Angiographie in Theorie und Praxis:
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| Main Authors: | , |
|---|---|
| Format: | Book |
| Language: | German |
| Published: |
Wien
facultas wuv universitätsverlag
2010
|
| Edition: | 1. Aufl. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | 249 S. Ill. 240 mm x 170 mm |
| ISBN: | 9783708903477 |
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Record in the Search Index
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|---|---|
| adam_text | Titel: Angiographie in Theorie und Praxis
Autor: Reithoffer, Monika
Jahr: 2010
Inhaltsverzeichnis
Abbildungsverzeichnis.........................................................................................11
Tabellenverzeichnis.............................................................................................14
Einleitung............................................................................................................15
Meilensteine in der Angiographie.........................................................................16
Teil 1 -Grundlagen................................................................19
1 Gefäßanatomische Grundlagen.....................................................20
1.1 Arterien................................................................................................20
1.2 Venen...................................................................................................21
1.3 Kapillaren.............................................................................................21
1.4 Herz......................................................................................................22
1.5 Lungen- und Körperkreislauf...............................................................22
1.6 Pfortaderkreislauf................................................................................23
2 Indikationen.................................................................................24
3 Kontraindikationen.......................................................................30
4 Komplikationen............................................................................31
5 Kontrastmittel..............................................................................34
5.1 Jodhaltige Kontrastmittel.....................................................................34
5.2 C02 als Kontrastmittel..........................................................................35
5.3 Kontrastmittelnebenwirkungen...........................................................35
6 Notfalleinrichtungen.....................................................................38
7 Strahlenschutz..............................................................................39
7.1 Patientinnen........................................................................................40
7.2 Personal...............................................................................................42
8 Raumkonzept und -ausstattung.....................................................44
9 Technische Ausstattung................................................................48
9.1 Angiographieanlage.............................................................................48
9.1.1 Untersuchungstisch mit Zubehör..............................................................48
9.1.2 C-Bogen......................................................................................................49
9.1.3 Monitorträgersystem.................................................................................50
9.1.3.1 Bildgebungsmonitore.................................................................................50
9.1.3.2 Anlagendisplay...........................................................................................50
9.1.3.3 Überwachungsmonitor..............................................................................50
9.1.4 Bedienpult.................................................................................................51
9.2 Hochdruckinjektor...............................................................................51
9.3 Workstation.........................................................................................53
10 Aufnahmetechniken.....................................................................54
10.1 Durchleuchtung....................................................................................54
10.2 Digitale Subtraktionsangiographie (DSA).............................................54
10.3 Digitale Radiographie (DR)...................................................................56
11 Postprocessing.............................................................................57
12 Punktion......................................................................................59
12.1 Punktionszugänge................................................................................59
12.1.1 Arterielle Punktionen.................................................................................59
12.1.2 Venöse Punktionen....................................................................................60
12.2 Punktionsrichtungen............................................................................61
12.3 Punktion nach Seidinger......................................................................62
13 Materialien..................................................................................63
13.1 Materialien für die Diagnostik.............................................................64
13.1.1 Kanüle........................................................................................................64
13.1.2 Führungsdraht...........................................................................................65
13.1.2.1 Nicht steuerbarer Führungsdraht.............................................................66
13.1.2.2 Steuerbarer Führungsdraht......................................................................66
13.1.3 Schleuse.....................................................................................................67
13.1.4 Dilatator.....................................................................................................68
13.1.5 Katheter.....................................................................................................68
13.1.5.1 Übersichtskatheter...................................................................................69
13.1.5.2 Selektivkatheter.......................................................................................70
13.1.5.3 Führungskatheter.....................................................................................71
13.1.5.4 Mikrokatheter..........................................................................................71
13.2 Diverse Hilfsmittel................................................................................73
13.2.1 Torquer......................................................................................................73
13.2.2 Hämostatisches Ventil...............................................................................73
13.2.3 Einführhilfe................................................................................................74
13.2.4 Druckhahn..................................................................................................74
13.3 Materialien für die Intervention..........................................................74
13.3.1 Ballonkatheterund Okklusionskatheter....................................................74
13.3.2 Indeflator mit Druckmesser.......................................................................76
13.3.3 Lysekatheter..............................................................................................76
13.3.4 Atherektomiekatheter...............................................................................77
13.3.5 Vena-Cava-Filter........................................................................................78
13.3.5.1 Permanenter Vena-Cava-Filter.................................................................78
13.3.5.2 Temporärer Vena-Cava-Filter...................................................................79
13.3.5.3 Fakultativ temporärer Vena-Cava-Filter..................................................79
13.3.6 Stents.........................................................................................................79
13.3.6.1 Selbstexpandierender Stent.....................................................................80
13.3.6.2 Ballonexpandierbarer Stent.....................................................................80
13.3.7 Stentgrafts.................................................................................................81
13.3.8 Protektionssysteme...................................................................................83
13.3.9 Extraktionssysteme....................................................................................83
13.3.10 TIPS-Set......................................................................................................84
13.3.11 Nephrostomie-Set......................................................................................85
13.3.12 PTCD-Drainagekatheter.............................................................................85
14 Steriles Arbeiten in der Angiographie............................................86
14.1 Personalbezogene Maßnahmen..........................................................86
14.1.1 Unsteriler Bereich......................................................................................87
14.1.1.1 OP-Kleidung.............................................................................................87
14.1.1.2 OP-Haube.................................................................................................87
14.1.1.3 OP-Maske.................................................................................................87
14.1.1.4 OP-Schuhe................................................................................................88
14.1.2 Händehygiene............................................................................................88
14.1.2.1 Hygienisches Händewaschen...................................................................90
14.1.2.2 Hygienische Händedesinfektion...............................................................91
14.1.2.3 Chirurgische Händedesinfektion..............................................................91
14.1.3 Steriler Bereich..........................................................................................93
14.1.3.1 OP-Mantel................................................................................................93
14.1.3.2 OP-Handschuhe........................................................................................93
14.1.4 Präoperative Maßnahmen.........................................................................98
14.1.4.1 Decken des sterilen Instrumententisches.................................................99
14.1.4.2 Korrekter Umgang mit Sterilgut.............................................................100
14.1.4.3 Umgang mit spitzen und scharfen Materialien......................................101
14.1.5 Postoperative Maßnahmen.....................................................................101
14.2 Patientinnenbezogene Maßnahmen.................................................102
14.2.1 Rasur........................................................................................................102
14.2.2 Hautdesinfektion.....................................................................................102
14.2.3 Steriles Abdecken....................................................................................103
14.2.4 Untersuchungsabhängige Hautdesinfektion und sterile Abdeckung......103
15 Untersuchung.............................................................................105
15.1 Vorbereitung der Patientinnen..........................................................106
15.1.1 Aufklärungsgespräch...............................................................................106
15.1.2 Anamnese und Laborwerte.....................................................................107
15.1.3 Prämedikation.........................................................................................108
15.2 Untersuchungsablauf.........................................................................108
15.2.1 Planung und Vorbereitung.......................................................................109
15.2.2 Durchführung...........................................................................................111
15.3 Nachsorge der Patientinnen..............................................................111
15.3.1 Manuelle Kompression der Punktionsstelle............................................111
15.3.2 Kompressionsverband.............................................................................112
15.3.3 Alternativen zur manuellen Kompression...............................................113
15.3.3.1 Verschlusssysteme auf Kollagenbasis....................................................113
15.3.3.2 Nahtverschlusssysteme..........................................................................114
Teil 2 - Diagnostische Untersuchungen...............................115
16 Intraarterielle Untersuchungen...................................................117
16.1 Arteria carotis....................................................................................117
16.2 Obere Extremitäten...........................................................................120
16.2.1 Arteria subclavia......................................................................................120
16.2.2 Arteria brachialis......................................................................................122
16.3 Körperstamm.....................................................................................124
16.3.1 Aortenbogen und supraaortale Äste.......................................................124
16.3.2 Aorta thoracica........................................................................................126
16.3.3 Aorta abdominalis........................................................ ..........128
16.3.4 Truncus coeliacus.....................................................................................130
16.3.5 Arteria mesenterica superior...................................................................132
16.3.6 Arteria renalis/NTX..................................................................................134
16.4 Becken und untere Extremitäten.......................................................136
17 Intravenöse Untersuchungen......................................................138
17.1 Pulmonalisangiographie.....................................................................138
17.2 Vena cava superior.............................................................................140
17.3 Phlebographie der oberen Extremität...............................................142
17.4 Vena cava inferior - Cavographie.......................................................144
17.5 Selektive Venenblutentnahme (Venensampling)..............................146
Teil 3 - Interventionen........................................................147
18 Intraarterielle Interventionen.....................................................149
18.1 Ballonangioplastie und Stent-Implantation.......................................149
18.1.1 Iliakalarterien...........................................................................................152
18.1.2 Femoral- und Poplitealarterien...............................................................153
18.1.3 Infrapopliteale Arterien...........................................................................154
18.1.4 Nierenarterien.........................................................................................155
18.1.5 Arteria subclavia.....................................................................................156
18.1.6 Arteria carotis interna..............................................................................157
18.2 Stentgraft-Therapie............................................................................158
18.2.1 Entstehung von Aneurysmen der Aorta..................................................158
18.2.2 Therapieversagen durch Endoleaks.........................................................159
18.2.3 Stentgraft-Therapie bei thorakaler Aortenpathologie.............................160
18.2.4 Stentgraft-Therapie bei infrarenal gelegener Aortenpathologie.............164
18.3 Embolisation......................................................................................168
18.3.1 Embolisate...............................................................................................169
18.3.1.1 Mechanische Embolisate.......................................................................170
18.3.1.2 Partikelembolisate.................................................................................172
18.3.1.3 Flüssige Embolisate................................................................................172
18.3.1.4 Andere Embolisate.................................................................................174
18.3.2 Transarterielle Chemoembolisation (TACE).............................................175
18.3.3 Selektive Interne Radiotherapie (SIRT)....................................................176
18.3.4 Uterusmyomembolisation (UME)............................................................177
18.4 Thrombolyse und mechanische Thrombembolektomie....................178
19 Intravenöse Interventionen........................................................181
19.1 Vena-Cava-Filter.................................................................................181
19.1.1 Filterinstallation.......................................................................................181
19.1.2 Filterentfemung.......................................................................................182
19.2 Transjugulärer Intrahepatischer Portosystemischer Shunt (TIPS).....183
19.3 Hämodialyseshunt.............................................................................185
19.4 Fremdkörperextraktion......................................................................187
19.5 Sklerosierung der Varikozele.............................................................188
20 Nicht vaskuläre Interventionen...................................................190
20.1 Gallengangsystem..............................................................................190
20.1.1 Perkutane Transhepatische Cholangiographie (PTC)...............................190
20.1.2 Perkutane Transhepatische Cholangiodrainage (PTCD)..........................192
20.1.3 Biliärer Stent............................................................................................194
20.2 Gastrostomie.....................................................................................195
20.3 Ösophagusstent.................................................................................197
20.4 Perkutane Nephrostomie...................................................................199
Anhang..............................................................................................................201
I. Die sieben Schritte der Händehygiene...............................................201
II. Arterien des menschlichen Körpers...................................................202
III. Venen des menschlichen Körpers......................................................203
IV. Darstellung der einzelnen Arbeitsschritte in der Angiographie.........204
V. Bedienelemente eines Anlagendisplays............................................205
VI. Instrumententisch für sterile Untersuchungen.................................206
VII. Instrumententisch für nicht sterile Untersuchungen........................206
VIII. Stentgrafts..........................................................................................207
IX. Medikamente.....................................................................................208
Abkürzungsverzeichnis.......................................................................................213
Literaturverzeichnis...........................................................................................216
Glossar..............................................................................................................219
Sachregister.......................................................................................................241
Wichtige Persönlichkeiten..................................................................................249
10
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| spelling | Reithoffer, Monika Verfasser (DE-588)140316302 aut Angiographie in Theorie und Praxis Monika Reithoffer ; Annemarie Grillenberger 1. Aufl. Wien facultas wuv universitätsverlag 2010 249 S. Ill. 240 mm x 170 mm txt rdacontent n rdamedia nc rdacarrier Angiographie (DE-588)4002030-7 gnd rswk-swf (DE-588)4123623-3 Lehrbuch gnd-content Angiographie (DE-588)4002030-7 s DE-604 Grillenberger, Annemarie Verfasser (DE-588)129878723 aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017171157&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Reithoffer, Monika Grillenberger, Annemarie Angiographie in Theorie und Praxis Angiographie (DE-588)4002030-7 gnd |
| subject_GND | (DE-588)4002030-7 (DE-588)4123623-3 |
| title | Angiographie in Theorie und Praxis |
| title_auth | Angiographie in Theorie und Praxis |
| title_exact_search | Angiographie in Theorie und Praxis |
| title_full | Angiographie in Theorie und Praxis Monika Reithoffer ; Annemarie Grillenberger |
| title_fullStr | Angiographie in Theorie und Praxis Monika Reithoffer ; Annemarie Grillenberger |
| title_full_unstemmed | Angiographie in Theorie und Praxis Monika Reithoffer ; Annemarie Grillenberger |
| title_short | Angiographie in Theorie und Praxis |
| title_sort | angiographie in theorie und praxis |
| topic | Angiographie (DE-588)4002030-7 gnd |
| topic_facet | Angiographie Lehrbuch |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017171157&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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