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AFG_2

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AFG_2

  1. 1. PRINCIPIOS DE LAANGIOGRAFÍA CON FLUORESCEÍNA (Parte II) Carlos Azañero Inope Residente - Oftalmología
  2. 2. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHYPrior to fluoresceinangiography, patients should becounseled regarding the relevantrisks. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  3. 3. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
  4. 4. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Fluorescein may temporarily discolor the skin and urine yellow until it is eliminated, which occurs through both the kidneys and liver. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  5. 5. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHYPatients with renal insufficiency may therefore experience delayedelimination. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  6. 6. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  7. 7. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHYAll units performing fluoresceinangiography should have readyaccess to emergency medicalequipment (“crash cart”) in theunlikely event of life threateningreaction. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  8. 8. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHYPatients with a prior history of mild or moderately severereactions, depending on their seriousness, may still becandidates for angiography following premedication withantihistamines such as diphenhydramine and/orcorticosteroids such as prednisone. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  9. 9. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHYCommon practice dictates theavoidance of angiography inpregnant women, especially in thefirst trimester , although evidenceregarding toxicity is Scant. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  10. 10. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHYThe typical injection procedureinvolves application of an upperextremity tourniquet, cannulation ofan antecubital or forearm vein,tourniquet release, initiation ofcamera timer, and then injection of abolus of dye, often 5 mL of 10%sodium fluorescein. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com

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