Coronory angiography

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Coronory angiography

  1. 1. CORONORY ANGIOGRAPHY  DEFINITION: coronary angiography is an x-ray examination of the blood vessels or chamber of the heart . A very small tube [catheter] is inserted into the blood vessel in upper thigh [groin area ] or arm. The tip of the tube is positioned either in the heart at the beginning of the arteries supplying the heart , and a special fluid [ called a contrast medium or dye ] is injected . This fluid is visible by x-ray and the pictures that are obtained are called angiogram .
  2. 2. CORONORY ARTERIES
  3. 3. PREPARATION OF THE CAG  A .PREPARATON BEFORE CAG  :Explain the procedure to the patient and patient party.  :Take consent from patient and patient party.  Check for blood report , if not, send blood for urea, Creatinine Blood grouping and serology.  Patient must be kept four hour NPM before procedure  
  4. 4. PREPARATION OF CAG  ECG should be taken before procedure .  Prepare the site by shaving and painting with antiseptic solution like beta dine solution .  An I|V Access should be inserted and kept ready .  Check for loose tooth or denture ,if the patient has a loose teeth tie up with a clean thread and if the patient has denture removed it and Hand over to patient party.
  5. 5. PREPARATION OF CAG   Removed all the metal ornaments .  Ask for any medicine allergy .  Check for site infection or skin infection .  Check for blood report .  Check the pulsation at the puncture site .  Give psychological support.  Give pre –medication .  Connect the ECG And saturation probe
  6. 6. DURING THE PROCEDURE  Procedure site .  Provide comfortable position in the cath lab table .  Observe the hemodynamic status of the patient .  Prepare the patient site fore access .  Check for any allergic reaction while contrast is pushed.
  7. 7. AFTER PROCEDURE  Removed the sheath .  Tight dressing should be done .  Check for any hematoma.  Check for any bleeding .  Check vital sign .  Check pedal pulse .  Patient shifted to the ward .
  8. 8. THANK YOU

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