Angio (중재적 시술 ,혈관 조영술)

안녕하세요 아들 둘 키우는 아빠 건설소장입니다. 오늘은 저 나름대로 쉬웠던 angio에 대해서 알아보겠습니다. NGO 가 아닌 angio 입니다.ㅎㅎ

임상에 오면 나름 자주 보게 되어 눈에 익숙하지만 학생 때는 그저 영상 보고 외우시는 게 가장 좋은 방법 입니다.

심혈관조영술

2교시 <영상진단기술학> -방사선 영상학 / 3교시 <방사선 실기> 3문항

 

뇌신경계
		ICA Arterial Phase   1. ICA (Internal Carotid Artery) 2. ACA (Anterior Cerebral Artery) 3. MCA (Middle Cerebral Artery) 4. A-com (Anterior Communicating Artery) 5. Ophthalmic Artery 6. P-com (Posterior Communicating Artery)   Femoral Artery Puncture HN Catheter
		ICA Venous Phase   1. Superior Sagittal Sinus 2. Transverse Sinus 3. Sigmoid Sinus 4. Jugular Vein 5. Inferior Sagittal Sinus
		VA Arterial Phase   1. Vertebral Artery 2. Basial Artery 3. Superior Cerebellar Artery 4. PICA (Posterior Inferior Cerebellar Artery) 5. AICA (Anterior Inferior Cerebellar Artery) 6. PCA(Posterior Cerebral Artery)
	ECA   1. CCA (Common Carotid Artery) 2. ICA (Internal Carotid Artery) 3. ECA (External Carotid Artery) 4. Lingual Artery 5. Facial Artery 6. Occipital Artery 7. Superficial Temporal Artery(천측두동맥) 8. Maxillary Artery

 

 

심혈관
		Arch Aortography   1. 상행대동맥 (Ascending Aorta) 2. 하행대동맥 (Descending Aorta) 3. 완두동맥 (Brachiocephalic Trunk) 4. 좌 총경동맥 (Left Common Carotid Artery) 5. 좌 쇄골하동맥 (Left Subclavian Artery) 6. 우 쇄골하동맥 (Right Subclavian Artery) 7. 우 총경동맥 (Right Common Carotid Artery) 8. 우 추골동맥 (Right Vertebral Artery) 9. 좌 추골동맥 (Left Vertebral Artery)   Femoral Artery Puncture Pigtail Catheter
			Left Coronary Artery Selection   1. Left Coronary Artery 2. Anterior Descending Artery 3. Circumflex Branch 4. Marginal Branch   Femoral Artery Puncture → Abd. Aorta → Aortic Arch Judkin Catheter
			Right Coronary Artery Selection   1. Right Coronary Artery 2. Sinuatrial Nodal Branch 3. Marginal Branch 4. Posterior Descending Branch
	IVC Filter Insertion   IVC Filter : Greenfield Filter - Renal Vein보다 낮은 위치에 설치 DVT(Deep Vein Thrombosis) & Pulmonary Embolism Internal Jugular Vein Puncture Cobra Catheter , Gold pig Catheter

흉부호흡기계
	Pulmonary Angiography   Right Femoral Vein Puncture → Iliac Vein → IVC → Right Atrium → Pulmonary Trunk Pigtail Catheter

위장관계
	Celiac Angiography   1. Celiac Trunk (T12~L1 Level) 2. Common Hepatic Artery 3. Splenic Artery 4. Proper Hepatic Artery 5. Left Hepatic Artery 6. Right Hepatic Artery 7. Gastroduodenal Artery 8. Right Gastroepiploic Artery 9. Left Gastric Artery 10. Left Gastroepiploic Artery   Femoral Artery Puncture RH Catheter
		SMA & IMA   1. Superior Mesenteric Artery(L1) 2. Middle Colic Artery 3. Right Colic Artery 4. Ileocolic Artery 5. ileal Artery 6. Jejunal Artery 7. Inferior Mesenteric Artery(L3) 8. Left Colic Artery 9. Sigmoid Colic Artery 10. Superior Rectal Artery   Femoral Artery Puncture

TIPS(경정맥 간내문맥정맥단락술)
	적응 : 간경화에 의한 문맥고혈압으로 인한 위, 식도정맥류 예방 Right Jugular Vein Puncture → SVC → Right Atrium → IVC → Hepatic Vein → Venogram(Hepatic Vein확인) → 간실질 통해 Portal Vein → Venogram(Portal Vein확인) → Ballooning & Stent

비뇨기계
	Renal Angiography & Abdominal Aortography   Femoral Artery Puncture Renal Artery Selection(L1~2 Level) Cobra Catheter   신성고혈압 신동맥의 협착으로 인해 안지오텐신의 분비가 촉진되어 혈압 상승

하지

1. Abdominal Aorta 2. Common Iliac Artery 3. External Iliac Artery 4. Internal Iliac Artery 5. Common Femoral Artery 6. Deep Femoral Artery 7. Superficial Femoral Artery 8. Popliteal Artery(오금동맥, 슬와동맥) 9. Anterior Tibial Artery 10. Posterior Tibial Artery → Lateral Plantar Arch 11. Dorsalis Pedis Artery