karbaker
Guest
Need help coidng this one
Thanks
Karen B
PERFORMED:
1. Abdominal aortography.
2. Peripheral runoff study.
INDICATION FOR PROCEDURE: a 47-year-old gentleman
with diabetes, vascular risk factors, known peripheral arterial disease,
presenting with worsening claudication. The patient has abnormal
Doppler study and therefore he is referred over for abdominal
aortography and runoff study by his cardiologist, Dr. Banerjee.
DESCRIPTION OF PROCEDURE: After appropriate explanation of the
procedure, its indications, risks and benefits, an informed consent is
obtained . The patient is brought to the catheter
lab in fasting state. The patient is prepped and draped in the usual
sterile fashion. IV conscious sedation is induced using cath lab
protocol. Left groin area is prepped and draped in the usual sterile
fashion. It is infiltrated with approximately 10 cc of 1% lidocaine and
satisfactory local anesthesia is achieved. Left femoral artery is
cannulated using 18 gauge needle and a 5-French pigtail catheter is
placed in the abdominal aorta. Abdominal aortography and then
peripheral runoff study was performed using digital subtraction
angiography. At the end of angiography, the catheter is removed, sheath
is flushed, findings are reviewed, the patient did well.
ANGIOGRAPHIC DATA: Abdominal aortography demonstrated a normal contour,
course and caliber of abdominal aorta. Right kidney had dual supply.
Both renal arteries were patent, abdominal aorta was patent without any
stenosis or obstruction. There as no evidence of aortic aneurysm.
PERIPHERAL RUNOFF STUDY: Right iliac was completely occluded at the
origin and was collateralized and reconstituted at the level of right
common femoral vessel. Thereafter, the right superficial femoral, right
popliteal, anterior and posterior tibials were patent all the way to the
ankle.
Left lower extremity runoff study demonstrated patent left iliac in the
proximal segment. Thereafter, there was a presence of __________ stent
that was patent. Beyond the stent there was a high grade lesion long
segment extending all the way to the common femoral on the left side.
Left SFA was patent in the proximal and mid third of the thigh, but at
the level of __________ left SFA had a high grade lesion. Left
popliteal was patent behind the knee and left anterior and posterior
tibials were patent all the way to the ankle.
CONCLUSIONS: In summary, the patient demonstrates
1. Normal contour, course and caliber of abdominal aorta.
2. Patent renal vasculature.
Thanks
Karen B
PERFORMED:
1. Abdominal aortography.
2. Peripheral runoff study.
INDICATION FOR PROCEDURE: a 47-year-old gentleman
with diabetes, vascular risk factors, known peripheral arterial disease,
presenting with worsening claudication. The patient has abnormal
Doppler study and therefore he is referred over for abdominal
aortography and runoff study by his cardiologist, Dr. Banerjee.
DESCRIPTION OF PROCEDURE: After appropriate explanation of the
procedure, its indications, risks and benefits, an informed consent is
obtained . The patient is brought to the catheter
lab in fasting state. The patient is prepped and draped in the usual
sterile fashion. IV conscious sedation is induced using cath lab
protocol. Left groin area is prepped and draped in the usual sterile
fashion. It is infiltrated with approximately 10 cc of 1% lidocaine and
satisfactory local anesthesia is achieved. Left femoral artery is
cannulated using 18 gauge needle and a 5-French pigtail catheter is
placed in the abdominal aorta. Abdominal aortography and then
peripheral runoff study was performed using digital subtraction
angiography. At the end of angiography, the catheter is removed, sheath
is flushed, findings are reviewed, the patient did well.
ANGIOGRAPHIC DATA: Abdominal aortography demonstrated a normal contour,
course and caliber of abdominal aorta. Right kidney had dual supply.
Both renal arteries were patent, abdominal aorta was patent without any
stenosis or obstruction. There as no evidence of aortic aneurysm.
PERIPHERAL RUNOFF STUDY: Right iliac was completely occluded at the
origin and was collateralized and reconstituted at the level of right
common femoral vessel. Thereafter, the right superficial femoral, right
popliteal, anterior and posterior tibials were patent all the way to the
ankle.
Left lower extremity runoff study demonstrated patent left iliac in the
proximal segment. Thereafter, there was a presence of __________ stent
that was patent. Beyond the stent there was a high grade lesion long
segment extending all the way to the common femoral on the left side.
Left SFA was patent in the proximal and mid third of the thigh, but at
the level of __________ left SFA had a high grade lesion. Left
popliteal was patent behind the knee and left anterior and posterior
tibials were patent all the way to the ankle.
CONCLUSIONS: In summary, the patient demonstrates
1. Normal contour, course and caliber of abdominal aorta.
2. Patent renal vasculature.