Thoracic aorta, pulmonary arteries and peripheral vascular disorders
Intima
- prevents thrombosis
- most chemically active layer
Media
- smooth muscle ~ vasoconstriction
Adventitia
- supportive layer
- Arterial wall disease
@ vasculitis - wall inflammation
@ fibromuscular disease
@ connective tissue disease
@ trauma
@ degeneration (atherosclerosis)
- Radiological presentation
1 - weaken and dilated - producing an aneurysm
- Can rupture - extravasation; pseudoaneurysm formation; AV fistulae
2 - Thickened by
@ growth of vessel layers
@ deposition of material - AS plaque
- causes vessel to narrow and stenose ~ occlusion
3 - loose ability to prevent coagulation ~ results in thrombosis
4 - proliferation of vessels - results in AV malformation
@ ?genetic factors
@ ?Aquired factors ~ tumors
Angiographic suite has:
- patient monitoring devices
- radiological equipment
@ c-arm fluoroscopy
~ dynamic positioning
~ bolus chasing
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