Monday, August 20, 2012
I am admitted to the hospital tomorrow for a Cerebral Angiogram. I will stay
in the ICU over night at Johnston Willis Hospital.
Cerebral Angiogram
Introduction:
Cerebral angiograms provide a
roadmap of the blood vessels of the brain.
Physicians use this blood vessel roadmap to determine how a particular
patient’s brain is supplied with blood and how to best proceed with the course
of treatment.
Procedure:
Cerebral Angiogram– The
procedure for a cerebral angiogram
requires that a small tubed catheter, similar to a long piece of spaghetti, be
placed in an artery in the groin area. Prior to catheter placement, patients
can be given local anesthesia with sedation medication to keep them
comfortable. After anesthesia has been taken care of and the catheter is inside
the artery; the catheter is navigated under image guidance up to the vessels of
the head and neck. Once the catheter has been stabilized then contrast dye is
allowed to flow through the catheter for a short period. While the dye is
moving through the blood vessels a special x-ray camera or fluoroscope takes pictures of the blood
vessels.
What is Embolization?
Tumor embolization is a
procedure that can be performed prior to a planned surgical resection. Embolization shuts down
the blood supply to a tumor reducing
blood loss during surgical resection. A secondary benefit from
embolization can be that tumor margins are more easily identified and a tumor
can be removed more completely and with less effort. Meningioma Tumors (what I have) are embolized and have relatively large blood
vessels supplying the tumor.
Procedures frequently take 2 to
3 hours and the time necessary is often not predictable before the procedure
begins.
After the procedure, I will need
to remain still and avoid bending the hip where the puncture occurred for at
least 6-8 hours. This means lying flat and is often the portion of the entire
experience that is most uncomfortable. This period of rest is very important
because it allows the small puncture hole in the artery to heal.
I will remain in the hospital
overnight following the embolization
procedure, until the tumor is surgically removed tomorrow.
I will spend the night in the neurological
intensive care unit for close monitoring.
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