Name of the Procedure:

Angiography, Pelvic, Selective or Supraselective, Radiological Supervision and Interpretation

Summary

Pelvic angiography is a medical imaging procedure that uses X-rays to view the blood vessels in the pelvic area. It involves the selective or supraselective injection of a contrast dye into the blood vessels and capturing detailed images to help diagnose and treat various conditions.

Purpose

Pelvic angiography is used to:

• Identify blockages, narrowing, or abnormalities in the blood vessels.
• Diagnose conditions such as pelvic trauma, vascular malformations, or aneurysms.
• Guide interventions such as stenting or embolization to treat pelvic blood vessel issues.

Indications

• Unexplained pelvic pain.
• Trauma or injury to the pelvic area.
• Suspected vascular malformations or tumors.
• Persistent abnormal bleeding.
• Prior inconclusive imaging studies.

Preparation

• Fasting for 6-8 hours before the procedure.
• Adjusting or stopping certain medications as advised by your healthcare provider.
• Blood tests and imaging studies to assess your condition.
• Providing a complete medical history, including allergies and current medications.

Procedure Description

1. You will lie on an X-ray table.
2. A local anesthetic is administered to numb the insertion site, usually in the groin area.
3. A catheter is inserted through the numbed area and guided to the pelvic blood vessels.
4. Contrast dye is injected through the catheter.
5. X-ray images are captured to visualize the blood vessels.
6. Once the imaging is complete, the catheter is removed, and pressure is applied to the insertion site to prevent bleeding.

Tools and Equipment:

• X-ray machine and fluoroscopy equipment.
• Catheter and contrast dye.
• Local anesthetics and possible sedatives.

Duration

The procedure typically takes 1-3 hours, depending on the complexity.

Setting

Pelvic angiography is usually performed in a hospital's radiology department or a specialized outpatient imaging center.

Personnel

• Interventional radiologist.
• Radiologic technologist.
• Nursing staff for monitoring and assistance.
• Anesthesiologist, if sedation is needed.

Risks and Complications

• Allergic reaction to contrast dye.
• Bleeding or infection at the catheter insertion site.
• Blood vessel damage or blockage.
• Kidney damage, especially in patients with pre-existing kidney issues.

Benefits

• Accurate diagnosis of pelvic vascular conditions.
• Guiding effective treatment options.
• Immediate visualization of blood flow, aiding in clinical decision-making.

Recovery

• Monitoring in a recovery area for a few hours post-procedure.
• Keeping the insertion site clean and dry.
• Avoiding strenuous activities for a few days.
• Follow-up appointments to discuss results and further treatment.

Alternatives

• Non-invasive imaging tests like MRI or CT angiography.
• Ultrasound for preliminary evaluation of vascular conditions.
• Direct surgical exploration, though it is more invasive.

Patient Experience

During the procedure, you may feel a slight prick from the anesthesia and some pressure or mild discomfort as the catheter is inserted. The contrast dye may cause a warm sensation. Post-procedure, you might experience minor pain or bruising at the insertion site, which can be managed with over-the-counter pain relief medication. Rest and follow care instructions to ensure a smooth recovery.