经桡动脉主动脉弓及全脑血管造影术流程

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2020/11/42保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital器材准备2020/11/43保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital辅助设备检查2020/11/44术中用药准备保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital2020/11/45保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital患者就位、过床2020/11/46保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital术者穿戴防护服2020/11/47保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital2020/11/48保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital桡、腹股区消毒、铺巾2020/11/49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2020/11/410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2020/11/411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2020/11/412保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital穿刺桡动脉2020/11/413保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital破皮2020/11/414保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital置鞘、冲洗2020/11/415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2020/11/416保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital组合导管、导丝导入2020/11/417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2020/11/418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2020/11/419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2020/11/420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2020/11/421保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital高压注射器接药2020/11/422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2020/11/423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2020/11/424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2020/11/425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2020/11/426保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital超选左侧锁骨下动脉2020/11/427保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital左侧椎动脉侧位像2020/11/428保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital超选右侧颈总动脉2020/11/429保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital右侧颈总动脉3D造影2020/11/430保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital3D后处理图像2020/11/431保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital超选右侧锁骨下动脉2020/11/432保定市脑血管病医院︱介入诊疗科BaodingCerebralVascularDiseaseHospital右侧椎动脉侧位成像2020/11/433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2020/11/434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2020/11/435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