Diagnostic Angiogram

Performing the diagnostic angiogram

After consenting and preparing the patient, femoral arterial puncture and sheath insertion are performed. The guidewire is then advanced to the level of T12 and a pigtail catheter is introduced over the wire with fluroscopic guidance. Throughout the entire process, visualization of the wire and catether location is required. Once the catheter is in a satisfactory location, contrast injection occurs while cine digitial subtraction fluoroscopy is deployed. Optimal results are obtained if respiratory artifact can be minimized.

Groin access needle & sheath manipulation

Wire access catheter selection

Diagnostic aortogram