Angiography & Cardiac Catheterization

1. Angiography & Cardiac Catheterization Uncle Dave’s Rads 2030 By: Jennica Davis Charise Mills Eric Bucker

2. Angiography • History • Haschek and Lindenthal • January 1896 just 10 weeks after Roentgen’s discovery produce radiograph showing blood vessels.

3. Angiography • History • Seldinger • 1952 announced a percutaneous method of catheter named Seldinger Technique • Eliminated the surgical risk of exposing the vessel and tissues

4. Cardiac Catheterization • History • 3000 B.C. Egyptians performed bladder catheterizations using metal pipes • 400 B.C. Hallow reeds and pipes used to study function of cardiac valves

5. Cardiac Catheterization • History • Bernard (a French Physiologist) • 1844 successful catheterization of the right and left ventricles of a horse • Forssman • 1929 first human catheterization

6. Cardiac Catheterization • History • 1960’s and 1970’s • Brought tremendous advances in cardiovascular medicine and technology • Radiographic imaging and recording equipment • Physiologic monitoring equipment • Cardiovascular pharmaceuticals and supplies • 1990’s • Second most frequently performed inpatient operative procedure in the US, and the most performed procedures in patients over 65 • 2000’s • The first drug-eluting stent manufactured by Johnson & Johnson

7. Angiography & Cardiac Catheterization • Equipment

8. Angiography & Cardiac Catheterization • Equipment

9. Angiography & Cardiac Catheterization • Equipment

10. Angiography & Cardiac Catheterization • New Technology in Equipment Previously, multiple black and white image frames had to be reviewed to visualize the contrast medium flow through the blood vessels. Now with the colors of syngo iFlow the representation of contrast from its initial entry into the blood vessels to its flow throughout can be shown in one image.

11. Angiography & Cardiac Catheterization • New Technology in Equipment Drug-eluting Stents Over the past 2 years, a new generation of drug-eluting stents These stents are coated with a special medication that prevents scar tissue growth in the artery where the stent is placed, significantly reducing the risk of in-stent restenosis.

12. Angiography • Common Procedures • Abdominal Aortic Aneurysm (AAA)

13. Angiography • Common Procedures • Cerebral Angiograms

14. Angiography • Other Angiogram Procedures • Thoracic Aortography • Pulmonary Arteriography • Selective Abdominal Visceral Arteriography • Central Venography • Selective Visceral Venography • Peripheral Angiography

15. Cardiac Catheterization • Cardiac Catheterization Procedure • Coronary Angiograms • Balloon angioplasty (Elective & Emergent) • Permanent Pacemakers • Coronary Stents • Heart valve replacements

16. Cardiac Catheterization • Cardic Cath Procedure

17. Angiography & Cardiac Catheterization • Indications • History of Artery diseases • Heart Defects • Heart Blockage / Failure • High blood pressure & cholesterol • Stroke • Sudden Cardiac Arrest • Seizures • Confusion • Trauma

18. Angiography & Cardiac Catheterization • Contraindications • Allergy to contrast (dye) • Uncontrolled Blood Pressure • Problems with blood coagulation • Kidney failure or dysfunction • Severe anemia • Electrolyte imbalance • Fever • Active systemic infection • Arrhythmia • Uncompensated heart failure

19. Angiography & Cardiac Catheterization • Risks during & after procedure • hemorrhage • injury to nerves, • a clot in the blood vessel (embolus) • hematoma (an area of swelling caused by a collection of blood) • irregular heart rhythm • Infection • allergic reaction to the contrast • damage to kidneys from contrast • stroke.

20. Angiography & Cardiac Catheterization • Employment Opportunities • National Averages

21. Angiography & Cardiac Catheterization • Employment Opportunities • National Pay Average

22. Angiography & Cardiac Catheterization • Employment Opportunities

23. Angiography & Cardiac Catheterization • Employment Opportunities

24. Angiography & Cardiac Catheterization • Employment Opportunities • State Averages

25. Angiography & Cardiac Catheterization • Employment Opportunities • Job Description • Prepare patients for procedures by taking their medical history and answering their questions • Prepare and maintain imaging equipment • Perform noninvasive procedures, such as taking ultrasound images • Analyze the images to check for quality and to ensure adequate coverage of the area being diagnosed • Recognize the difference between normal and abnormal images • Discuss image results with the physician • Help physicians during invasive procedures, such as inserting catheters (small tubes) • Record findings and track patient records

26. Angiography & Cardiac Catheterization • Employment Opportunities • Hours of Work • Departments may very. IMC has an Angio and Cardiac Cath tech on hand till 6:00 pm and then on call between 6:00 pm and 8:00 am • Monday – Friday on call for weekends

27. Angiography & Cardiac Catheterization • Weber State University Acceptance as WSU StudentReg./Board Cert. R.T.Official Transcripts- 2 copiesApplication with $25 non-refundableLetter of intent from clinical site3 personal reference forms Competitive-2/3 per spotAt least 2.5 gpa App. Deadline- Jan. 10 Acceptance notice by- end of spring

28. Angiography & Cardiac Catheterization BACHELOR OF SCIENCE IN HEALTH SCIENCE • WSU GEN. ED. REQUIREMENTS FINISHED PRIOR TO PROGRAM COMPLETION • MAJOR/MINOR EMPHASIS • QA COURSE • BACCALAUREATE THESIS • CORE REQUIREMENTS- 19 HOURS • BREADTH REQUIREMENTS- 24 HOURS • EST. TUITION COST: $3,961 per semester

29. Angiography & Cardiac Catheterization Send your application package to: DCHP Admissions and Advisement Weber State University 3907 University Circle Ogden UT 84408-3907 DEPT. TELEPHONE: (801) 626-6057 ADMISSIONS OFFICE: (801) 626-7136 http://www.weber.edu/radsci

30. Angiography & Cardiac Catheterization • ARRT certification • 35 credit hours college pre requisites • Chemistry with lab • General Physics • Med Terminology • Anatomy • Public Speaking • Humanities • Under Grad Admissions $70.00 Fee • Apply to the VIT Program • 35 to 50 credit hours • Upper division Math & Science • Three letters of recommendation • Written Narrative Application Dead Line January 15th $277.20 per credit hour http://www.unmc.edu/alliedhealth/vit.htm

31. Angiography & Cardiac Catheterization • Online certificate in Cardio Vascular Interventional Technology • Advanced CVIT (4 credits) • Advanced Patient Care (2 credits) • CVIT Pathology & Case Review (4 credits) • Optional 8 hours clinical preceptorship • Cost for program $1,780.00 • No application Dead line • Christa Weigel @ crweigel@fhsu.edu or call at 785-628-5549

32. Angiography & Cardiac Catheterization • Resources used • Merrill’s Atlas of Radiographic Positioning & Procedures • www.youtube.com • www.indeed.com • U.S. Bureau of Labor Statistics (www.bls.gov) • Weber State University (www.weber.edu) • Fort Hays State University (www.fhsu.edu) • University of Nebraska Medical Center (www.unmc.edu) • Intermountain Mountain Medical Center Angio & Cath Lab Department