1. Access into the femoral artery in the leg, is created by a device called an “introducer needle”. This procedure is often termed percutaneous access.
2. Once access into the artery is gained, a “sheath introducer “ is placed in the opening to keep the artery open and control bleeding.
3. Through this sheath, a long, flexible, soft plastic tube called a “guiding catheter” is pushed. The tip of the guiding catheter is placed at the mouth of the coronary artery. The guiding catheter also allows for radio-opaque dyes to be injected into the coronary artery, so that the disease state and location can be readily assessed using real time X-ray visualization.
4. During the X-ray visualization, the cardiologist estimates the size of the coronary artery
Time out was performed and all information was accurate and confirmed. Skin marker is used to mark incision line. A #10 knife blade on a #3 handle is used to make a vertical suprapubic incision is made through the skin and linea alba extending from below the umbilicus to the symphysis. The rectus muscles are retracted with Richardson retractors to develop the prevesical space. Blunt dissection by the surgeon’s finger is used to reflect the peritoneum superiorly away from the dome of the
The right groin was prepped and draped in the usual fashion. Seldinger technique was used to enter the femoral artery. A 6-French sheath was placed. A pigtail catheter was introduced in the upper abdominal aorta, and an AP aortogram was done using the DSA cut film technique using 20 cc of Omnipaque.
Past Surgical History: AV fistula placement, catheter placement and removal placed in the right forearm, [__8:40__] surgeries.
PROCEDURE: Patient was taken to the OR where she was given spinal anesthesia. She was then prepped and draped in the usual fashion for cesarean section. A Pfannenstiel incision was made carried down to the fascia. The fascia was (__) lateral and was directly separated from the rectus muscle. Rectus muscle was divided, the peritoneum cavity was entered. The O access ring was placed,
A graft is used to connect an artery and vein under the skin. Once healed, a needle is placed in the arterial side and one in the venous side of the graft. This allows for increased blood flow (Schmelter, 2015). Grafts are foreign to the body, so they are more likely to become infected. Special attention and good care is necessary to reduce any problems.
The blood vessel that Dr. Eltahawy was concerned about was thin and looked as though it would collapse in on itself. First, Dr. Eltahawy tried a balloon catheter. At the top of the catheter was a small balloon that could inflate to maintain a shape or structure of a blood vessel. However, because the blood vessel was so thin, the balloon catheter was not very effective. Instead, Dr. Eltahawy installed a stent. A stent is a wire mesh tube. It is placed in a blood vessel permanently to maintain the shape of the vessel and to allow for the free flow of blood. Throughout this entire independent study, I realize that shadowing in the medical field is less about learning about medicine and more about discovering about whether becoming a doctor is the right step. This independent study has been a step in the right
Then, a medicated or non-medicated dressing is applied to the insertion site along with manual pressure. The medicated dressings
an intravenous line that would go into the main blood vessel of the heart, in a patient. Although
To perform a cardiac catheterization the cardiologist will insert a sheath, or a short tube usually into the femoral artery. A long very thin catheter will then be fed through the sheath and guided through the arteries until it is in the heart and coronary arteries. The physician uses fluoroscopy equipment to guide the catheter into the coronary arteries. To allow for clear viewing of the coronary arteries, contrast material is injected into the catheter. As the contrast material flows through the heart chambers and coronary arteries x-rays are taken. The
A stent is a small mesh tube that's used to treat narrow or weak arteries, for example, the coronary arteries which supply oxygen-rich blood to your heart. Doctors place stents in arteries as part of a procedure called percutaneous coronary intervention, or PCI, sometimes called angioplasty. In coronary arteries narrowed by the buildup of plaque the procedure opens the blockage and restores blood flow to the heart muscle. Doctors also may place a stent in weak arteries to improve blood flow and help prevent the arteries from bursting. To place a stent in one of your coronary arteries your doctor will make a small opening in a blood vessel in your upper thigh, arm or neck. Through this opening your doctor will thread a thin flexible tube call a catheter.
A surgeon removes blood vessels from other part of your body, which are then used to reroute the blood flow around the clogged blood vessel. This is a more invasive surgery that requires longer recovery time.
A port is like an IV, but it is a semi-permanent implantation under the skin, usually used for cancer patients to receive chemotherapy easier.
A Foley catheter is inserted and the patient is placed in prone position with the pelvis elevated. The incision is a posterior sagittal one, in between both buttocks, running from the middle portion of the sacrum down to the anal dimple, which is electrically determined. The incision goes through skin, subcutaneous tissue, parasagittal fibres, muscle complex and levator muscle. When the surgeon is dealing with a rectourethral bulbar fistula, he expects to see a bulging rectum
Care is taken to avoid infiltration of the fat pad. It is a relatively aneural structure; however, too much local infiltration causes it to balloon out into the joint during the surgery. Spread of intra-articular solution is encouraged by flexion and extension of the knee joint several times and then 20 minutes allowed for anesthesia to take effect. The arthroscope is inserted into the knee, and inflow through the sheath is established. Saline inflow is maintained through the arthroscope by the gravity system; no pump is used. Gravity outflow takes place through the superolateral portal. A separate egress cannula is used if needed. The patient is encouraged to view (look at) the video monitor during the procedure. When finished, the instruments
Other method is to use the Foley catheter removal. It is a thin tube that is used to help trap smooth objects with the use of snares. It is used with the fluoroscopy machine to guide the catheter into place just beyond the foreign objects. There is a balloon at the end of the catheter which is inflated using contrast medium. The catheter is slowly withdrawn which then pulls the foreign object out ahead of it.