Endovascular-Vascular Course for Residents-Angiography and Endovascular Access

Video Transcription

Video Summary

The video is a lecture on the basics of angiography and the speaker discusses various aspects of the procedure. The speaker mentions borrowing slides from Tibor Besky and working with Omar Tanwir to put together the lecture. The speaker emphasizes the importance of patient evaluation and education before starting the procedure and the need for informed consent. They discuss the importance of clinical and laboratory information, including medical history and potential allergies to contrast dyes. The speaker also mentions the use of different catheters and sheaths for different types of procedures and the use of local anesthesia or general anesthesia depending on the patient. They discuss patient positioning and the importance of obtaining good images by using different views and flushing techniques. The speaker gives tips on catheterization, including the importance of sliding over the wire, checking the flow in the vessel before injecting contrast, and using power injectors for certain situations. They also discuss the red flags to look out for during the procedure, such as bent wires, kinked catheters, bubbles, and signs of vessel wall tear or stroke. The speaker explains how to manage vessel spasm and dissections, and the use of anti-platelet medication and stents as treatment options. The video ends with a caution against injecting the wrong substances and the potential risks involved. Credits are given to Tibor Besky for slides and Omar Tanwir for assistance in putting together the lecture.

Asset Subtitle

Presented by Howard A Riina, MD, FAANS

Keywords

angiography

patient evaluation

informed consent

catheters and sheaths

anesthesia

good images

catheterization tips