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By Swami Chinmayananda (Balakrishna Menon)

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Note the posterior communicating artery (arrow). 59 Fig. 26-47 Carotid angiogram: PA axial (supraorbital) projection. Fig. 26-48 AP axial (supraorbital). Fig. 26-49 Left common carotid artery, demonstrates AP axial (supraorbital) projection. Arterial phase of circulation. 60 AP AXIAL PROJECTION (SUPRAORBITAL) The CIT observes the fol lowing steps: Adjust the patient's head so that its midsagittal plane is centered over and perpendicular to the midline of the grid and so that it is extended enough to place the IOML vertical.

Fig. 26-42 Right internal carotid injection. lateral projection. demonstrates venous phase of circulation. 55 PREPARATION OF EXAMIN ING ROOM It cannot be stated too often that the an­ giographic suite and every item in it should be scrupulously clean. The room should be ful ly prepared, with every item needed or l i kely to be needed on hand be­ fore the patient is admitted. Cleanliness and advance preparation are of vital im­ portance in procedures that must be car­ ried out under aseptic conditions.

Sec for a 30- to 50-mJ total volume of contrast medium. Images are produced in both planes, if desired, at a rate of one or two im­ ages per second for 5 to 1 0 seconds and are made at the end of suspended inspiration. Right brachiocephalic vein Left brachiocephalic vein Superior vena cava Fig. 26-25 AP superior vena cava. 43 INFERIOR VENACAVOGRAM Venography of the inferior vena cava is performed primarily to rule out the exis­ tence of thrombus or the occlusion of the inferior vena cava. The contrast medium i s i njected through a multiple side hole catheter inserted through the femoral vein and positioned in the common i liac vein or the i nferior aspect of the inferior vena cava.

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Śaṅkara the Missionary by Swami Chinmayananda (Balakrishna Menon)


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