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Diagnosis and endovascular treatment of iliac and femoropopliteal occlusive disease
PĚČKOVÁ, Kristýna
The occlusion disorder in the area pelvic and femoral arteries should be for the patient fatal health complication. Therefore it is important know all risks, which should go before, know the disorder and last but not least is a crucial chapter diagnostics and in final phase treatment. I chose this subject, with the view of give to pertinent readers all above - mentioned information on those problems. For diagnostics of occlusion disorder we use imaging radiodiagnostic methods. For spatial display were developed method of spiral CT angiography ( CTA ), magnetic resonance angiography ( MRA ), a modification of classical angiography {--} digital subtraction angiography ( DSA ) and ultrasonografi (UZ). UZ is part of the basic investigate method of his noninvazive. Spiral CTA is method, which is based on two and three dimensional display using special programmes. Display magnetic resonance is noninvasive examination procedure and is derived from classical nuclear MR. MRA is once from possible examination practice which serves complex information on relation surrounding weaving to vessels and haemodynamic blood flow. DSA allows observation of flow vessels and by the help of digitizing image its graphical processing. Medication of okluziv disorder areas saucepan s and femur s arterys including percutaneous transluminal angioplasty ( PTA ) and implantation stent.
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Function of radiographer at embolization procedure
KŘÍŽOVÁ, Pavlína
As a radiographer can be regarded an educated health worker who is prepared to perform demanding work in medical branches. One of them is radiology and its important subspecialty, interventional radiology, where they perform a very responsible work. They communicate with patients, cooperate with medical personnel and operate a complex angiographic apparatus. Therefore it is essential for them to have finished a profes-sional training and to possess the required qualities. A person becomes a radiographer after they have completed a specialised educational programme, which can nowadays be studied at a college and it is completed by achieving a title Bc. (written before the na-me). During the studies they acquire proficiency and competence in the field of radiology which is needed for the experience in the interventional radiology working place. During both theoretical and practical education skills in the field of technical equipment (angiography equipment) and required IT technologies (HIS, PACS) are mastered, as well as the anatomic orientation in examinated area. They learn the latest procedure in the embolization techniques from the medical personnel, orientate themselves in the instrumentarium. Moreover, they are accustomed to the contrasting materials and their undesirable reactions to them. If needed, they are fully able to give the first aid.In addi-tion to that, a non-medical personell who participate in carrying out the embolizations should possess following qualities: communication skills - proficient cooperation with the medical personnel and the patients, empathy - patient awareness, ability to handle stressful situations. Working with an ill person demands a psochologically accurate individual approach and strict following of the medical ethic principles. Embolization is a way of occluding (closing) one or more blood vessels that are doing more harm than good. Various materials may be used, depending on whether vessel occlusion is to be temporary or permanent, or whether large or small vessels are being treated. The material is passed through a catheter with its tip lying in or near the vessel to be closed. This approach can be used to control or prevent abnormal bleeding as well as shut down the vessels that support a growing tumor. Therapeutic embolization may also serve to eliminate an arteriovenous malformation (AVM), an abnormal connection between an artery and a vein. The term "embolization" derives from embolus, which can be any object that circulates in the bloodstream until it lodges in a blood vesel - in this case, a synthetic material or medication specially designed to occlude the blood vessels.
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