{"id":885,"date":"2019-05-28T23:24:46","date_gmt":"2019-05-28T20:24:46","guid":{"rendered":"http:\/\/www.uzmanradyoloji.com\/?p=885"},"modified":"2025-11-17T21:05:30","modified_gmt":"2025-11-17T18:05:30","slug":"koroner-bt-anjiografi","status":"publish","type":"post","link":"https:\/\/www.uzmanradyoloji.com\/index.php\/2019\/05\/28\/koroner-bt-anjiografi\/","title":{"rendered":"Koroner (Kardiyak) Bt Anjiografi"},"content":{"rendered":"\n<p><strong>Koroner bt anjiografi nedir?<\/strong><\/p>\n\n\n\n<p>Kalbin etraf\u0131n\u0131 \u00e7evreleyen ve kalbi besleyen damarlar\u0131n kontrast madde verilerek hi\u00e7 bir giri\u015fimsel i\u015flem olmadan tomografi cihaz\u0131 ile g\u00f6r\u00fcnt\u00fclenmesidir.<\/p>\n\n\n\n<p><strong>Neden yap\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kalp damarlar\u0131nda darl\u0131k olu\u015fturan aterosklerotik plaklar\u0131n tespiti ve darl\u0131k derecelerinin de\u011ferlendirilmesi,<\/li>\n\n\n\n<li>By-pass ameliyatlar\u0131 s\u0131ras\u0131nda kullan\u0131lan damarlar\u0131n, balon ile a\u00e7\u0131lan veya stent tak\u0131lan damarlar\u0131n kontrol\u00fc,<\/li>\n\n\n\n<li>Koroner arter anatomisinin incelenmesi ile anormalliklerin ve normal olarak kabul edilen anatomik de\u011fi\u015fkenliklerin g\u00f6sterilmesi,<\/li>\n\n\n\n<li>Kateter anjiyografi i\u00e7in y\u00fcksek risk ta\u015f\u0131yan hastalarda koroner arterlerinin de\u011ferlendirilmesi,<\/li>\n\n\n\n<li>Kateter anjiyografide kesin bir karar verilemeyen ya da ba\u015far\u0131s\u0131z olunan durumlarda tamamlay\u0131c\u0131 bilgilerin elde edilmesi,<\/li>\n\n\n\n<li>Birinci derece akrabalar\u0131nda erken ya\u015fta kalp-damar hastal\u0131\u011f\u0131 hik\u00e2yesi olanlar,<\/li>\n\n\n\n<li>Sigara i\u00e7enler, diyabet hastalar\u0131, y\u00fcksek tansiyon hastalar\u0131, obezite hastalar\u0131, y\u00fcksek kolestrol\u00fc olan hastalar\u0131n kontrol\u00fc.<\/li>\n<\/ul>\n\n\n\n<p><strong>TETK\u0130K \u00d6NCES\u0130 HASTA HAZIRLI\u011eI<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-left\">Bir g\u00fcn \u00f6ncesinden ba\u015flayarak kahve, \u00e7ay, enerji i\u00e7ece\u011fi ve soda ile diyet haplar\u0131 gibi kalp h\u0131z\u0131n\u0131 etkileyebilecek maddeler ile Viagra vb ila\u00e7lar kullan\u0131lmamal\u0131d\u0131r. <\/p>\n\n\n\n<p>\u00c7ekimin 12 saat \u00f6ncesinden ba\u015flayarak sigara i\u00e7memesi gerekmektedir.<\/p>\n\n\n\n<p>Kreatin ve GFR testi yap\u0131lmas\u0131 gerekir<\/p>\n\n\n\n<p>\u00c7ekime al\u0131nmadan \u00f6nce 4-6 saat aras\u0131 a\u00e7 olmas\u0131 gerekir<\/p>\n\n\n\n<p>\u0130la\u00e7 verildi\u011finde olas\u0131 allerjik reaksiyonlara kar\u015f\u0131 (mide bulant\u0131s\u0131, s\u0131cak basmas\u0131, ka\u015f\u0131nt\u0131 vb.) hasta mutlaka bilgilendirilmelidir.<\/p>\n\n\n\n<p>Labaratuar sonu\u00e7lar\u0131 normal s\u0131n\u0131rlar d\u0131\u015f\u0131nda olan veya hamilelik \u015f\u00fcphesi olan hastalar \u00e7ekime al\u0131nmamal\u0131d\u0131r.<\/p>\n\n\n\n<p>Verilen kontrast maddenin v\u00fccuttan daha \u00e7abuk at\u0131lmas\u0131 i\u00e7in \u00e7ekim sonras\u0131 hastan\u0131n g\u00fcn i\u00e7inde bol bol su i\u00e7mesi \u00f6nerilir.<\/p>\n\n\n\n<p>\u00c7ekim yap\u0131lacak b\u00f6lgede artefakta neden olacak aksesuarlar\u0131n (Toka, k\u00fcpe, kolye, di\u015f protezi vs) \u00e7\u0131kart\u0131lmas\u0131  istenir.<\/p>\n\n\n\n<p>Hasta kimlik do\u011frulamas\u0131 yap\u0131l\u0131p, imzal\u0131 onam formu doldurulduktan sonra \u00e7ekim odas\u0131na al\u0131n\u0131r.<\/p>\n\n\n\n<p> <strong>NASIL \u00c7EK\u0130L\u0130R<\/strong> <\/p>\n\n\n\n<p> Baz\u0131 hastalarda koroner anjiografi \u00e7ekimine ilave kalsiyum skorlama yap\u0131lmas\u0131 istenmektedir. \u00c7ekimin nas\u0131l yap\u0131laca\u011f\u0131n\u0131 anlatmadan \u00f6nce kalsiyum skorlaman\u0131n tan\u0131m\u0131n\u0131 yapmak daha do\u011fru olacakt\u0131r. Kalsiyum skorlama; damar sertli\u011finin derecesini \u00f6\u011frenmek i\u00e7in kontrast madde verilmeden anjio \u00f6ncesi yap\u0131lan taramad\u0131r. Tarama sonucunda damarlardaki kire\u00e7 yo\u011funlu\u011funun ifadesi rakamlar ile tan\u0131mlanmaktad\u0131r. Kire\u00e7lenmenin olmad\u0131\u011f\u0131 damar s\u0131f\u0131r ile ifade edilir.<\/p>\n\n\n\n<p>\u015eimdi \u00e7ekimin nas\u0131l yap\u0131ld\u0131\u011f\u0131na ge\u00e7elim:<\/p>\n\n\n\n<p>Hasta masaya supine pozisyonda yat\u0131r\u0131l\u0131r. EKG problar\u0131 ba\u011fland\u0131ktan sonra hastaya mutlaka nefes egzersizleri yapt\u0131r\u0131larak nab\u0131z tabip edilmelidir. \u0130deal bir koroner anjio \u00e7ekimi i\u00e7in nab\u0131z 65\/dk alt\u0131nda olmal\u0131d\u0131r. Gerekirse hastaya nabz\u0131 d\u00fc\u015f\u00fcrmek ad\u0131na uzman doktor tabinde iv beloc yap\u0131labilir. \u015eimdi gelelim \u00e7ekim a\u015famas\u0131na:<\/p>\n\n\n\n<p>AP ve LATERAL scout al\u0131n\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"394\" src=\"http:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/SCOUT-KORONER-1024x394.jpg\" alt=\"\" class=\"wp-image-1023\" srcset=\"https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/SCOUT-KORONER-1024x394.jpg 1024w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/SCOUT-KORONER-300x115.jpg 300w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/SCOUT-KORONER-768x295.jpg 768w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/SCOUT-KORONER.jpg 1622w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p> Kalbi tamamen i\u00e7ine alacak \u015fekilde \u00e7ekim planlamas\u0131 yap\u0131l\u0131r. \u0130ste\u011fi yap\u0131lm\u0131\u015fsa, \u00e7ekime \u00f6ncelikle kalsiyum skorlama yap\u0131larak ba\u015flan\u0131r. Karina seviyesinden kalp taban\u0131na kadar kontrast madde verilmeden tarama yap\u0131l\u0131r ve sonras\u0131nda as\u0131l anjio \u00e7ekimine ba\u015flan\u0131r.<\/p>\n\n\n\n<p>Teknik olarak smart prep y\u00f6ntemi ile cihaz\u0131n, belirtilen roi de\u011ferine ula\u015ft\u0131\u011f\u0131nda otomatik olarak \u00e7ekime ba\u015flamas\u0131 veya g\u00f6rerek ba\u015flama (Deneyim gerektirir) metodu kullan\u0131l\u0131r. Al\u0131nan scout \u00fczerinden ayarlama yap\u0131larak karina seviyesinden tek kesitlik smart prep g\u00f6r\u00fcnt\u00fcs\u00fc al\u0131n\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"835\" height=\"627\" src=\"http:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-KARINA.jpg\" alt=\"\" class=\"wp-image-1022\" srcset=\"https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-KARINA.jpg 835w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-KARINA-300x225.jpg 300w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-KARINA-768x577.jpg 768w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-KARINA-320x240.jpg 320w\" sizes=\"auto, (max-width: 835px) 100vw, 835px\" \/><\/figure>\n\n\n\n<p> Roi descending aorta koyulur. <\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"512\" height=\"512\" data-id=\"1021\" src=\"https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-BT-ANJIYOGRAFI-RO\u0130.jpg\" alt=\"\" class=\"wp-image-1021\" srcset=\"https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-BT-ANJIYOGRAFI-RO\u0130.jpg 512w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-BT-ANJIYOGRAFI-RO\u0130-150x150.jpg 150w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-BT-ANJIYOGRAFI-RO\u0130-300x300.jpg 300w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/KORONER-BT-ANJIYOGRAFI-RO\u0130-65x65.jpg 65w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>Otomatik ba\u015flama i\u00e7in damar i\u00e7indeki kontrast yo\u011funlu\u011fu 220 hu de\u011feri olarak tan\u0131mlan\u0131r. Ortalama kilodaki bir hasta i\u00e7in 80ml \u0130la\u00e7 ve pe\u015finden 40ml serum 5 ml\/sn h\u0131zda gidecek \u015fekilde cihazla ayn\u0131 anda start verilir.  Pulmoner arter renklenmeye ba\u015flad\u0131\u011f\u0131nda hastaya nefes tutturularak \u00e7ekime ba\u015flan\u0131r. Tarama karina seviyesinden ba\u015flayarak kalp taban\u0131na kadar yap\u0131l\u0131r.<\/p>\n\n\n\n<p><strong>\u0130LA\u00c7 SONRASI OLU\u015eAB\u0130LECEK YAN ETK\u0130LER<\/strong><\/p>\n\n\n\n<p>Mide bulant\u0131s\u0131<\/p>\n\n\n\n<p>Ate\u015f basma hissi<\/p>\n\n\n\n<p>\u0130drar\u0131n\u0131 alt\u0131na ka\u00e7\u0131rma hissi<\/p>\n\n\n\n<p>Ka\u015f\u0131nt\u0131<\/p>\n\n\n\n<p>Deride d\u00f6k\u00fclmeler<\/p>\n\n\n\n<p>Solunum aresti<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Not: <\/h3>\n\n\n\n<p><strong>Ben koroner anjio \u00e7ekimlerinden edindi\u011fim baz\u0131 deneyimlerimi standart uygulamalar\u0131n d\u0131\u015f\u0131nda bu paragrafta ayr\u0131ca payla\u015fmak istiyorum. \u00d6ncelikle anjio denilince genel hasta kitlesi g\u00f6z\u00fcnde, \u00e7ok b\u00fcy\u00fck bir olay olarak alg\u0131lanmaktad\u0131r. Bu alg\u0131 sonucu hastalar \u00e7ekime al\u0131nd\u0131klar\u0131nda heyecan veya panik yapt\u0131klar\u0131 i\u00e7in \u00e7ekim kalitesi olumsuz  olarak etkilenmektedir. M\u00fcmk\u00fcn oldu\u011funca hasta uygun bir ses tonu ile her konuda mutlaka bilgilendirilmeli onun g\u00fcvende oldu\u011funu hissetmesi sa\u011flanmal\u0131d\u0131r. \u00c7ekime ba\u015flanmadan \u00f6nce bir ka\u00e7 defa nefes egzersizi yap\u0131lmal\u0131d\u0131r. Nefes egzersizleri hastaya \u00e7ekim s\u0131ras\u0131nda daha profosyonel davranmalar\u0131n\u0131 sa\u011flar Ayr\u0131ca bizimde bu s\u0131rada ekg monit\u00f6r takibi yaparak ka\u00e7\u0131nc\u0131 saniyede nabz\u0131n stabil hale geldi\u011fini g\u00f6r\u00fcp \u00e7ekim kalitesini art\u0131rmam\u0131za yard\u0131m edecek ek bir bilgide sa\u011flar. Son olarak \u00e7ekimin bir dakika \u00f6ncesinde dil alt\u0131 isordil verilerek hem nabz\u0131n biraz daha a\u015fa\u011f\u0131 \u00e7ekilmesi hemde koroner damarlar\u0131n geni\u015fleyerek daha kaliteli g\u00f6r\u00fcnt\u00fclenmeside sa\u011flan\u0131r. Sayg\u0131lar\u0131mla.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">REFORMAT<\/h2>\n\n\n\n<p>Uygun fazda reformat yap\u0131l\u0131r. Ben \u00f6rnek olmas\u0131 i\u00e7in 40 ve 75 faz\u0131 video olarak payla\u015fmak istedim.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">40 FAZ<\/h4>\n\n\n\n<figure class=\"wp-block-video\"><video height=\"1080\" style=\"aspect-ratio: 1920 \/ 1080;\" width=\"1920\" controls src=\"http:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/40-FAZ_B\u00fcy\u00fck.mp4\"><\/video><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">75 FAZ<\/h4>\n\n\n\n<figure class=\"wp-block-video\"><video height=\"1080\" style=\"aspect-ratio: 1920 \/ 1080;\" width=\"1920\" controls src=\"http:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/75-FAZ_B\u00fcy\u00fck.mp4\"><\/video><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">VRT<\/h3>\n\n\n\n<figure class=\"wp-block-video\"><video height=\"1080\" style=\"aspect-ratio: 1920 \/ 1080;\" width=\"1920\" controls src=\"http:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2019\/05\/vrt_B\u00fcy\u00fck.mp4\"><\/video><\/figure>\n\n\n\n<p>  Yukar\u0131da anlatm\u0131\u015f oldu\u011fum \u00e7ekim protokol ve parametreleri ba\u015fka marka ve model cihazlarda farkl\u0131l\u0131k g\u00f6stersede \u00e7ekim mant\u0131\u011f\u0131 de\u011fi\u015fmemektedir. Benim anlat\u0131mlar\u0131m tamamen GE Optima CT660 model cihaza y\u00f6neliktir. <\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" data-id=\"386\" src=\"https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2017\/02\/DSCF0090-1024x768.jpg\" alt=\"\" class=\"wp-image-386\" srcset=\"https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2017\/02\/DSCF0090-1024x768.jpg 1024w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2017\/02\/DSCF0090-300x225.jpg 300w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2017\/02\/DSCF0090-768x576.jpg 768w, https:\/\/www.uzmanradyoloji.com\/wp-content\/uploads\/2017\/02\/DSCF0090-320x240.jpg 320w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<div class=\"wp-block-button is-style-outline aligncenter is-style-outline--3\"><a class=\"wp-block-button__link wp-element-button\" href=\"http:\/\/www.uzmanradyoloji.com\/index.php\/2017\/02\/13\/neden-bu-web-sitesini-kurdum\/\"><strong>HAKKIMDA<\/strong><\/a><\/div>\n\n\n\n<p><\/p>\n <!-- AdSense Now! Lite: WP is not in the loop.  -->\n","protected":false},"excerpt":{"rendered":"<p>Koroner bt anjiografi nedir? Kalbin etraf\u0131n\u0131 \u00e7evreleyen ve kalbi besleyen damarlar\u0131n kontrast madde verilerek hi\u00e7 bir giri\u015fimsel i\u015flem olmadan tomografi cihaz\u0131 ile g\u00f6r\u00fcnt\u00fclenmesidir. Neden yap\u0131l\u0131r? TETK\u0130K \u00d6NCES\u0130 HASTA HAZIRLI\u011eI Bir g\u00fcn \u00f6ncesinden ba\u015flayarak kahve, \u00e7ay, enerji i\u00e7ece\u011fi ve soda ile diyet haplar\u0131 gibi kalp h\u0131z\u0131n\u0131 etkileyebilecek maddeler ile Viagra vb ila\u00e7lar kullan\u0131lmamal\u0131d\u0131r. \u00c7ekimin 12 saat [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1044,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[39],"tags":[],"class_list":["post-885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bt-anjiografi-kontrastli-anjiografi-bilgisayarli-tomografi-anjio-tomografi-cekim-teknikleri-hasta-pozisyonu"],"views":22248,"_links":{"self":[{"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/comments?post=885"}],"version-history":[{"count":18,"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/885\/revisions"}],"predecessor-version":[{"id":1371,"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/885\/revisions\/1371"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/media\/1044"}],"wp:attachment":[{"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/media?parent=885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/categories?post=885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.uzmanradyoloji.com\/index.php\/wp-json\/wp\/v2\/tags?post=885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}