Ct carotid and cerebral
-
Upload
mithlesh-shah -
Category
Health & Medicine
-
view
81 -
download
0
Transcript of Ct carotid and cerebral
![Page 1: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/1.jpg)
CT CAROTID AND CEREBRAL
ANGIOGRAPHY
PRESENTED BY:-MITHLESH KUMAR SHAHCUN130702015
![Page 2: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/2.jpg)
WHAT IS CT CAROTID AND CEREBRAL ANGIOGRAPHY??
•CT Carotid and cerebral angiography is the study of neck arteries(Carotid arteries) and arteries of brain(cerebral arteries) ,(Circle of willis) by using CT SCANNER .
![Page 3: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/3.jpg)
INSTRUMENTS USED FOR ANGIOGRAPHY?•CT SCANNER•PRESSURE INJECTOR•CONTRAST MEDIA•SYRINGES•NORMAL SALINE•DEFRIBILLATORS AND EMERGENCY DRUGS TROLLEY•OTHER MATERIALS REQUIRED FOR CANNULA INSERTION(gauze piece, needles etc.)
![Page 4: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/4.jpg)
PATIENT PREPARATION
•4-5 hrs of fasting required.•Sedation is required in case of unstable patient.•History of allergy is taken.•Previous patient record is checked.•Consent to be filled by the guardian of patient.
![Page 5: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/5.jpg)
INDICATIONS:-
•Aneurysm•Narrowing of arteries in the brain•Abnormal blood vessels.•Narrowing or blockage of carotid arteries.•Stenosis• To determine future risk of stroke•Stricture of the Carotid arteries.
![Page 6: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/6.jpg)
CONTRAINDICATIONS
•Pregnancy•Allergic to Contrast media.•Weak kidney function.(Creatnine level too high)
![Page 7: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/7.jpg)
BRAIN ARTERIES(CEREBRAL ARTERIES OR CIRCLE OF WILLIS)
![Page 8: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/8.jpg)
NECK ARTERIES OR CAROTID ARTERIES
![Page 9: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/9.jpg)
PROCEDURE
Cannula is inserted if required.Plain CT images are obtained of neck and brain.Normal saline 25ml and 100ml contrast is used.If creatinine is normal then omnipaque is given else visipaque is used.Contrast is then injected by the help of pressure injector.Images are then obtained of the arteries.Post processing and VRT images are produced using special 3D ,4D applications.Observation for at least 1hr.
![Page 10: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/10.jpg)
CONTRAST WHICH MAY BE USED
![Page 11: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/11.jpg)
PATHOLOGY
![Page 12: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/12.jpg)
REFERENCES• CT teaching Manual Book by Matthias Hofer
• HOD Dr.Suruchi Chopra Fortis Escorts Hospital Amritsar
• Mr.Michael Masih , Radiology Supervisor Fortis Escorts Amritsar
• Mr.Sanjeet Kumar Senior Ct technician Fortis Escorts.
![Page 13: Ct carotid and cerebral](https://reader036.fdocuments.in/reader036/viewer/2022062821/588aaccc1a28ab4c308b66e5/html5/thumbnails/13.jpg)