PROCEDURE
DATE OF PROCEDURE:
CLINICAL HISTORY:
OPERATOR: John Doe, MD (Attending)/Jane Doe, MD (Fellow)
MEDICATIONS:
CONTRAST:
ACCESS SITE:
PROCEDURE:
The risks, benefits, and alternatives to the procedure and sedation were explained to the ____ , and written informed consent obtained.
The patient was placed in supine position on the angiography table and the groin were prepped and draped in sterile fashion. The skin and subcutaneous tissue overlying the common femoral artery were infiltrated with 2% lidocaine for local anesthetic. Ultrasound of the ___ groin was performed demonstrating patency of the Under ultrasound guidance, the ___ was accessed with a micropuncture needle. Needle entering the ___ was documented and sent to PACS. A 0.118 a wire was advanced through the needle into the artery. The needle was exchanged for a 5 French transitional catheter. The inner dilator and the 0.018 wire were removed and a 0.035 Bentson wire was advanced into the artery. The transitional catheter was exchanged for 5 French vascular sheath, attached to a heparinized pressurized bag of saline. A 5 French pigtail catheter was advanced over the wire through the sheath and positioned in the abdominal aorta. Aortography was performed in projection using non-ionic contrast.
The catheter was repositioned to the aortic bifurcation, and the pelvis and lower extremities imaged via _____ .
The images were reviewed, and the catheter removed over a wire. A 5 French dilator was placed, and the patient transferred to the holding area where hemostasis was achieved with compression. The procedure was well-tolerated, and the patient discharged in stable condition.
FINDINGS:
The abdominal aorta shows:
Left Lower Extremity:
Right Lower Extremity:
IMPRESSION:
Frequently Asked Questions
What is an aortogram with lower extremity runoffs?
An aortogram with lower extremity runoffs is a diagnostic imaging procedure used to visualize the abdominal aorta and the blood vessels in the lower extremities. It involves injecting a contrast dye into the aorta and capturing X-ray images to assess for blockages, narrowing, or other vascular conditions.
An aortogram is performed by placing a catheter into the blood vessels through a small incision, typically in the groin area. Under ultrasound guidance, a needle accesses the artery, and a catheter is advanced to the abdominal aorta. Contrast dye is injected, and images are taken to visualize the blood vessels.
What are the risks of an aortogram procedure?
Risks of an aortogram include bleeding, infection at the insertion site, allergic reactions to the contrast dye, and damage to the blood vessels. However, these complications are rare, and the procedure is generally considered safe when performed by experienced medical professionals.
Why would a doctor order an aortogram with lower extremity runoffs?
A doctor may order this procedure to diagnose or evaluate conditions like peripheral artery disease, aneurysms, or blockages in the aorta or lower extremity arteries. It helps in planning treatments such as angioplasty or surgery by providing detailed images of the vascular system.
What should a patient expect during the recovery from an aortogram?
After an aortogram, patients typically rest in a recovery area where the access site is monitored for bleeding. Most patients can go home the same day after a brief observation period. It's advised to avoid strenuous activities for a few days and to follow any specific care instructions provided by the healthcare team.
What is the role of contrast dye in an aortogram?
The contrast dye used in an aortogram enhances the visibility of blood vessels on X-ray images, allowing doctors to see the flow of blood and identify any abnormalities. It is non-ionic, reducing the risk of allergic reactions, and is crucial for accurate diagnosis.
Before an aortogram, doctors will explain the procedure and obtain informed consent. Patients may need to fast and avoid certain medications. The access site is prepared in a sterile fashion, and local anesthesia is administered to minimize discomfort.
What is the role of ultrasound guidance in an aortogram?
Ultrasound guidance is used to accurately locate and access the blood vessels, ensuring the needle is inserted correctly. This technique minimizes complications and improves the safety and precision of the procedure.