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Arteriograms .doc.doc.doc

  1. 1. Arteriograms Abdominal arteriogram with calcium stimulation Abdominal arteriogram with secretin stimulation Cerebral arteriogram Hepatic arteriogram Parathyroid arteriogram Pulmonary arteriogram Pulmonary arteriogram with filter placement Renal arteriogram Spinal arteriogram Spinal arteriogram with embolization Upper or lower extremity angiogram WADA test Venous Sampling Adrenal venous sampling Jugular venous sampling Parthyroid venous sampling Petrosal venous sampling Superior/inferior venacavagram Tube Placements Biliary tube placement or change Chest tube placement Drainage tube placement Gastrostomy tube placement Nasogastric tube placement Nephrostomy or ureteral tube placement or change Vascular Access Devices Hickman / Groshong placement (tunnelled) Hemodialysis catheter placement Jugular cathetar (JICC) Peripherally Inserted Central catheter (PICC) Subclavian Inserted Central catheter (SICC) Temporary femoral lines Other Procedures Biopsy Lymphangiogram Paracentesis Radiofrequency ablation of tumors Thoracentesis Thrombolytic therapy• Angiography• Angioplasty & Stent Placement• Arthrogram
  2. 2. • Carotid & Vertebral Arteriogram with Angioplasty & Stenting • Chronic pelvic pain interventions • Continuous ambulatory peritoneal dialysis (CAPD) --- Tenkoff Placement • Dialysis Catheter Placement/Check • Image Guided Biopsies • Image Guided Pain Management including Vertebroplastym, Nephrostomy, and SI Joint Injections • Nephrostomy • Paracentesis • Percutaneous Gastrostomy and Feeding Jejunostomy Tube Placement • Peripheral Vascular Angiography, Angioplasty & Stenting • PICC Line/CVP Line Placement • Thrombolysis & Angioplasty of AVF, grafts, and catheters • Uterine Fibroid Embolization • Varicose Vein treatment • Venogram • Venous Access Port Implantation (chest & arm)As medical technology continues to increase our ability to diagnoseand treat many complex medical conditions, patients areincreasingly opting to go the way of interventional radiology for thetreatment of many chronic diseases and health conditions. Thisrelatively new and dynamic medical field utilizes minimally invasivetechniques that are often an effective alternative to traditionalinpatient surgery. Interventional radiology procedures are usuallyperformed under local anesthesia with some form of imagingguidance by a surgical specialist or interventional radiologist.Dupont Hospital offers a Special Procedures Suite specializing ininterventional radiology services. The area features one proceduresuite and a four-bed pre- and post-procedure area.What types of special procedures can be done at Dupont Hospital?The Special Procedures Suite is equipped to handle a variety of diagnostic and interventional procedures with state-of-the-art equipment that features a Philips Allura FD-20 machine. Experienced physicians perform arteriograms,
  3. 3. venograms, fistulagrams, fistula declots, vertebroplasties, epidural injections, angioplasty, stent and many other non-cardiac procedures with this equipment.Experience the Dupont Difference in the Special ProceduresSuiteWhile most interventional radiology procedures are done on anoutpatient basis, they sometimes require up to a 23-hour hospitalstay. Dupont Hospital guests (patients) can enjoy the convenienceof close proximity to the special procedures suite. Registration,finalizing lab work, preparing for the procedure and recovering alltake place in the same comfortable room just steps away from theprocedure room. As is customary with all Dupont Hospital guests,special procedures guests have a private room with full access to24-hour room service.In addition to a quiet, comforting environment, the SpecialProcedures area at Dupont Hospital offers patients the services of a professional and experienced medical staff. Thesame physicians who serve other Lutheran Health Network facilities also have privileges in Dupont’s SpecialProcedures Suite. Patients can rest assured, knowing that they are in good hands.Some common procedures performed in the Dupont Hospital Special Procedures Suite • Arteriography—cerebral, carotid, pelvic, pulmonary, renal, visceral, upper extremities, lower extremities, aorta • Transcatheter treatment (above mentioned vessels) using atherectomy, angio-jet, angioplasty, stent, embolization • IV retrieval of foreign body • Biliary duct dilation/drain insertion • Cholangiogram • Central venous catheter placement, Infusaport placement • Permanent catheter placement/removal • Fistulagrams, fistula declots, fistula angioplasty • Abscess drainage • IVC filter placement • Pain management procedures—facet injections, nerve blocks, diskograms • TIPS (Transjugular Intrahepatic Portosystemic Shunt) evaluation, insertion, revision transhepatic biliary drain • Nephrostomy tube placement and removal, ureteral catheter/stent placement, gastric tube placement, percutaneous cholecystostomy • Venograms—adrenal, inferior vena cava, lower extremities, upper extremities, renal, superior vena cava • Vertebroplasty
  4. 4. Interventional RadiologyInterventional radiologists (IRs) use their expertise in reading X-rays, ultrasound and other medical images to guide smallinstruments such as catheters (tubes that measure just a few millimeters in diameter) through the blood vessels or other pathwaysto treat disease percutaneously (through the skin). These procedures are typically much less invasive and much less costly thantraditional surgery.Interventional radiologists are medical doctors who have specialized in doing medical procedures that involve radiology. Radiologistsuse imaging equipment such as X-rays, magnetic resonance (MR) imaging, ultrasound and computed tomography (CT) to diagnosedisease. IRs are board certified radiologists that are fellowship trained in percutaneous interventions using guided imaging. Theirspecialized training is certified by the America Board of Medical Specialties.Common Interventional ProceduresChemoembolizationDelivery of cancer-fighting agents directly to the site of a cancer tumor; currently being used mostly to treat cancers of theendocrine system, including melanoma and liver cancers.Biliary drainage and stentingUses a stent (small mesh tube) to open up blocked ducts and allow bile to drain from the liver.Radio frequency (RF) ablationUse of radio frequency (RF) energy to kill cancerous tumors.Fallopian tube catheterizationUses a catheter to open blocked fallopian tubes without surgery; a treatment for infertility.Stent-graftReinforces a ruptured or ballooning section of an artery (an aneurysm) with a fabric-wrapped stent, a small, flexible mesh tube usedto "patch" the blood vessel. Also known as an endographHemodialysis access maintenanceUse of angioplasty or thrombolysis to open blocked grafts for hemodialysis, which treats kidney failure.TIPS (transjugular intrahepatic portosystemic shunt)A life-saving procedure to improve blood flow and prevent hemorrhage in patients with severe liver dysfunction.Uterine fibroid embolizationAn embolization procedure of uterine arteries to shrink painful, enlarged, benign tumors in the uterus, also called UAE (UterineArtery Embolization).AngiographyAn X-ray exam of the arteries and veins to diagnose blockages and other blood vessel problems; uses a catheter to enter the bloodvessel and a contrast agent (X-ray dye) to make the artery or vein visible on the X-ray.