case 8 radiology 4 Chapman robert kinsey
DIAGNOSTIC IMAGING REPORT
Patient Name: Chapman Robert Kinsey
Patient ID: 110589 DOB: 07/04/---- Age: 87 Sex: M
Report No.: 10-15770
Ordering Physician: Tomas Burgos, MD, Vascular Surgery
Procedure: Aorta Femoral Arteriogram left lower extremity run-off
Date of Procedure: 03/01/---- @ 0906 hrs
Clinical History: Patient with chronic renal insufficiency and non-healing ulcer. Great hallux left foot.
Operating Radiologist: Donna Harrison, MD
Anesthesia: Local 1% lidocaine and conscious sedation.
Complications: None immediate.
Specimen Removed: None.
Procedure: Informed witnessed consent was obtained from the patient and placed in chart. Patient was transferred to the angio suite table and placed in supine position. The right groin was prepped and draped in the usual sterile fashion. Local anesthetic was infiltrated at the puncture site. The right common femoral artery was punctured with a 21 gauge Micro-Stick needle following standard exchange technique a 5-French vascular sheath was left in place. A 5-French omni flush catheter was then advanced over the wire and the tip positioned at the level of the renal arteries. The CO2 abdominal aortogram was then acquired. The catheter was then repositioned at the aortic bifurcation and bilateral oblique CO2 pelvic arteriogram was acquired. The catheter was then crossed over the aortic bifurcation with a .035 inch guide wire with the tip positioned within the left external iliac artery. The left lower extremity arteriogram was then acquired
(Continued)
DIAGNOSTIC IMAGING REPORT
Patient Name: Chapman Robert Kinsey
Patient ID: 110589
Date of Procedure: 03/01/----
Page 2
with bolus chase technique and digital subtraction utilizing diluted iginated contrast. The catheter was then pulled back to the aortic bifurcation and a repeat pelvic arteriogram was performed with diluted iginated contrast which demonstrated flow
Patient Name: Chapman Robert Kinsey
Patient ID: 110589 DOB: 07/04/---- Age: 87 Sex: M
Report No.: 10-15770
Ordering Physician: Tomas Burgos, MD, Vascular Surgery
Procedure: Aorta Femoral Arteriogram left lower extremity run-off
Date of Procedure: 03/01/---- @ 0906 hrs
Clinical History: Patient with chronic renal insufficiency and non-healing ulcer. Great hallux left foot.
Operating Radiologist: Donna Harrison, MD
Anesthesia: Local 1% lidocaine and conscious sedation.
Complications: None immediate.
Specimen Removed: None.
Procedure: Informed witnessed consent was obtained from the patient and placed in chart. Patient was transferred to the angio suite table and placed in supine position. The right groin was prepped and draped in the usual sterile fashion. Local anesthetic was infiltrated at the puncture site. The right common femoral artery was punctured with a 21 gauge Micro-Stick needle following standard exchange technique a 5-French vascular sheath was left in place. A 5-French omni flush catheter was then advanced over the wire and the tip positioned at the level of the renal arteries. The CO2 abdominal aortogram was then acquired. The catheter was then repositioned at the aortic bifurcation and bilateral oblique CO2 pelvic arteriogram was acquired. The catheter was then crossed over the aortic bifurcation with a .035 inch guide wire with the tip positioned within the left external iliac artery. The left lower extremity arteriogram was then acquired
(Continued)
DIAGNOSTIC IMAGING REPORT
Patient Name: Chapman Robert Kinsey
Patient ID: 110589
Date of Procedure: 03/01/----
Page 2
with bolus chase technique and digital subtraction utilizing diluted iginated contrast. The catheter was then pulled back to the aortic bifurcation and a repeat pelvic arteriogram was performed with diluted iginated contrast which demonstrated flow