Arteriogram

ʻO kahi arteriogram kahi hōʻike kiʻi e hoʻohana i nā kukuna x a me kahi kala kūikawā e ʻike ai i loko o nā aʻa. Hiki ke hoʻohana ʻia e ʻike i nā aʻa i loko o ka puʻuwai, lolo, hakuʻala, a me nā ʻāpana ʻē aʻe o ke kino.

Pili nā hōʻike e pili pū ana:

• Aortic angiography (pahu a ʻōpū paha)
• Cerebral angiography (lolo)
• Coronary angiography (puʻuwai)
• Angiography loa (nā wāwae a lima paha)
• Fluorescein angiography (mau maka)
• Pulmonary angiography (māmā)
• Renal arteriography (hakuʻala)
• Angiography Mesenteric (kolona a i ʻole ʻōpū liʻiliʻi)
• Pelvic angiography (pelvis)

Hana ʻia ka hōʻoia ma kahi wahi olakino i hoʻolālā ʻia e hana i kēia hōʻike. E moe ʻoe ma ka papa ʻaina x-ray. Hoʻohana ʻia ka lāʻau anesthetic kūloko e hoʻopōpō ai i ka wahi i pahu ʻia ka kala. ʻO ka hapanui o ka manawa, e hoʻohana ʻia ke aʻa o ke aʻa. I kekahi mau hihia, hiki ke hoʻohana ʻia kahi aʻa o kou lima.

A laila, ua hoʻokomo ʻia kahi ʻōmole maʻalahi i kapa ʻia he catheter (ʻo ia ka laulā o ka piko o kahi peni) i loko o ke aʻa a neʻe i loko o ke aʻa a hiki i kahi i manaʻo ʻia o ke kino. Aia ke kaʻina kikoʻī i ka ʻaoʻao o ke kino e nānā ʻia ana.

ʻAʻole ʻoe e ʻike i ka catheter i loko ou.

E noi paha ʻoe i lāʻau hoʻoluʻolu (sedative) inā ʻoe e hopohopo e pili ana i ka hoʻāʻo.

No ka hapanui o nā hoʻokolohua:

• Hoʻokomo ʻia kahi kala (ʻokoʻa) i loko o ke aʻa.
• Lawe ʻia nā kukuna X e ʻike ai i ke kahe ʻana o ke kala ma o kou kahena koko.

Pehea ʻoe e hoʻomākaukau ai ma ka ʻaoʻao o ke kino e nānā ʻia ana. E haʻi paha kāu mea mālama ola iā ʻoe e haʻalele i ka lawe ʻana i kekahi lāʻau e hiki ai ke hoʻololi i ka hoʻāʻo, a i ʻole nā ​​lāʻau hoʻomāliʻi koko. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua i kāu mea hāʻawi. I ka hapanui o nā hihia, ʻaʻole hiki iā ʻoe ke ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ka hoʻāʻo.

Loaʻa paha iā ʻoe kahi mea hōʻoluʻolu mai kahi lāʻau kui. ʻIke paha ʻoe i nā ʻōuli e like me ka pīpī ʻana i ka maka a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino ke kuhi ʻia ka kala. E pili nā ʻōuli kikoʻī i ka ʻaoʻao o ke kino e nānā ʻia ana.

Inā loaʻa ʻoe i ka ʻume ma kāu wahi ʻūlū, e noi pinepine ʻia ʻoe e moe pā ma kou kua no kekahi mau hola ma hope o ka hoʻāʻo. ʻO kēia ka mea e pale ai i ke kahe ʻana o ke kahe. He mea ʻoluʻolu ʻole ka waiho ʻana i kahi pālahalaha no kekahi poʻe.

Hana ʻia kahi arteriogram e ʻike pehea e neʻe ai ke koko ma o nā aʻa. Hoʻohana ʻia ia e nānā no nā aʻa i ālai ʻia a i hōʻino ʻia hoʻi. Hiki ke hoʻohana ʻia e ʻike i nā puʻupuʻu a i ʻole e ʻike i kahi kumu o ke kahe ʻana. ʻO ka maʻamau, hana ʻia kahi arteriogram i ka manawa like ma ke ʻano he lāʻau. Inā ʻaʻohe hoʻolālā e hoʻolālā ʻia, ma nā wahi he nui o ke kino ua hoʻololi ʻia ia me CT a me MR arteriography.

Angiogram; ʻIlelo Angiography

• Cardiac arteriogram

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Feinstein E, Olson JL, Mandava N. Ke hoʻāʻo ʻana i ka retinal ancillary camera: autofluorescence, fluorescein, a me ka indocyanine angiography ʻōmaʻomaʻo. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 6.6.

Harisinghani MG. ʻO Chen JW, Weissleder R. kiʻi kiʻi. I: Harisinghani MG. ʻO Chen JW, Weissleder R, eds. ʻO ka Primer o ke kiʻi Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 8.

ʻO Mondschein JI, Solomon JA. ʻO ka maʻi maʻi ākea peripheral arterial and interven. I: Torigian DA, Ramchandani P, eds. Nā mea huna Radiology hoʻohui. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 70.