Abstract
Peripheral X-ray angiography represents a key approach to diagnose peripheral artery disease, to establish indication for interventional and/or open surgery treatment, and to guide catheter-based interventions. In this chapter the current approach to X-ray radiography of the peripheral vascular system as applicable to clinical settings is reviewed.
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Abbreviations
- Angiography suite:
-
Workplace for angiographers to perform catheter-based diagnostic and interventional procedure; essential equipment include mono- or biplane X-ray imager, movable patient’s table, power injector, and X-ray protection device
- Angle of imaging:
-
The angle of extent of the X-ray camera during fluoroscopy which could be a combination of anterior-posterior, cranial or caudal, and left or right angulations.
- Aortic arteriography:
-
Technique used to visualize the aortic lumen by injection of radiopaque contrast with X-ray-based imaging techniques such as fluoroscopy.
- Aortography and distal run off:
-
Aortogram with study of the vessels beyond the aortic bifurcation including those of the lower extremity.
- Arterial access:
-
Obtaining entry to an artery.
- Arteriography of abdominal aorta:
-
Technique used to visualize the lumen of the abdominal aorta by injection of radiopaque contrast with X-ray-based imaging techniques such as fluoroscopy.
- Arteriography of the thoracic aorta:
-
Technique used to visualize the lumen of the thoracic aorta by injection of radiopaque contrast with X-ray-based imaging techniques such as fluoroscopy.
- Biplane imaging:
-
Obtaining fluoroscopic imaging in two orthogonal views simultaneously.
- Bolus tracking:
-
A cine image method in which the volume of contrast injected is tracked by prespecified automated table movement.
- C-arm:
-
A fluoroscopic device attached to a C-shaped console used for X-ray beam emission and image acquisition during fluoroscopy-guided procedures.
- Carotid arch types:
-
Nomenclature system of the aortic arch depending on the level of take off of the great vessels.
- Cranial arteriography:
-
A technique used to visualize intracranial vessels by injection of radiopaque contrast with X-ray-based imaging techniques such as fluoroscopy.
- Digital subtraction angiography (DSA):
-
X-ray imaging technique obtained by injection of contrast and digitally removing the precontrast image including bone and soft tissue from the image.
- Fluoroscopy:
-
Real-time movie X-ray images used during procedures.
- Gut vessels:
-
Blood vessels supplying the gastrointestinal tract.
- Mapping:
-
Using an imaging modality to create an outline of blood vessels.
- Modified Seldinger technique:
-
A method used to obtain vessel access.
- Pelvic arteriography:
-
Technique used to visualize vessels of the pelvis by injection of radiopaque contrast with X-ray-based imaging techniques such as fluoroscopy.
- Renal arteriography:
-
Technique used to visualize the vessels supplying the kidneys by injection of radiopaque contrast with X-ray-based imaging techniques such as fluoroscopy.
- Seldinger technique:
-
A method used to obtain access to vessels.
- Single-plane imaging:
-
Imaging in a single view as opposed to biplane or multiplane imaging which is performed in more than one view.
References
Allen DS, Marso SP, Lindsey JB, Kennedy KF, Safley DM (2011) Comparison of bleeding complications using arterial closure device versus manual compression by propensity matching in patients undergoing percutaneous coronary intervention. Am J Cardiol 107:1619–1623
Azakie A, McElhinney DB, Messina LM, Stoney RJ (1999) Common brachiocephalic trunk: strategies for revascularization. Ann Thorac Surg 67:657–660
Bhatt DL (2004) Renal and mesenteric artery Intervention. Chicago, Remedica
Bouthillier A, van Loveren HR, Keller JT (1996) Segments of the internal carotid artery: a new classification. Neurosurgery 38:425–432; discussion 32–3
Cilingiroglu M, Feldman T, Salinger MH, Levisay J, Turi ZG (2011) Fluoroscopically-guided micropuncture femoral artery access for large-caliber sheath insertion. J Invasive Cardiol 23:157–161
Cloud GC, Markus HS (2003) Diagnosis and management of vertebral artery stenosis. QJM 96:27–54
Garrett PD, Eckart RE, Bauch TD, Thompson CM, Stajduhar KC (2005) Fluoroscopic localization of the femoral head as a landmark for common femoral artery cannulation. Catheter Cardiovasc Interv 65:205–207
Gradinscak DJ, Young N, Jones Y, O’Neil D, Sindhusake D (2004) Risks of outpatient angiography and interventional procedures: a prospective study. AJR Am J Roentgenol 183:377–381
Lam RC, Lin SC, DeRubertis B, Hynecek R, Kent KC, Faries PL (2007) The impact of increasing age on anatomic factors affecting carotid angioplasty and stenting. J Vasc Surg 45:875–880
Lucev N, Bobinac D, Maric I, Drescik I (2000) Variations of the great arteries in the carotid triangle. Otolaryngology–head and neck surgery. Otolaryngol Head Neck Surg 122:590–591
Nikolsky E, Mehran R, Halkin A et al (2004) Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: a meta-analysis. J Am Coll Cardiol 44:1200–1209
Ochoa VM, Yeghiazarians Y (2011) Subclavian artery stenosis: a review for the vascular medicine practitioner. Vasc Med 16:29–34
Rodriguez-Niedenfuhr M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR (2001) Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat 199:547–566
Satyapal KS, Haffejee AA, Singh B, Ramsaroop L, Robbs JV, Kalideen JM (2001) Additional renal arteries: incidence and morphometry. Surg Radiol Anat 23:33–38
Seldinger SI (1953) Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol 39:368–376
Sherev DA, Shaw RE, Brent BN (2005) Angiographic predictors of femoral access site complications: implication for planned percutaneous coronary intervention. Catheter Cardiovasc Interv 65:196–202
Singh H, Cardella JF, Cole PE et al (2002) Quality improvement guidelines for diagnostic arteriography. J Vasc Interv Radiol 13:1–6
Topol EJ, Nissen SE (1995) Our preoccupation with coronary luminology. Circulation 92:2333–2342
Verschuyl EJ, Kaatee R, Beek FJ et al (1997) Renal artery origins: best angiographic projection angles. Radiology 205:115–120
White CJ (2010) Optimizing outcomes for renal artery intervention. Circ Cardiovasc Interv 3:184–192
Further Readings
Bui TD et al, Comparison of CT and catheter arteriography for evaluation of peripheral arterial disease. Vasc Endovascular Surg. 2005 Nov-Dec;39(6):481–90
Kaufmann TJ, Kallmes DF (2008) Diagnostic cerebral angiography: archaic and complication-prone or here to stay for another 80 years? AJR Am J Roentgenol 190:1435–1437
Morris P (1997) Practical neuroangiography. Lippincott Williams & Wilkins, Philadelphia
Tavakol M, Ashraf S, Brener SJ (2012) Risks and complications of coronary angiography: a comprehensive review. Glob J Health Sci 4:65–93
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Jayasuriya, S., Ryan, S., Mena-Hurtado, C. (2014). X-Ray Arteriography in Peripheral Intervention. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37393-0_187-2
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DOI: https://doi.org/10.1007/978-3-642-37393-0_187-2
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