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Thoracic Aortography: Projections
Thoracic Aortography: Projections
PROJECTIONS:
(Biplane Imaging)
● AP, PA, Lateral
● If biplane is unavailable, use 45° RPO/LAO
Clinical Indications:
● Aneurysm
● Congenital abnormalities
● Vessel stenosis (narrowing)
● Embolus (blocked artery)
● Trauma
THORACIC AORTOGRAM
➔ 45° LAO preferred:
◆ Prevent superimposing structures to
visualize any anomalies
PULMONARY ARTERIOGRAM
➔ Demo. arterial phase of pulmonary angiogram
PULMONARY ARTERIOGRAPHY
VENOGRAM
● Detect blood clots
● Thrombus or occlusions
● Locate vein for bypass or dialysis CLINICAL INDICATION:
● Evaluate varicose vein prior to surgery ● Stable angina symptoms
PREPARATION: ● acute STEMI
● NPO (4hrs) ● non-ST elevation myocardial infarction
● CM: 50-100mL (NSTEMI) or unstable angina
● Insertion: femoral (preferred), radial
PROCEDURE:
radial radial: ● NPO (6-8hrs)
axillary artery - brachial artery - radial artery- deep ● Avoid NSAIDs or ACEIs (worsening renal
palmar arch - superficial arch insufficiency)
ARTERIOGRAM (“angiogram”)
➔ Visualize inside blood vessels, arteries
➔ Helps view arteries of heart, kidneys, brain,
lungs, abdomen, legs
PROJECTION:
● AP, Lateral
CLINICAL INDICATION:
● Night cramps, pain
● Sensitivity to cold
● Tingling sensation
● Weak or absent pulse
PROCEDURE:
● NPO (6-8hrs)
● Injection site: femoral artery
CEREBRAL ANGIOGRAPHY
CLINICAL INDICATION:
● Vascular malformation
● Aneurysm
● Narrowing of arteries
● Vasculitis (inflammation of vessels)
PROCEDURE:
● Medication: metformin (24hrs before & after
procedure)
VENA CAVOGRAPHY
PERCUTANEOUS TRANSLUMINAL
CORONARY
ANGIOPLASTY (PTCA)