ductus Ontenfous . ae Vaaculor Hletions ae — ust lation catheters Wh. of = Vascudan stenoses & Coxe totly . : oo aa bkatdons onder—tRe NTV an Wmpsoved blood Supply row ocheP?ved oA otff artuations Shh Carona ostey stenos?s , weno) stenosts pencotane ous cungioploaty hes abig | “PP : {ken weed Fy ony mend portpl,- ; od" vasceulon Stenosis. An Vos carton Emloalisalfons ac car Arbeit emloolisatfon o- borden Ty Gontwol Té Pe Alone lor ack qt bleeding 8a managment of -tomocey Bish OR enenal caon®noma, A-V & Aneurysms at catakd artes. 7 amations Pn Re oF hgper- Splentsm dueto cen ft oO eCod AesowMders, splenic ont ei rearnotol embolisation ts clone @nstegal of sungicah : splenectomy ' ; 5, Re OF paintol Cord: on of Sportone, . priapism pohere medicad, Re bod fore Oiled embol?sm of Paternal pudendal osrteny ©. done Onder NTV Corityo! (> Venous cembolfany = > An care of bee altrg of Sesophogea| Vostees,, motignonctes of Qdsenol @ Voricocele of €estis: TE TTC 7 HEAD & Neck ARTERIOGRAPHY | ~ eeetacol Ongfen fa an, Tobegente| D Brocentune. Ae A eGov) BE of | Anbacwaniod pathology. Trakieakfons (5 Cenebroh pee °s fndfcated ina Vas ok settings includ?n 1 >for BG R of Qneunysrs, acute fa mic atroke, Vasculor abnormaltties Qenebyal Vososposm fost soleomad...» hemosrhage : Meningformo. . ae — > DavestiqakPen of moyor— Moya Syndvn,, RevenSlote Cereloval Vosocoretsi ction +, > Confrermfng lssarn death. _ Pt_positioning 3 . mK Pe supine head Supposted BAR OQ ac! —tucernt head holder Cos) cusved sper —> Strap Acyoss pt's head te ninin movement + : 23 Head positioned wsth ook Toto £ —> Head ct clefen ined fou Fe Conic 7 (sa —_ AVY Sage ' _}2 Si Ben. & Oe: sites > svakxO. ction Awe iO oysaphy ° . am % an Oo afenvernttanal Slecttorsne ent gue to wWsceahize bleed vessels . 5 contyast Wiedtum "2 o irony env ie atlstsacting the pre Contva st 2nage -Pronanthke Image roth contrast: 7 Ly procecanes can ‘be perfosme dl aftey aannaleath agian artery Cov) Ve mr qe tan beiintven DSA Oo int axl Dea cortental i wing angiogsaphy: afte, the. pyedeter- | A wined Vreoset 1S cannulated 4ttwip- opic i cf the Vessel oe oaquivd \ «a aigital fosmoat f& Mo Sonic Covad Uke arnidol is infected oberg the cannvlox gto Ae body f&tilms ome token Aeatn Contrast adm . we & Post Wna.Q eS one aulatrahs audomart (44 boy ape cialiseal sot yong PEOES'4 sa ASO cesutt We lave O senal ~Hene Smage of ontay!ven which stubs In fscleatton to acxt of Fredy EOS | DPraltoadion s &- a | ea fosperos — tox APagnos*g ecculstons ‘ —thomso sis: amkiuied na, owing , Stenosis 8n-the brain, ha or | espe Crobly f Tr Od othon Vesselle | (a). Do cketeck®rg Pnéra’ Cranial ‘Sihewr., ® emiatta antafal stenos?s, pubis. cckeny thnomboosis ; Coronary, oateny J [stons, nosnow*ngA peremal) Vetnithoon), Gt >Arefoplosty w for performing Cowona, OE & angioplasty by Plackry« J : Stents at blocked axtetes . d SAsscement of ‘vessels before & Af Ley Suagedt es f Cornpltcations oT . GO) Mnf procedural - Wnjoay ts Sstheny yall Ceadkng -to bleealing , Shommatonia) Get Ponctuve Site , §inbxa lonsinad thre mbes Ge veboprnent of tharomboembo lf epics | Vasoveg o) shock obbag ic medethon fo Contrast mreala- of proceciesial - AcYosred bie edhy “rermatornye ot fom pooctwe Site J pano% Leaks from Vessets . hy Tee Pniicatory more chodlenging Q& med. C of et penre raced «stool. : Yadti tA J eos | Video signal | ie Drattal mage sr Sets Precio 3] EEE | a control CRE pe PP 1 XO J {Ea Gerrans DY VENOGRAPHY: PERIPHERAL VEnlogRAPHY CY Lower limb &- > Mhglication a——pecendiing ee iy i _> cram ination, of vePns of catt ths.) { fo assess the potency of FAC Vel, i . “Tt study the vanicosa veins fo A Te +tfon - eoprracttve evorliroc ey ee 87 Mi tol Sedatfon ust clic. a _peo.extpesto.3 - Direct Venous poncte » Bye, Aorsom of foot - . Equiprrent g- for Tv souke tT dece | oa Coctbaeten fo SuTtoble . : conteast Mecliau — fn 60% Dosage ?- a -Angiogred? 9, Ce aad ie", age: 3 -som| pul CKO KHSETON + Technique e- TER — woule -Arvrwedle 9S Fstroduced tnt XH vein on avvsum of oot. _-,s tourniquet Ts applted Just pworinal —to the region of stody —to olituade the Supenficfod veins. A foey tian —to corn cal moeg Woe f £ below tbe Rn gust) ensue ztlee al oleeP veins of eked ’ fs CFR rowtoal in sup e post? _ the pt is Leg in AP posrefon bot Pf Megenory or. Pe b beqg MOY ber woteted Cocteno ley _> Foot side fs Lousane d=to US -20° -foy 5 ett Vavolizetion of Coq Vein . Ls Mrviloaa Sox TWMac vetrs. | ede & Louserca to -t5” belovs Aron %- bhrandkal. coqaphy &— f ms are takers votth und eouch tub tbe forme of Optimal “Petting : | | | i i i | i \° Occ onsonolby oO Srqlte Qnea oh Ves exanired by mens of ova ch-tobe Wh voprd Fil shergs . £ POSUN CE ante mode eA Al? Ex Cot Postt Cor plication + - strict sp sls c : : ana caroppsnttons : Police on 27 Fox Vieoo dase On: of. subclavian Vetns oe | sort tg done *° determine the oi, , : Af prortinnct Obstruction.‘ prepanttion S-. Mtr Ptd, Sedat? On, Anaesthenio Local ?nfe eee a sme oF ponctore . ’ AxlOry ey Dareses ~eRo Fauipment &— Tv needle e Tlexthle / | pons : / oi eettons: Contrast nvcliom 2. —tnafogradin,, Cn Go, Dosage 3— Bo-30m! PA Profs , tach? --h acttable vein % dental of hand Cov) % in Cokt tod fos. An cloxrsuw =f —touawiguet ON LGPPY SIAM ray H Necessory OF =the -foxe dow verns Qae to be studeal. Dafections- 2 Date Prsneges of venous obsteuckPon, Marval Mj Aare pe Th > Aech ¢ d to ac 5 Use yee fu! Po. atogpayh Scoptc couch , WIth am Supiroded é QNoductec!. z- pt examined on a Fle? films ome tater os — pres dependl ng panaconte ne Seven Cecreh eal tegen ery be Ay tavtng a filed, obarigh "aha cio ath onde study. a P ' compliesttorns® ~ nas dare vor, SUPERFOR VENIACAVOGRAPHY *- Mekteation 2 Soy visualisation of “bh of Re ennorfnate Vetn & the done SppenioY Venn Cova’. 7 { repandtsorn 8- Preponavon * _ peid sedation a. Fasting fox Ghas peor to erorination. peste sion a= ree Cocod enfiltsation ath. ste of fnsen- Hy [ needle & Coffetu- ton or Equsprnent® e 7 _5 Potythy lene cortheler R05 guioge aed, 4opyecd end & side lho le 5, [Link] neeclles & qui de wise & adla ptors - So tang iogrod? ' Lrogaodin Go%, Urovt ~ sion. [Link] es - 30m Ted a io) —Hoyemorr nose L Sr ncn rnc Py 3 Ly Technigues ee ~3 peroutaneoes ponclune ‘of rredes, | antecubital vein pith IMtwoductto,, Catheter & tS adlvancernent *nto done vndea flunoscopic “ry Cones |. —> Usvalh pl om rs chosen py Contraandicoted > pillar) sve graphy can tio . perdorrned) north Aon) Contr tae Pfeil Srootiansoy sly Grito Cccbbuteas 7. 4 antecubital Vein = Tnfe ction factors %— Manvel’ | Rodlioc Regreaphy : - > Lsing oven Coonchtolse €g 12% 12 cou tte ob ey Fel lm] Sector yy dec. — Comette Ts centued to Manor Bean» Covapliontion :- > Venospoan —> Pokn <= lee Hy Vesseulon cbse) | 7 Ewrolic al —>elownic ies eees wath Senne ens TyBA- Osscous Cepinal) VENiOGRApH ye qraisstisos % 2: >for V Kauatisation’ of “venous plex a thw. vente byob eolumy & 3p final e ord ok Loud a dors at 2. USnaleou] Too _> for Gemonsiso-G on of Cry y6 & by bancke | aryge> veins | | prapensGons es otion $f one 5 aed — pre mredlicoton loeto ve GA OX PY eth tist’ s choice - sthesiat——The pero ste sro ~-LPssuci ni ckrakes) wt Locad ~Arosthec .! omi a Satin anae DO MMe centers peri, GA: — Antxa— osseous heed le oF | = salkh size (2 Cov) [8B SWwG. CMi--_A, natogy odin/ oy 9° atin Geos , Dosage = lO-Bom) py ‘yy yr Tech :- athe nae ee =. rset votes aeaeety Fe ce kore ot SPINOU. Process of vertetsya , poeisicl ae: 2s aretat Go th suspected site of (es > A test Inj of smi conte so: ole monstrate th Covveck place needle Bei ond lout bouS pord ao ot spinoes process —to prren ‘ay ~ soft —Bssoxs. Dry toe fuctors g- Manual 4 tof. prcwations a— strict Gapels eagerness crrmenenrerpene TALL vs ~ suse of Vosopyonoys Sh Ulension oon SPLENO- PORTQVENOGRAPHIY :- g Andicakions 3 - { , — To To Oecetaso pater of Porto! Veuj —-To af sting? sh lofro Trtbra Ag poctic po A » tal obsteection 2 extra chepetic poy > To evoluate tbe mesutts of 5 atte, pc shont seep onlting ne ~~ ~s-Fo demonstyafe Trrtyahepat® < per / vePns. enations'> 2 Ring, of 6 bas prtoy- bo: atvd: y sedation : i sth t- Loca) ane trbecération ach ips needle! frserPor site oe c CMs 3--A Angisgred ta, Grogrofin 6h Cow) convoy B30, loesa 2- Z0-Yorl:. se Seduced SF splente vetnrhonem- — Do: joss Vs suspected. ach aR : a vite of poncluse is eter sred fom + etarn x SCY of abd Cov) by Percwsstory | i alone ss of spleen: > Ne edie ‘nsectfion fa Aone obee w infertrolfon of skin en rote ox Fay | 4 th & cna as | tine belw Erne spleen es, antoaged , Punctowe ts cone more onterviody sensation 7S fort lay opu- A arstinact hon needle pe ences thet ovy & after “GR&s , nacdle y more L tor Ww oe odvanced fo (ra- yom) 4 penned) Ge Tex; Lb te Eo Hele Ps Connection’ Is attadked > Tht needle fy fn Correct pes! hae net be! blood Hows Pla Coté le Ger) Ilona! Coun bre. ARPS Mocks G: ¢ Daj factors *— Monel *j | st exposure — Made att 5” ot Ast fy exhausts and-fiim — wth end of finf Recliogva phy Ap Vrew-to Palo: d alenses of Aaphgroms & Costophse, ; congles & lower 2" 3" of Oesophos [ Wt inthe Cosse te Su puion| & rshils CO Spleen intesionly & loctero thy . i Precautions . fe compl? coctlions 2 ~ Reeaig othasts Shoatt be excladed ~ avoid heamowhege atte, Mvertigaln RENAL VENOGRAPHY = - Prepancctfon :— Mid sedatfor Andico-tton 5- : i DShwesti gation of Baur0d Vein tharorbotf PTO derondrode adhrano [tures fF rag To OSES FP e “OPH Hered Cranslond Sade demonstrate I Merof Cory Bet pertowal re ie \ ‘ t°% ketal Cat Lerbey ied eEquupreen pit int pregelt Cov) Us10§ rating Co, , Dose s- lo |S wl c es chy g- Dame ag—thet of ive aus oe toy—tPe Pact—rot Omeben 93 Rexeettvaby Srttsoducedl Prto wend vrei ond. ITY Coctvol. Ty * Monuol- ' intlogt by ms cmnh ote tatty ta" Cassette change. film change - af? Plans [sec fOr usec. JOGULAR VENIOGRAPHY * Mol fee cattan %- To demonstyote glomus joule tumours, wey act a point Wn Juguton bolb Jost lelove TH poses into Juqaton —bormen . Teh: thas fnvets fs clon by rect Pome of Jugeatlon yeu Sw rack . eae ae mei = ae vein shott be. Ocalercta, a bro pertove site & chaviele pike em fs being infected try ce eel t _5\ Suves of vodtographs oF Sku) ™ amc faken: : De Condsort 1- Convoy d0/ AROS eer, ae OreITAL VENMOG RAPHY 3~ Tidications *7 tis perlowned wh, atigation ot proptesis to demonsty tthe postion of oxktfal Veina. SS Macre - Sadi/ es allo LOM IMAC g dhs 3 ManvabBlm sto S-fih. Osun ke esed Cov) wopid. Seva ah. fs used. Preparation &- _> Alt rode - opague Obj [Fee centy horepin efe Are Bemo veal. Premudication g- mild sedertion a re Storepom,. GM t- to- 1S mi-of anatogvedin/: gol 4 SOA Covs Convoy Qs0. Hes atic faa mena tins woth Lts, 4, extended. om % any Coe |

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