Week 5: interventional radiography

Question 1

what are examples of non vascular interventional radiography

Answer 1

biposie 
pain injections (spinal roots)

Question 2

what are examples of vascular interventional radiography

Answer 2

endovascular angiogram:

• embolisation (close down structure) e.g coils, onyx
• angioplasty (open/restore flow) e.g balloons
• Stenting

Question 3

what is contrast induced nepropathy

Answer 3

Caused by medullary renal ischaemia and direct tubular toxicity.
creatine serum levels 6-1.2mg

Question 4

how is the GI tract treated for embolisation

Answer 4

upper tract= endoscopy

lower= angiographic techniques.

Question 5

what are some indications for SVC stenting

Answer 5

SCV sydrome

compression from lobes

Question 6

indications for upper arm stenting

Answer 6

• AV fistula
• Stenosis
• DVT (pagets-schrotter)
  ^ first rib removed for access of subclavian / axillary

Question 7

What is an IVC filter

Answer 7

aka IVC umbrella.
works to prevent migration of blood clot into IVC/heart

inserted at right common femoral vein. removed at right jugular vein

Question 8

Who uses an IVC filter

Answer 8

patients with recurring DVT despite anti-coagulation treatment

Question 9

Examples of international fluro procedures

Answer 9

pic line, infusapots, hickmans line, (allow faster access to venous flow)

inserted using US to identify artery, and then fluro to check location of line

Question 10

What is pic line

Answer 10

peripherally inserted central catheter
allows quick injections of antibiotics/chemo agents

(Hickmans/permcath/infusaport different as it is inserted in jugular via tunnel injections)

Question 11

what is vertebroplasty

Answer 11

percutaneous insertion of cement into vertebral body