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    Angiografi Femoralis-1

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    Sepahit Kopi Hitam
    This document provides an overview of femoral angiography including: 1. The purpose is to understand the anatomy, physiology, indications, contraindications and techniques of femoral angiography. 2. It describes the anatomy of the lower limb arteries and preparation steps for the procedure including patient preparation, equipment, and sterile techniques. 3. The techniques discussed include vascular access using needles and guidewires, injection of contrast media, imaging projections, and post-procedure care including monitoring the puncture site for bleeding.

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    Angiografi Femoralis-1

    Uploaded by

    Sepahit Kopi Hitam
    107 views24 pages
    This document provides an overview of femoral angiography including: 1. The purpose is to understand the anatomy, physiology, indications, contraindications and techniques of femoral angiography. 2. It describes the anatomy of the lower limb arteries and preparation steps for the procedure including patient preparation, equipment, and sterile techniques. 3. The techniques discussed include vascular access using needles and guidewires, injection of contrast media, imaging projections, and post-procedure care including monitoring the puncture site for bleeding.

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    This document provides an overview of femoral angiography including: 1. The purpose is to understand the anatomy, physiology, indications, contraindications and techniques of femoral angiography. 2. It describes the anatomy of the lower limb arteries and preparation steps for the procedure including patient preparation, equipment, and sterile techniques. 3. The techniques discussed include vascular access using needles and guidewires, injection of contrast media, imaging projections, and post-procedure care including monitoring the puncture site for bleeding.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    107 views24 pages

    Angiografi Femoralis-1

    Uploaded by

    Sepahit Kopi Hitam
    This document provides an overview of femoral angiography including: 1. The purpose is to understand the anatomy, physiology, indications, contraindications and techniques of femoral angiography. 2. It describes the anatomy of the lower limb arteries and preparation steps for the procedure including patient preparation, equipment, and sterile techniques. 3. The techniques discussed include vascular access using needles and guidewires, injection of contrast media, imaging projections, and post-procedure care including monitoring the puncture site for bleeding.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 24

    ANGIOGRAFI FEMORALIS

    TUJUAN PEMBELAJARAN :
    Pengertian
    Anatomi & fisiologi
    Indikasi & kontra indikasi
    Persiapan pemeriksaan
    Teknik pemasukan media kontras
    Proyeksi pemeriksaan
    Perawatan post pemeriksaan
    Evaluasi radiograf
     Angiografi ?
     Arteriografi ?
     Venografi ?
     Sistem peredaran darah manusia ?
    ANATOMI & FISIOLOGI...
    Lower Limb Arteries

    4
    INDIKASI & KONTRA INDIKASI...
     Indikasi
    Aterosklerosis
    Aneurysm
    Neoplasma
    Trauma/ ruptur
    AVM
     Kontra indikasi
    Alergi media kontras, status jantung & ginjal
    buruk
    Ruangan, alat, pasien, petugas harus dalam
    kondisi bersih & steril.
     Persiapan pasien
     Inform consent (Apa, Kenapa, Bagaimana,
    Dampaknya, Upaya untuk menangani
    dampaknya)
     Puasa 5 – 8 jam

     Bulu-bulu di ROI dibersihkan

     Periksa status kesehatan pasien (suhu, tekanan


    darah dll)
     Premedikasi (antibiotik & sedative)
    PERSIAPAN PEMERIKSAAN...
    Persiapan Ruangan (Khusus)

     Tersedianya Peralatan Gawat Darurat &


    Monitoring (Defibrilator, EKG, pemantau heart
    rate, tekanan darah, oksigen dll)
     Obat – obatan darurat (epineprin,
    dexametason dll)
     Ruangan cukup luas karena banyaknya
    peralatan dan petugas (dokter spesialis,
    radiografer, perawat, petugas anestesi)
    PERSIAPAN
    PEMERIKSAAN...
    • Persiapan Alat dan Bahan
     Pesawat Khusus ( C-Arm, cine film, rapid film, DSA)
     Kaset dan film (30 x 40, 35x43, 30x120 cm)
     Perlengkapan anestesi dan disenfektan
     Media kontras watersoluble, non ionik ( iodine 30%
    sejumlah 30 cc)
     Abocath 16,18/puncture needle/canula & mandrin
     Pisau bisturi untuk insisi
     guide wire
     3 way luer lock
     Spuit 50 cc,10 cc, saline, heparine
     Kasa, duk steril, bengkok, pinset, korentang dll
    Injektor Media Kontras
    • The flow rate is affected by many variables, such as the viscosity of the
    contrast medium, the length and diameter of the catheter, and injection
    pressure. Depending on these variables and the vessel to be injected, the
    desired flow rate can be selected before injection.

    9
    10
    Angiographic Trays
    and Sterile Supplies

    11
    Other Supplies for Angiography

    12
    Needles
    • Vascular access needles
    • Size based on external
    diameter of needle
    • Allows for appropriate
    Guidewires matching
    – So internal diameter
    must also be known

    13
    Guidewires
    • 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
    14
    Introducer Sheaths
    • Short catheters used
    when multiple catheters
    will be used

    • Placed in lieu of a
    catheter

    15
    Catheters

    16
    SELDINGER TECHNIQUE
    POST PROCEDURE
    • Patient usually can resume normal activity after 24 hours
    • Most often can go home after 24 hours
    • Because internal bleeding can be life threatening
    • Vitals are monitored
    • Puncture site is monitored for bleeding

    19
    20
    21
    Leg Atherosclerosis

    22
    Atherosclerosis Left Leg

    23
    Femoral Artery Angioplasty

    24

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