Interventional Imaging

ANGIOGRAM

Length: 2 hours

For this procedure the doctor will use a small needle to access an artery in your groin. The skin will be sterilized and numbed. You will have an IV placed for sedation during this procedure. Once the physician has access into the artery he will insert a catheter through the needle into the arteries that are to be looked at. A dye is injected while pictures are taken. This is how we see what your arteries look like.

Preps: You will need to be fasting for this procedure and have someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

ARTHROGRAM

Length: 1.5 hours

The doctor or nurse practitioner will numb the joint to be looked at. Contrast will then be injected into the joint using X-ray to guide them. Then, X-rays, MRI or CT (whichever one your physician has chosen) will be used to take to pictures of the joint.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

CENTRAL LINE PLACEMENT

Length: 30 minutes

This procedure involves placing a small flexible catheter for IV access. The neck or chest area will be sterilized and numbed. A small flexible catheter is threaded into a vein in your neck using ultrasound guidance. The catheter is then advanced into a larger vein in your chest; this catheter may stay in for several weeks for long-term therapy.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

CHEMOEMBOLIZATION

Length: 2 hours

This is a procedure in which anticancer drugs are administered directly through a catheter placed in the blood vessels feeding the tumor, with concurrent or subsequent blockage of the feeding vessel by occlusive agents that are injected through the delivery catheter. This permits a higher concentration of drug to be in contact with the tumor for a longer period of time.

Preps: You will need to be fasting for this procedure and have someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

CT BIOPSY

Length: 45 minutes

This is a procedure where CT imaging is used for guidance to obtain a specimen of tissue from a specified organ or tumor. The area of interest will be sterilized and numbed. The physician will use a small needle to obtain the tissue sample. The tissue samples will be sent to pathology for analysis. The results of the biopsy will be sent to the physician ordering the exam.

Preps: If this is a biopsy of the liver, lung, kidney, bone marrow or abdomen then you must be fasting. For all other CT biopsy there is no prep.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

GASTROSTOMY TUBE PLACEMENT

Length: 1 hour

This is a procedure where a small tube is placed through the skin into the stomach for the purpose of receiving nutrition. The skin will be sterilized and numbed. You will receive an IV for antibiotic and sedation during the procedure.

Preps: You will need to be fasting and have someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

IVC FILTER

Length: 1 hour

This procedure involves placing a device called a filter into the inferior vena cava to trap any blood clots. The filter can be placed in the IVC by one of two ways. The first way involves making a puncture in the groin and accessing the femoral vein. Once the vein is accessed, the filter is placed in the IVC. The other way is to access the jugular vein in the neck and place a catheter down to the IVC to place the filter.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

LUMBAR PUNCTURE

Length: 45 minutes

This is a procedure where a doctor will remove some of the cerebrospinal fluid for your spinal canal. The area will be sterilized and numbed. The physician will insert a small needle into your lower back using X-ray to guide them. Once they have accessed the spinal column they will allow the fluid to drain. After the procedure is complete you will need to stay flat in bed for four hours and drink plenty of fluid to help your body replenish the fluid removed.

Preps: You will need to have a light breakfast and someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

MYELOGRAM

Length: 45 minutes

This is a procedure where a doctor will place a small needle into your spinal canal. The area will be sterilized and numbed. The physician will insert a small needle into your lower back using X-ray to guide them. Once they have accessed the spinal canal a dye will be injected while pictures are taken. This lets us see what your spinal canal looks like. You will be put in several positions and a number of X-rays will be taken.

Preps: You will need to have a light breakfast and someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

NEPHROSTOMY TUBE PLACEMENT

Length: 1 hour

This procedure involves placing a flexible catheter into your kidney. The nephrostomy tube is mainly used to decompress and temporarily drain an obstructed collecting system (usually in the renal system – the part of the urinary tract that drains urine from the kidney to the bladder – when there is a urinary obstruction). The area will be sterilized and numbed prior to the procedure. An IV will be started prior to the procedure for sedation and antibiotic.

Preps: You will need to be fasting and prepared to be admitted for observation.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

PARACENTESIS

Length: Varies depending on how much fluid will need to be drained

This is a procedure to drain fluid from the abdomen for either diagnostic or therapeutic purposes. The radiologist or Nurse Practitioner will first look with an ultrasound machine to find the biggest pocket of fluid. Then the skin will be sterilized and anesthetize. A small needle will be used to access the pocket of fluid leaving a flexible catheter to drain the fluid. Once the fluid is completed draining the catheter will be removed.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAM (PTC)

Length: 2 hours

This is a procedure where a small flexible catheter is placed into the biliary system, ducts that drain the liver, for the purpose of decompression from a blockage (i.e. tumor, stone stricture). The area will be sterilized and numbed and an IV will be placed for antibiotic and sedation during the procedure. The biliary system will be accessed with a needle under ultrasound guidance leaving a catheter behind. The catheter will then be connected to a drainage bag.

Preps: You will need to be fasting and prepared to stay overnight for observation.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

PICC

Length: 1 hour

This procedure involves placing a small flexible catheter for IV access. The neck or chest area will be sterilized and numbed. A small flexible catheter is threaded into a vein in your arm that reaches a larger vein in your chest, using ultrasound guidance or by injecting a small amount of X-ray contrast.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

PLEURX CATHETER PLACEMENT

Length: 1 hour

This is a procedure to place a small flexible catheter into either the pleural (lung) cavity or peritoneal (abdominal) area where fluid accumulates. This will then allow patients to drain the fluid at home. The radiologist will look with an ultrasound machine to find the best area to place the tube. The skin will be sterilized and anesthetized. The area will be accessed using a needle leaving a catheter in place for further use.

Preps: You will need to be fasting for the procedure and have someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

PORT PLACEMENT

Length: 1 hour

For this procedure we will start an IV for sedation and an antibiotic to be given prior to this procedure. The doctor will make a small incision in either your chest or upper arm, where the port will be placed. After the port is placed, your incision will be sutured and skin glue will be applied over the incision.

Preps: You will need to be fasting for this procedure and have someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

PORT REMOVAL

Length: 30 minutes

For this procedure the doctor will use a local anesthetic to numb the area around the port. The doctor will then remove the port.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

RFA

Length: 45 minutes

This is a procedure to drain fluid from the pleural cavity (lung) for either diagnostic or therapeutic purposes. The radiologist or nurse practitioner will first look with an ultrasound machine to find the biggest pocket of fluid. Then the skin will be sterilized and anesthetize. A small needle will be used to access the pocket of fluid leaving a flexible catheter to drain the fluid. Once the fluid is completed draining the catheter will be removed.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

THORACENTESIS

Length: 45 minutes

This is a procedure to drain fluid from the pleural cavity (lung) for either diagnostic or therapeutic purposes. The radiologist or nurse practitioner will first look with an ultrasound machine to find the biggest pocket of fluid. Then the skin will be sterilized and anesthetize. A small needle will be used to access the pocket of fluid leaving a flexible catheter to drain the fluid. Once the fluid is completed draining the catheter will be removed.

Preps: No prep for this procedure.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

TUNNEL DIALYSIS CATHETER

Length: 1 hour

This is a procedure for the placement of long-term dialysis access catheter. An ultrasound machine may be used to locate the best vein for access. The area will then be sterilized and numbed. The vein will be accessed using a needle, leaving a catheter in place for further use.

Preps: You will need to be fasting for this procedure and have someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

UAE

Length: 2 hours

For this procedure an anesthesiologist will place an epidural catheter for pain management during and after the procedure. This procedure is used for invasive treatment of fibroids in the uterus. A small catheter is feed threw the artery that supplies the blood to the fibroids. After which small particles are injected into these arteries to block off their blood supply this causing the fibroids to shrink and die over time.

Preps: You will need to be fasting for this procedure and admitted overnight for observation.

Related Forms: The patient will meet with the PAT prior to this procedure.

ULTRASOUND BIOPSY

Length: 45 minutes

This is a procedure where ultrasound imaging is used for guidance to obtain a specimen of tissue from a specified organ or tumor. The area of interest will be sterilized and numbed. The physician will use a small needle to obtain the tissue samples. The tissue samples will be sent to pathology for analysis. The results of the biopsy will be sent to the physician ordering the exam.

Preps: If this is a biopsy of the liver then you must be fasting prior to the biopsy. For all other ultrasound biopsy there is no prep.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

VERTEBROPLASTY

Length: 1 hour

This is a procedure where bone cement is injected through a needle placed into the fractured vertebra, for the purpose of relieving back pain.

Preps: You will need to be fasting for this procedure and have someone available to drive you home after.

Related Forms: Medication Reconciliation Form and Falls Assessment Form

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