1、 术前准备 患者常规备皮 过敏试验(碘) 左侧肢体建立输液通道 各种监护装配 留置导尿导管室内所需物品 心电、呼吸监护设备 氧气供给系统 各类急救药品及设备 镇静药、解痉药、肝素、鱼精蛋白及尿激酶等血管造影所需器械 穿刺针(套管针) 血管扩张器(血管鞘) Y 阀(二相、三相) 三通 高压输液袋 延长管 导丝(.032-.035) (泥鳅导丝,交换导丝) 造影导管Procedure - Seldinger Technique (1)步骤-Seldinger 技术 The skin is prepared and punctured穿刺部位备皮 The femoral artery and ing
2、uinal ligament are located股动脉位于腹股沟韧带处 The needle with stylet is angled parallel to the course of the femoral artery 套管针的针头倾斜平行进入到股动脉内Procedure - Seldinger Technique (2)步骤 Artery is punctured (double or single wall technique) 穿刺动脉 Stylet is removed and needle withdrawn until blood flow occurs移动套管针将针头
3、回 到 到回血 Cannula removed 移动套管 Wire inserted 导丝 入 Wire is fixed & needle removed 导丝,针头 Track is dilated 扩张通道 Catheter is introduced over the wire 导管通过导丝进入套管针,血管鞘,三通血管血管造影 Complications of Angiography Groin hematoma (leakage, bruising) most common 常 腹股沟血 Hemorrhage 血 Allergic reaction to contrast or drugs administered 造影 药物过敏 Arterial injury 动脉 Renal failure due to contrast metabolism 造影 的 Infection Stroke Death 血管内入器械 导管(5 Fr-9Fr) 导丝,交换导丝 currency1导管系统(扩张,“) 血管护装置(护fi) fl 器 (Goose neck snail) 导管系统(扩, ,带) 导管(OTW, ) ”(Coil,Onyx,NBCA,PVA) currency1扩张