Summary
Samenvatting angiografie
- Course
- Institution
Samenvatting powerpoint angiografie
[Show more]
Seller
Follow
mariebraspennincx
Content preview
Zorg bij interventiesInterventionele procedures..................................................................................................................... 4
Angiografie .......................................................................................................................................... 4
1. Pathologie – Geschiedenis .......................................................................................................... 4
1.1 De ontwikkeling van de angiografie .................................................................................... 4
1.1.1 Substractie ....................................................................................................................... 5
1.1.2 Toekomst ......................................................................................................................... 5
1.2 Anatomie ............................................................................................................................. 6
1.2.1 Geheel bloedvaten .......................................................................................................... 6
1.2.2 Opbouw arteriële wand................................................................................................... 6
1.2.3 Punctieplaatsen ............................................................................................................... 7
2. Pathologie.................................................................................................................................... 7
2.1 Arteriosclerose (slagaderverkalking) ................................................................................... 7
2.2 Aneurysma........................................................................................................................... 8
2.3 Arteriële trombose .............................................................................................................. 9
2.4 Arteriële embolie ................................................................................................................. 9
2.5 Ziekte van Raynaud ............................................................................................................. 9
2.6 Vasculitis ............................................................................................................................ 10
2.7 Veneuze trombose ............................................................................................................ 10
2.8 Varices ............................................................................................................................... 10
2.9 Fistel .................................................................................................................................. 11
2.10 Arterioveneuze malformatie (AVM) .................................................................................. 11
3. Materiaal ............................................................................................................................... 12
3.1 Diagnostische angiografie ................................................................................................. 12
3.1.1 Angiografiezaal .............................................................................................................. 12
3.1.2 Steriele instrumententafel – voorbereiding .................................................................. 12
3.1.3 Patëntenvoorbereiding ................................................................................................. 13
3.1.4 Bevochtigen – Flushen................................................................................................... 13
3.1.5 Naalden – Spuiten ......................................................................................................... 13
3.1.6 Introducersysteem ........................................................................................................ 14
3.1.7 Guide wire ..................................................................................................................... 15
3.1.8 Catheter ......................................................................................................................... 15
3.1.9 Contrast ......................................................................................................................... 16
3.2 Interventionele angiografie ............................................................................................... 17
3.2.1 Guiding catheter/microcatheter ................................................................................... 17
3.2.2 Stent .............................................................................................................................. 18
3.2.3 Stent in groot formaat ................................................................................................... 19
1
, 3.2.4 Ballon (PTA-catheter) .................................................................................................... 19
3.2.5 Drug eluting Stent & Balloon ......................................................................................... 20
3.2.6 Drukmanometer ............................................................................................................ 20
3.2.7 Embolisatiemateriaal..................................................................................................... 21
4. Herhaling ................................................................................................................................... 22
5. Taken van de TMB en drukverbanden ...................................................................................... 23
5.1 Taken TMB: ........................................................................................................................ 23
5.2 Drukverband ...................................................................................................................... 23
6. Medicatie & Soorten onderzoeken ........................................................................................... 24
6.1 Medicatie ........................................................................................................................... 24
6.1.1 Buscopan ................................................................................................................... 24
6.1.2 Cedocard.................................................................................................................... 25
6.1.3 Dipidolor .................................................................................................................... 25
6.1.4 Dormicum .................................................................................................................. 25
6.1.5 Ebrantil ...................................................................................................................... 26
6.1.6 Heparine .................................................................................................................... 26
6.1.7 Sintrom ...................................................................................................................... 26
6.1.8 Phenergan ................................................................................................................. 27
6.1.9 Valium ........................................................................................................................ 27
6.2 Soorten onderzoek ............................................................................................................ 27
6.2.1 IVDSA: Intraveneuze Digitale Subtractive Angiografie .............................................. 27
6.2.2 Flebografie ................................................................................................................. 28
6.2.3 IADSA: Intra-Arteriële Digitale Subtractie Angiografie .............................................. 28
6.2.4 Punctietechniek ......................................................................................................... 28
6.2.4.1 Seldingernaald – punctietechniek ......................................................................... 29
6.2.4.2 Allentest..................................................................................................................... 30
7. Soorten behandelingen ............................................................................................................. 30
7.1 PTA: Percutane Transluminele Angioplastie of ballondilatatie ......................................... 30
7.2 Coiling ................................................................................................................................ 30
7.3 Stentplaatsing a. renalis .................................................................................................... 31
7.4 TACE = Transarterial chemoembolization ......................................................................... 31
7.5 Embolisatie AVM ............................................................................................................... 31
7.6 7Post Partum Bloeding ...................................................................................................... 31
7.7 AAA – Aorta abdominalis aneurysma ................................................................................ 32
7.8 Catheter speciallekes......................................................................................................... 32
7.9 PICC – Peripherally Inserted Central Catheter .................................................................. 33
7.10 Angiojet – Thrombectomie................................................................................................ 33
7.11 Jetstream – atherectomie ................................................................................................. 33
2
, 7.12 Laserjet – atherectomie .................................................................................................... 33
8. Cardiologie................................................................................................................................. 35
8.1 Anatomie ........................................................................................................................... 35
8.2 Hartkamers ........................................................................................................................ 35
8.3 Hartkleppen ....................................................................................................................... 35
8.4 Bloedstroom doorheen hart en longen ............................................................................. 35
8.5 Elektrisch systeem ............................................................................................................. 36
8.6 Bloedvaten en bloeddruk .................................................................................................. 36
8.6.1 Bloedvaten................................................................................................................. 37
8.7 Coronaire hartziekten........................................................................................................ 37
8.7.1 Angor ......................................................................................................................... 38
8.7.2 Hartinfarct ................................................................................................................. 38
8.7.3 Coronaire hartziekten – behandelingsmethoden ..................................................... 38
8.8 Structurele afwijkingen ..................................................................................................... 39
8.8.1 Hartfalen .................................................................................................................... 39
8.8.2 kleplijden ................................................................................................................... 40
8.8.3 Congenitale afwijkingen ............................................................................................ 40
8.8.3.1 Ventrikelseptumdefect (VSD) ................................................................................ 41
8.8.3.2 Atriumseptumdefect (ASD) ................................................................................... 41
8.8.3.3 Aortaklepstenose................................................................................................... 41
8.8.3.4 Pulmonalisklepstenose .......................................................................................... 41
8.8.3.5 Persisterende ductus arteriosus ............................................................................ 41
8.8.3.6 Coarctatio aortae ................................................................................................... 42
8.8.3.7 Tetralogie van Fallot .............................................................................................. 42
8.9 Hartablatie ......................................................................................................................... 42
9. Contrastreacties ........................................................................................................................ 42
9.1 Adverse reactions .............................................................................................................. 42
9.1.1 Acute adverse reaction.............................................................................................. 42
9.1.2 Late & very late adverse reaction.............................................................................. 44
10. Casussen ................................................................................................................................ 44
10.1 Casus 1 ............................................................................................................................... 44
10.2 Casus 2 ............................................................................................................................... 45
10.3 Casus 3 ............................................................................................................................... 45
10.4 Casus 4 ............................................................................................................................... 46
3
, Interventionele procedures
Angiografie
1. Pathologie – Geschiedenis
1.1 De ontwikkeling van de angiografie
3000 v.C Egyptenaren Blaascatheter: metalen buisjes
1711 Hales Trachea: glazen catheter (gans en paard) & hart
(paard)
1844 Bernard Halsslagader tot li atrium: kwiksonde (paard) →
druk meten → grondlegger huidige vorm
catheterisatie
1895 Röntgen Uitvinding Röntgen-Stralen
1896 Haschek & Lindenthal Injectie in geamputeerde hand: kalk → 1ste beeld
bloedvaten met Rö-stralen en contrast
1912 Bleichroder, Unger & Loeb Eerste catheters in mensen zonder Rö-stralen:
− In bloedvaten voor chemo
− In slagaders bij honden
1923 Bij levende mensen: eerste contrast =
Jodolie/Lipiodol
Strontiumbromide = sterkste contrasterende
contrastvloeistof
1926 Moniz 9de poging: succesvol angiogram hoofd (levende
patiënt)
Jodium in carotis
1929 Forssmann Opschhuiven catheter in arm naar hart
(bij zichzelf in spiegel en fluoroscopie)
1929 Dos Santos Translumbale Arteriografie → aorta en viscerale
bloedvaten
1934 Des Plantes 2 nieuw technieken: tomografie &
substractie
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mariebraspennincx. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.97. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52510 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now