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METHOD FOR JOINT ANGIOGRAPHIC SURVEY OF CORONARY ARTERIES AND MAIN ARTERIES OF HEAD BY BILATERAL CORONARY CATHETER

机译:双侧冠状动脉导管联合冠状动脉和头部主要动脉造影术的方法。

摘要

FIELD: medicine.;SUBSTANCE: puncture of the right radial artery is performed in a typical place. The introducer is installed. Coronarography is performed from the transradial approach. The bilateral coronary catheter is pulled up to the aortic arch and rotated so that the tip looks toward the descending aorta, then advanced until the catheter forms a tip of the JL type. Then the catheter tip is sent to the side of the examined artery mouth. The angiograph works in the peripheral arteries shooting mode. Alternate catheterization of the left subclavian artery, the left common carotid artery, the brachiocephalic trunk is performed with the introduction of a contrast preparation and obtaining of angiograms of the corresponding vascular pools. At that, angiography is performed on respiratory arrest and in the absence of patient movements, and contrasting of each artery is performed in at least two projections, then the catheter is removed.;EFFECT: method allows to avoid unnecessary traumatization of tissues, provides an increase in information and completeness of the examination in case of a systemic disease such as atherosclerosis, reduces the risks associated with radiation exposure, reduces the amount of contrast medication administered to the patient as compared with implementation of separate diagnostic methods, reduces risks associated with the beginning of intensive medical activities, creates a more complete picture for determination of the tactics of patient treatment, reduces costs of diagnostic tests.;5 cl, 3 ex
机译:领域:药物;研究对象:在典型的地方进行右radial动脉穿刺。引入程序已安装。冠状动脉造影是通过trans骨入路进行的。将双侧冠状动脉导管向上拉至主动脉弓并旋转,以使尖端朝降主动脉看,然后前进直至导管形成JL型尖端。然后将导管尖端发送到检查的动脉口一侧。血管造影仪在外周动脉拍摄模式下工作。左锁骨下动脉,左颈总动脉,头臂干的交替导尿是通过引入造影剂并获得相应血管池的血管造影图来进行的。那时,在呼吸停止时进行血管造影,并且在没有患者移动的情况下进行血管造影,并且在至少两个投影中对每条动脉进行对比,然后拔出导管。效果:该方法可以避免不必要的组织创伤,提供了一种与实施单独的诊断方法相比,增加了系统性疾病(如动脉粥样硬化)的信息和检查的完整性,降低了与放射线照射相关的风险,减少了向患者施用的对比药物的剂量,降低了与放射治疗相关的风险密集医疗活动的开始,为确定患者治疗策略提供了更完整的图片,降低了诊断测试的成本。; 5 cl,3 ex

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