Peripheral Angio

Question 1

True AP proj; arm extended; hand supinated

Answer 1

Upper limb arteriograms

Question 2

Peripheral angio (Upper limb arteriograms) injection rate
For cath positioned distally: (1)
Proximally: (2)

Answer 2

1. 3 or 4ml/sec
2. 10ml/sec

Question 3

Uses long cxt changer

Answer 3

Upper limb arteriograms

Question 4

1 or 2 sec delay in bn expos

Answer 4

Upper limb arteriograms

Question 5

Program: 2 film/sec for 5 sec; followed by 1/sec for 5sec

Answer 5

Upper limb arteriograms

Question 6

CM introduction: Superficial vein at wrist/ elbow

Answer 6

Upper limb venogram

Question 7

Upper limb venogram
Radiograph from (1) to (2)

Answer 7

1. wrist/ elbow
2. SVC

Question 8

Devices: Fluoroscopic spot film device, BT/ rapid sequence imaging system (delay imaging for few secs)

Answer 8

Upper limb venogram

Question 9

Introduction rate: 1-4ml/sec for a total of 40-80 ml

Answer 9

Upper limb venogram

Question 10

Evaluates: Thrombus/ occlusion

Answer 10

Upper limb venogram

Question 11

Determines atherosclerotic disease (cause of claudication)

Answer 11

Lower limb arteriogram/ Aortofemoral arteriograms

Question 12

Lower limb venogram

Bilat: cath is positioned (1) to (2)
1 leg: cath is (3) to (2)

Answer 12

1. superior
2. alrtic bifurcation
3. inferior

Question 13

BILAT Examns: Supine position AP and Lat
Prone posn for a translumbar aortic catheterization

Answer 13

Lower limb arteriogram/ Aortofemoral arteriograms

Question 14

Rotate legs at 30deg (either legs)

Answer 14

Lower limb arteriogram/ Aortofemoral arteriograms

Question 15

CXT changer length is 48” (122cm)
If cxt changer not available: axis are overlapped
Suspended expiration

Answer 15

Lower limb arteriogram/ Aortofemoral arteriograms

Question 16

Imaging program depends on the rate of flow
Normal arteries (normal rate of flow): 10 sec
Severely diseased art: 30 sec or more

Answer 16

Lower limb arteriogram/ Aortofemoral arteriograms

Question 17

Injection rate: 10ml/sec’ Total of 100ml

Answer 17

Lower limb arteriogram/ Aortofemoral arteriograms

Question 18

Occasionally performed

Answer 18

Popliteal fossa and foot exam

Question 19

Injection site: femoral art
Projections: AP & Lat

Answer 19

Popliteal fossa and foot exam

Question 20

R/O thrombosis of the deep vein of the leg

Answer 20

Lower limb venogram

Question 21

Pt - semi upr posn (45deg)

Answer 21

Lower limb venogram

Question 22

Imaging start from the ankle to the SVC
Do AP projn, leg internally rotated 30deg, if fluoroscopy not available
Perform lat projns
If pt is in supine, put the torniquets prox to ankle & knees
Exposure

Answer 22

Lower limb venogram

Question 23

1st line diagnostic tools for DVT

Answer 23

UTS

Question 24

Exposure of serial radiographs 5-10 sec apart

Answer 24

Lower limb venogram

Question 25

Injection rate: 1 or 2 mL/sec for a total of 50-100mL

Answer 25

Lower limb venogram