Post on 30-Dec-2015
description
Stroke Module
Scene C – CT Angiogram
CT Angiogram Introduction
Mr. Jones has been prepped and is ready for his CT angiogram. Please proceed to the CT Angiogram Control Room to proceed with this procedure.
Dr.’s Notes
PatientHistory
Scene C 1
1. Select the “Circle of Willis Scan Parameters” option.
EMR
Protocol
Scan Options:
Circle of Willis Scan Parameters
Routine Head Scan Parameters
Sinus Supine Scan Parameters
Dr.’s Notes
PatientHistory
Scene C 2
2. Push “Inject Contrast Dye”.
EMR
Protocol
Inject contrast dye
Dr.’s Notes
PatientHistory
Scene C 3
3. Push “Run Angiogram”.
EMR
Protocol
Run Angiogram
Dr.’s Notes
PatientHistory
Scene C 4
4. Locate the aneurysm on the scan results.
EMR
Protocol
CT Angiogram Results
CT Angiogram Results
Aneurysm in Anterior Communicating Artery
The CT Angiogram shows an aneurysm in Mr. Jones’ Anterior Communicating Artery. Your next course of action is to look at the aneurysm closely and determine the best course of treatment.
Dr.’s Notes
PatientHistory
Scene C 5
5. Highlight the aneurysm and choose “see in 3 D”.
EMR
Protocol
View in 3 dimensions
Dr.’s Notes
PatientHistory
Scene C 6
6. Determine the appropriate course of treatment for this aneurysm.
EMR
Protocol
Treatment Options:
Coil/embolyze the aneurysm
Clip the aneurysm
Aneurysm
Clip the Aneurysm
• This procedure is highly invasive and should only be done when the aneurysm is located close to the surface of the brain and on younger patients. Please think carefully before proceeding with this procedure on this patient.
Coil the Aneurysm
• Correct! This procedure is much less invasive and a better choice for this patient. Go forward with your treatment of this patient.
•
Scene C Conclusion
Dr. _______,
Congratulations! You found the aneurysm in Mr. Jones’ anterior communicating artery and have to decided to coil the aneurysm. In order to do this, you must first perform a catheter angiogram in order to reach the aneurysm. Mr. Jones is waiting for you in the CT angiogram room.