Angiography

Materials-1
Lailatul Muqmiroh
Prodi D-IV Radiologi
Interventional radiology
procedures
Vascular Non Vascular
• Angiography • Biopsy
• Stenting • Abcess drainage
• Embolization • Biliary drainage
• Chemotheraphy infusion • Gastrostomy tube
• Thrombolysis placement
• Transjugular intrahepatic • Nephrostomy
portosystemic shunts
• Venous access • Stone extraction
• Vena cava filter • Foraiegn body retrieval
placement
Catheter
• Catheters allow the IR to access a spesific area in the
body from another entry point in the body.
• Usually composed of polyethylene
• Divided into FLUSH and SELECTIVE catheter.
• FLUSH 
• Multi sides holes
• Used for aortic injection
• For rapid high-volume injection to opacify the
large diameter vessel
• Selective catheters
• Single end hole
• No have side holes
• The diameter of the catheter  French (Fr)
• Fr equivalent 1 mm
• Most diagnostic catheter 4,5 Fr
Flush catheter
Selective catheters
Interventional radiology
• There are a host of properties considered in
manufacturing,buying, and using diagnostic
angiographic catheters;
• These include size (the smaller the better for access
but size limits the lumen), shape, radiopacity,
torquability, and softness of the distal tip.
• Larger lumen diagnostic catheters are available
(guiding catheters) for placement of microcatheters
and angioplasty balloons in a coaxial fashion.
Diagnostic Guide wire
• Metallic or plastic wire that serve two general
roles, exchange and guidance within a vessel or
lumen.
• Can be used to exchange different catheters.
• In order to negotiate the various curves in vessel
and not damage the intima, a guide wire is place
ahead of the catheter tip.
• Most guide wires for standard angiography and interventional
procedures fall into two categories based on their
construction :
• Spring guide wires which are constructed of stainless steel
wire tightly wound on itself to form a spring and nitinol guide
wires constructed of a nickel titanium alloy
• An organic coating to which is bound a hydrophilic coating.
This coating absorbs water and becomes very slippery.
• Guide wires range in size from 0.010 inches to 0.038 inches.
• Wires differ in character based upon the requirements needed
during the procedure including support, torquability, profile,
and device compatibility.
• Merit Laureate® Hydrophilic Guide Wire Video and
Animation.mp4
Microcatheter
• Microcatheters are 3 French or less in size
• They are designed for very distal catheterization.
• These catheters are placed over 0.010 to 0.018 guide
wires.
• Originally developed for the neurointerventional arena,
they have become very helpful for peripheral
intervention to superselect small vessels for embolization
or infusion (such as chemotherapy).
• These catheters have a distal platinum marker but are
otherwise not very radiopaque.
• Merit Maestro® Microcatheter Video and Animation.mp4
Introducer Sheath
• Introducers are intended to be inserted percutaneously into a
vessel to facilitate the entire interventional procedure.
• Characteristics
• Total Integrated Fit (TIF) tip tapering: optimal tapering design
at the tip of the sheath and dilator for smooth penetration
• Cross-cut haemostasis valve effectively avoids blood reflux and
air aspiration
• Thin radiopaque sheath with anti-kinking sleeve for easy
catheter handling
• Snap-on/click-off dilator lock prevents dilator back-out during
insertion and allows one-hand unlocking
• Wide variety of kit variations providing all elements for quick
vessel access: 4-11 Fr sheaths, 5-25 cm lengths, Surflash or
micro puncture metal needle
• ..\INTRODUCER SHEATH.3gp
• ..\Cardiac Catheterization via Femoral Artery.mp4
DRAINAGE CATHETER
• Drainage catheters are used frequently in
interventional radiology for drainage of fluid
collections (abscess, pleural fluid, ascites,
lymphoceles) and visceral structures including
nephrostomy, biliary, gallbladder, and GI tract.
• The same basic catheters are used for drainage in all
such sites.
• Characteristics of drainage catheters include caliber,
sidehole diameter, biocompatibility, radiopacity, and
softness shape/retention property.
• Catheter shape is usually based on the size of the fluid
collection for drainage and the retention property.
• The most common retention device for pigtail catheters is the
retention suture.
• Straight catheter retention devices include the mushroom tip
or inflatable balloon.
• ..\Merit Medical Valved One-Step Centesis Catheter.mp4
• E:\MATERI RADIOGRAFI INTERVENSI DASAR\Arch
Aortography.mp4