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Vascular Trauma Mar 4, 2021

Pelvic Artery Trauma

Most common arterial bleeders arise from the anterior division internal iliac artery: superior gluteal, obturator, and internal pudendal artery.Embolize with whatever you have – coil, PVA, gelfoam. You always prefer to superselect the bleeder and…

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Protocols Mar 4, 2021

Fundamentals in Interventional Radiology

Type of images obtained in IR. Digital Subtraction Agiography (DSA), and spot fluoro, etc. 2. Phase of contrast injection depends on timing of imaging. phases are generally classified as arterial, delayed, venous, dynamic, portal venousphase…

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Vascular Trauma Mar 2, 2021

Visceral Artery Trauma / Pseudoaneurysm

Laceration of a hepatic artery resulting in extravasation of contrast Angiogram and ultrasound of a hepatic artery pseudoaneurysm The image represents a GDA (gastroduodenal) Pseudoaneurysm secondary to pancreatitis. CT and Angiography of a splenic artery aneurysm  …

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Vascular Trauma Feb 26, 2021

Traumatic Aortic Injury

∙ Note that most mediastinal widening which can be seen on X-ray in trauma is venous bleeding.  AT PRESENTATION -approximately 90% of injuries occur at the isthmus. D/D = ductus diverticulum. and – 3% diaphragm  –…

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Central venous catheters Feb 26, 2021

Catheter related infections

https://www.kidney.org/sites/default/files/kdoqi_vasc-access-review2019_v2.pdf Page 115 CDC In these aforementioned guidelines, the diagnosis of catheter-related bloodstream infections (CRBSI) is obtained through a set of peripheral blood cultures compared with blood cultures obtained from (1) the arterial or venous…

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Protocols Feb 26, 2021

Analgesics and common meds

Commonly used ANALGESICS & NSAIDs:   Analgesics/NSAIDS Mechanism Uses Side Effects   AcetaminophenClass: nonopioid analgesic Weakly inhibits COX compared to salicylates (selective COX3 inhibition?)° dose-dependent (0 order) elimination ° Excretion: CYP450 metabolism ???? sulfate and glucuronide…

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Protocols Feb 26, 2021

Items needed for IR procedures

Non-Tunneled + Tunneled Hemodialysis Catheter Ultrasound unit + Probe cover Small Tray Micropuncture set Short amplatz wire (Some physicians) Small J wire (Other Docs) Dilators 8/10F Soft silk suture Lidocaine in control top syringe Heparin…

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