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PRINCIPIOS DE LA
ANGIOGRAFÍA CON
  FLUORESCEÍNA
     (Parte II)
     Carlos Azañero Inope
   Residente - Oftalmología
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY




Prior       to        fluorescein
angiography, patients should be
counseled regarding the relevant
risks.




                            Dr.Carlos Augusto Azañero Inope
                                 www.carlosvirtual.com
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY




                                     Fluorescein may temporarily
                                     discolor the skin and urine yellow
                                     until it is eliminated, which
                                     occurs through both the kidneys
                                     and liver.




           Dr.Carlos Augusto Azañero Inope
                www.carlosvirtual.com
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY

Patients with renal insufficiency may therefore experience delayed
elimination.




                        Dr.Carlos Augusto Azañero Inope
                             www.carlosvirtual.com
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY




           Dr.Carlos Augusto Azañero Inope
                www.carlosvirtual.com
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY




All units performing fluorescein
angiography should have ready
access to emergency medical
equipment (“crash cart”) in the
unlikely event of life threatening
reaction.




                           Dr.Carlos Augusto Azañero Inope
                                www.carlosvirtual.com
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY

Patients with a prior history of mild or moderately severe
reactions, depending on their seriousness, may still be
candidates for angiography following premedication with
antihistamines     such     as   diphenhydramine    and/or
corticosteroids such as prednisone.




                           Dr.Carlos Augusto Azañero Inope
                                www.carlosvirtual.com
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY




Common practice dictates the
avoidance of angiography in
pregnant women, especially in the
first trimester , although evidence
regarding toxicity is Scant.




                          Dr.Carlos Augusto Azañero Inope
                               www.carlosvirtual.com
PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY




The typical injection procedure
involves application of an upper
extremity tourniquet, cannulation of
an antecubital or forearm vein,
tourniquet release, initiation of
camera timer, and then injection of a
bolus of dye, often 5 mL of 10%
sodium fluorescein.




                              Dr.Carlos Augusto Azañero Inope
                                   www.carlosvirtual.com
AFG_2

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AFG_2

  • 1. PRINCIPIOS DE LA ANGIOGRAFÍA CON FLUORESCEÍNA (Parte II) Carlos Azañero Inope Residente - Oftalmología
  • 2. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Prior to fluorescein angiography, patients should be counseled regarding the relevant risks. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  • 4. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Fluorescein may temporarily discolor the skin and urine yellow until it is eliminated, which occurs through both the kidneys and liver. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  • 5. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Patients with renal insufficiency may therefore experience delayed elimination. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  • 6. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  • 7. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY All units performing fluorescein angiography should have ready access to emergency medical equipment (“crash cart”) in the unlikely event of life threatening reaction. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  • 8. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Patients with a prior history of mild or moderately severe reactions, depending on their seriousness, may still be candidates for angiography following premedication with antihistamines such as diphenhydramine and/or corticosteroids such as prednisone. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  • 9. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY Common practice dictates the avoidance of angiography in pregnant women, especially in the first trimester , although evidence regarding toxicity is Scant. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com
  • 10. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY The typical injection procedure involves application of an upper extremity tourniquet, cannulation of an antecubital or forearm vein, tourniquet release, initiation of camera timer, and then injection of a bolus of dye, often 5 mL of 10% sodium fluorescein. Dr.Carlos Augusto Azañero Inope www.carlosvirtual.com