经桡动脉主动脉弓及全脑血管造影术流程

保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital经桡动脉主动脉弓及全脑血管造影术流程保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital器材准备保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital器材准备保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital辅助设备检查术中用药准备保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital患者就位、过床保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital术者穿戴防护服保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital桡、腹股区消毒、铺巾保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital术中器械组装肝素盐水冲洗保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital嘱患者腿部置于合适位置与患者沟通消除紧张情绪保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital桡动脉触诊定位、局部麻醉保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital穿刺桡动脉保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital破皮保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital置鞘、冲洗保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital有创血压监测、经静脉或动脉鞘给药调整血压保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital组合导管、导丝导入保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital桡动脉导丝、导管叠次通过保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital肱动脉导丝、导管叠次通过保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital腋动脉导丝、导管叠次通过保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital猪尾导管到位，C壁角度调整选取视野保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital高压注射器接药保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital主动脉弓高压注射器造影保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital泥鳅导丝置于髂动脉水平经泥鳅导丝交换SIM2导管保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital超选左侧颈总动脉、正位成像保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital机头倾斜90°左侧颈总动脉成像保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital超选左侧锁骨下动脉保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital左侧椎动脉侧位像保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital超选右侧颈总动脉保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital右侧颈总动脉3D造影保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital3D后处理图像保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital超选右侧锁骨下动脉保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital右侧椎动脉侧位成像保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital导入导丝、撤除导管桡动脉压迫止血器固定保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital拔除鞘管、旋紧止血器手术结束保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital小结血管造影术是血管介入的基础，是介入医生的基本技能。但血管造影术仍然有3%~5%的并发症发生率，主要有穿刺点血肿、动静脉瘘、假性动脉瘤形成、血管痉挛、医源性动脉夹层形成、以及造影剂肾病等。主要由于术者对患者的适应症、禁忌症把握不严，血管解剖变异认识不足以及器械掌握不熟练所致。所以一名合格的介入医生，需要扎实的解剖与临床知识的基本功和手术经验的积累。经桡动脉主动脉弓+全脑血管造影术是近两年来由于经验性的突破以及器材的改进得以实施的新术式，有别于常规股动脉入路具有：损伤小、出血少、路径短、并发症发生率较低、卧床时间缩短或无需卧床等优点，极大的降低了常规股动脉入路长时间制动导致的DVT、PE的发生。患者的接受度较高、在临床工作中值得推广。