Imaging in Vascular SurgeryDr. Ahmad Razali Md RalibDepartment of RadiologyKulliyyah of Medicine, IIUM

Disclosure Nothing to disclose.

ContentsUltrasoundCT scanMR ImagingAngiographyInterventional

Ultrasound

UltrasoundFirst line.Non radiating.Fast and real time.Operator, patient and machine dependant.Limitations in the complete assessment of the disease process.

UltrasoundAV fistula.Central vein stenosis.Peripheral vascular disease.Abdominal aortic aneurysm.

AV Fistula

Peripheral Vascular Disease

Abdominal Aortic Aneurysm

CT scan

CT ScanSecond line.Better and wholesome assessment.Radiation and iodine contrast side effects.Fast but not real time.Only machine dependent.

Abdominal Aortic Aneurysm

Peripheral Vascular Disease

Central Vein Stenosis

MR Imaging

MRIAlternative to CT scan.Wholesome assessment similar to CT scan.No radiation.Slow and not always available.Contrast and non contrast.Nephrogenic Systemic Fibrosis (NSF).

Abdominal Aortic Aneurysm

Peripheral Vascular Disease

Peripheral Vascular Disease

Angiography

AngiographyReserved for interventional procedures.Radiation and iodine contrast side effects.More invasive.Artery or Venous puncture.More complications.More gadgets such as catheters and guidewires.

Central Vein Stenosis

AV Fistula Stenosis

Peripheral Vascular Disease

Interventional Radiology

Interventional RadiologyGuided by Ultrasound, Angiography and/or CT.Extension of the angiography procedures.Endovascular procedures.Angioplasty and VenoplastyStentingThrombectomy and etc.Balloon, stent, guidewires, sheaths.

Gadgets

PVD Angioplasty

PVD Angioplasty

PVD Angioplasty

Central Venoplasty

Central Venoplasty

Thank youarazali@iium.edu.my