COLLEGE OF OUR LADY OF MERCY

INTERVENTIONAL HEALTH ALLIED SCIENCE

DEPARTMENT
RADIOLOGY BACHELOR OF SCIENCE IN
RADIOLOGIC TECHNOLOGY

Imaging Procedures Interventional

Interventional Radiology Procedures
 Angiography  Stent placement
CARDIOVASCULAR INTERVENTIONAL  Aortography  Embolization
TECHNOLOGIST / INTERVENTIONAL  Arteriography  Intravascular stent
RADIOLOGIC TECHNOLOGIST  Cardiac  Thrommbolysis
catherization  Baloon angioplasty
 Myelography  Atherectomy
 Venography  Electrophysiology

Radiation protection

History
 1896 - Haschek and Lindenthal, they had
produced a radiograph showing the blood
vessels of an ampu - tated hand using Advantages of IR
Teichman’s mixture  Minimally invasive
 1929 – Forssman, first human cardiac
catheterization Guidewires and catheters
 1930’s - Interventional radiology procedures
began with angiography
 1952 – Seldinger, announced a percutaneous
* method of catheter introduction.
 1959 - Mason Sones pioneered transbrachial
selective coronary angiography
 - transfemoral angiography of
selective visceral (Charles Dotter), heart
(Melvin Judkins), and head arteries was Seldinger needle
developed.  an 18-gauge hollow needle with a stylet.

Angiography Guidewire
 refers to the opacification of vessels through  fabricated of stainless steel and contain an
injection of contrast media inner core wire that is tapered at the end to a
soft, flexible tip.
 Category

RT NER CARLO BSRT - III

 COLLEGE OF OUR LADY OF MERCY
INTERVENTIONAL HEALTH ALLIED SCIENCE 
DEPARTMENT gui
RADIOLOGY BACHELOR OF SCIENCE IN
RADIOLOGIC TECHNOLOGY

 Length dewire penetrating injury

 configuration of the tip,
 stiffness of the guidewire,
 coating
IR suite
Catheters  The procedure room itself should not be less
 The shaped tip of the catheter is required for than 20 ft along any wall and not less than
selective catheterization of openings into 500 ft2
specific arteries.  should have at least three means of access.
 The control room should be large, perhaps
H1 or headhunter tip 100 ft2 .
 designed by Vincent Hinck is used for the
femoral approach to the brachiocephalic
vessels.

Simmons catheter
 is highly curved for approach to sharply
angled vessels and was also designed for
cerebral angiography but was later adopted
for visceral angiography.

C2 or Cobra catheter
 has an angled tip joined to a gentle curve and
is used for introduction into celiac, renal, and
mesenteric arteries

Pigtail catheters
 have side holes for ejecting contrast media Specs of IR Xray tube
into a compact bolus.

Heparinized saline
 generally is used to flush catheters.

Advantages of nonionic Cm
 Low osmolality
 Less adverse reaction

Risk of arteriography
 continued bleeding at the puncture site.
 reaction to contrast media,
Angiographic team
 kidney failure.
 Interventional Radiologic Technologist
 serious adverse reactions related to blood
 Radiology Nurse
clot formation or catheter
 Interventional Radiologist/Cardiologist

RT NER CARLO BSRT - III

 COLLEGE OF OUR LADY OF MERCY
INTERVENTIONAL HEALTH ALLIED SCIENCE
DEPARTMENT
RADIOLOGY BACHELOR OF SCIENCE IN
RADIOLOGIC TECHNOLOGY

 Nurse Tech/Med Tech

 Echocardiographer
 Anesthesiologist

RT NER CARLO BSRT - III