Angiography (Pandya)

Question 1

What is angiography?

Answer 1

study of the vascular system via injection of contrast- arterial or venous (catheter-based)

Question 2

What type on contrast is nephrotoxic?

Answer 2

iodinated contrast

Question 3

2 types of contrast media for angio:

Answer 3

1) iodinated/noniodinated

2) Gadolinium

Question 4

Preparation for an angiography:

Answer 4

NPO after midnight

• check for prior iodine based and seafood allergies
• check kidney function

Question 5

(T/F) you should make sure pt is not in acute renal failure before angio

Answer 5

TRUE

Question 6

Coronary angio’s can visualize what?

Answer 6

coronary artery stenosis–> narrowing in BVs- degree of stenosis

Question 7

If a coronary angio can’t clearly determine presence or absence of atherosclerosis, what should you use?

Answer 7

CT or MRI

Question 8

what’s fluorescein?

Answer 8

fluorescent dye injected that highlights blood vessels in the eye

Question 9

microangiography is used for?

Answer 9

to visualize tiny blood vessels

Question 10

Neurovascular angiography utilizes..?

Answer 10

utilizes digital subtraction angio to visualize arterial and venous supply to the brain for coil embolism of aneurysms and AVM gluing

Question 11

what would a peripheral angio be used for?

Answer 11

peripheral vascular disease

Question 12

Coronary stents/filters are accessed through?

Answer 12

through the common femoral artery or common femoral vein

Question 13

Indications for IVC filter (for DVT):

Answer 13

1. at risk for DVT/PE w/ absolute CI to anticoagulants

2. recurrent DVT/PE in spite of anticoagulation

Question 14

Sx of aortic dissection:

Answer 14

• sudden severe abdominal pain
• loss of consciousness
• shortness of breath
• Sx similar to stroke
• weak pulse in or arm or thigh compared to other
• leg pain/paralysis
• difficulty walking

Question 15

Renal artery stenosis is..?

Answer 15

narrowing of one of the renal arteries, most often caused by atherosclerosis or fibromuscular dysplasia

Question 16

Renal artery stenosis can impede..?

Answer 16

can impede blood flow to target kidney, resulting in renovascular hypertension- a secondary type of BP

Question 17

Fibromuscular dysplasia is..?

Answer 17

a non-athersclerotic, noninflammatory disease of BVs that cause abnormal growth within wall of an artery

• most commonly effect renal and cartotids
• “string of beads” appearance

Question 18

May-Thurner syndrome is..?

Answer 18

venous obstruction due to compression of the left iliac vein by the right iliac artery; go in through inguinal canal
- stent placement in left iliac vein to fix

Question 19

Catheter based angio’s are performed after an abnormality is seen on ___ or ___

Answer 19

CTA or MRA