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The selection of the parameters of high pressure syringe in performing interventional angiography

SHI De-hai, LUO Lai-shu, YANG Zhi-hong, LIU Yong. Department of Radiology, the First People's Hospital, Jiujiang, Jiangxi Province 332000, China  
Objective To explore the optimal parameters of high pressure injector in performing interventional angiography and therapy of different parts of body in order to improve the image quality. Methods During the period from July 2009 to September 2010 interventional angiography or therapy of different parts of body with the help of high pressure injector was performed in 692 patients, including 538 males and 154 females with a mean age of (53.6 ± 2.5) years. The clinical data were retrospectively analyzed. The angiographic regions included hepatic vessels (n = 341), cerebral vessels (n = 71), thoracic larger vessels (n = 19) and the vessels of the arms and legs (n = 203). The technical parameters and the image qualities were evaluated and analyzed. Results Based on the contrast filling degree, the presence or absence of contrast reflux, the imaging resolution and the satisfactory degree in meeting the diagnostic requirements, the angiographic images were evaluated. The image quality was up to standard in 615 cases (88.7%). Unsatisfactory contrast filling with no contrast reflux was seen in 62 cases (9.0%), and poor vascular opacification with contrast reflux was found in 9 cases (1.3%). Vagueness of the images caused by the body movement during exposure was seen in 6 cases (0.8% ). No accidental events occurred in all procedures. Conclusion The use of appropriate catheter, equipment and reasonable injecting parameters, which can match the characteristics of the target lesions, is the key to provide physicians with reliable angiography images. (J Intervent Radiol, 2011, 20: 652-654)
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