angiografi serebral baru

8/19/2019 angiografi serebral baru

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ANGIOGRAFISEREBRAL

Nelka Christi 2011-11-093

Nicholas Brian

2011-11-09Niken Larasati2011-11-09!

Nin" A#$ %&2011-11-09'

O(elia S#a)ra S&2011-11-09*

Okta+iani A,in(a2011-11-09.

NE/RORAIOLOGI


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+NE/RORAIOLOGI

S$sesialisasi (ari ra(iolo"ierok$s a(a (ia"nosis (an

karakterisasi kelainan siste4 sara$sat (an erier5 t$lan"elakan"5 (an keala (an leher

4en""$nakan ne$roi4a"in" teknik

http://translate.googleusercontent.com/translate_c?depth=1&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Neuroimaging&usg=ALkJrhiPp9e0wmk7h2-TgOZeHCZjTKC7WAhttp://translate.googleusercontent.com/translate_c?depth=1&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Neuroimaging&usg=ALkJrhiPp9e0wmk7h2-TgOZeHCZjTKC7WA


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+An"io"ra) sereral

An"io"ra) a(alah e4eriksaan terha(a e4$l$h (arah5se(an"kan a(a e4eriksaan e4$l$h (arah arteri

(i(e$t (en"an arteio"ra)

An"iokar(io"ra) sereral a(alah ent$k an"io"ra) #an"4en#e(iakan "a4ar e4$l$h (arah (i (ala4 (an

sekitar otak5 sehin""a 4e4$n"kinkan (eteksi kelainanseerti 4alor4asi arterio+enosa (an ane$ris4a

7ontras #" (i"$nakan 8

Reno"ra)n 4e"l$4in(iatri,oate:

Conra# '0 4e"l$4in iothala4ate:

/ro"ra)n

An"io"ra)n

http://translate.googleusercontent.com/translate_c?depth=1&ei=3xOjUMKbNoW3rAeKiIGICg&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Angiography&usg=ALkJrhhbfx20yGcpVv_e6OT4wD3E0zt8YQhttp://translate.googleusercontent.com/translate_c?depth=1&ei=3xOjUMKbNoW3rAeKiIGICg&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Arteriovenous_malformation&usg=ALkJrhio8_73BV7wlPU_FDgNu8qovxwdbQhttp://translate.googleusercontent.com/translate_c?depth=1&ei=3xOjUMKbNoW3rAeKiIGICg&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Aneurysm&usg=ALkJrhj1EE91g5Pw2HljQETSitnblK0tDAhttp://translate.googleusercontent.com/translate_c?depth=1&ei=3xOjUMKbNoW3rAeKiIGICg&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Aneurysm&usg=ALkJrhj1EE91g5Pw2HljQETSitnblK0tDAhttp://translate.googleusercontent.com/translate_c?depth=1&ei=3xOjUMKbNoW3rAeKiIGICg&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Arteriovenous_malformation&usg=ALkJrhio8_73BV7wlPU_FDgNu8qovxwdbQhttp://translate.googleusercontent.com/translate_c?depth=1&ei=3xOjUMKbNoW3rAeKiIGICg&hl=id&langpair=en%7Cid&rurl=translate.google.co.id&u=http://en.wikipedia.org/wiki/Angiography&usg=ALkJrhhbfx20yGcpVv_e6OT4wD3E0zt8YQ


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+ ;eknik e4eriksaan Pungsi Langsung


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+ ;eknik


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+


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+ anaat (an resiko

4en"hilan"kan ke$t$han $nt$k oerasi& ika oerasiteta (ierl$kan5 (aat (ilak$kan leih ak$rat&

4en#a=ikan "a4ar5 san"at rinci =elas (an ak$rat (ari

e4$l$h (arah (i otak& %al ini san"at er"$na ketikase$ah rose($r e4e(ahan ata$ eraatan lainn#ase(an" (ierti4an"kan&

%asil leih ak$rat (aria(a #an" (ihasilkanoleh karoti( /SG oler ata$ encitraan nonin+asilain (ari e4$l$h (arah&


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+ ResikoSelal$ a(a ke4$n"kinan kecil kanker (ari eksos$r #an"

erleihan terha(a ra(iasi&

A(a resiko #an" san"at se(ikit reaksi aler"i =ika ahankontras (is$ntikkan&

ika An(a 4e4iliki ria#at aler"i terha(a sinar-D ahankontras5 An(a ra(iolo"i 4$n"kin 4en#arankan aha An(a4en"a4il oat kh$s$s $nt$k 2 =a4 seel$4 an"io"ra)

otak $nt$k 4en"$ran"i risiko reaksi aler"i&

anita har$s selal$ 4en"inor4asikan (okter ata$ teknolo"D-ra# 4ereka =ika a(a ke4$n"kinan aha 4ereka ha4il&


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+ Resiko

Setia rose($r #an" 4eliatkan ene4atan kateter (i

(ala4 e4$l$h (arah 4e4aa risiko tertent$& Initer4as$k resiko ker$sakan a(a e4$l$h (arah5 4e4arata$ er(arahan (i sit$s t$s$kan5 (an ineksi&

A(a risiko kecil aha (arah akan 4e4ent$k ek$an (i

sekitar $=$n" kateter5 4e4lokir arteri (an 4e4$atn#a(ierl$kan $nt$k eroerasi $nt$k 4e4$ka ke4ali kaal&

A(a risiko stroke (en"an rose($r ini =ika kateter (islo("eslak (ari (in(in" e4$l$h #an" 4en"halan"i aliran (arah

(ala4 otak&

aran"5 kateter t$s$kan arteri5 4en#eakan en(arahaninternal& %al ini =$"a ke4$n"kinan aha $=$n" kateterakan 4e4isahkan ahan (ari laisan (ala4 arteri5

4en#eakan hilir lok (ala4 e4$l$h (arah&


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+ Penyakit penyakit padaangiograf serebral

Stenosis seesar !0 ata$ leih (ari l$4en +asc$larakan terlihat =elas a(a an"io"ra4

OKLUSI PEMBULU!"#"

arteriosklerosis (en"an ata$tana thro4osis

e4oli5 ter$ta4a (arie4$l$h (arah (i leher


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+ "neuris$as$at$ kea(aan (i4ana a(a (aerah

#an" le4ah (an 4enon=ol a(a

e4$l$h (arah

Lokalisasi ane$ris4a #an" serin" (ite4$kan


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+ Mal%or$asi arterio&enosus

7elainan ini ersiat kon"enital&

/sia teran#ak (ite4$kan 20- 30 thn H!0 thn

Lokalisasi 8 he4iser serer$45 ka(an"-ka(an" (isereel$4

s$at$ kelainan (i4ana arteri (an +enaerh$$n"an secara lan"s$n" tana 4elal$i

kailerJ


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+'u$ortu$or intraranial

;$4or-t$4or (i (aerah rontal anterior5 =ika c$k$ esar akan

4en(esak arteri sereri anterior 4eleati "aris ten"ah 4i(line:&

Kask$larisasi kearah t$4or ere(a-e(a ter"ant$n" a(a =enist$4or


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'rau$a

7aitis a(a an"io"ra) ter$ta4a 4e4erlihatkan a(an#a

e$ato$ subdural ;ra$4a ini 4en$n=$kan en(esakan arteri (an +ena erent$kkon+eks ses$ai (en"an len"k$n" he4iser sereri& Ses$ai (en"anlokalisasi er(arahan5 akan ta4ak en(esakan arteri sereri arterior5arteri sereri 4e(ia 4a$$n (ee +ein

%er4ato4 s$($ral #an" kronis ses$(ah 23 4in""$ (ise$thi"ro4a5 #an" a(a an"io"ra4 ta4ak "a4aran ri("in" +ein selaintan(a tan(a (esakan +asc$lar

e$ato$ epidural

e4e(akan her4ato4 ei($ral (an he4ato4 s$($ral a(aan"io"ra4 serin" s$lit& ika arteri 4enin"ea 4e(ia ter(esak kearah4e(ia ke(ala4:&


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+ idrose%alus

en"enai elearan +entrikel lateralis a(a an"io"ra)

sereral ter"ant$n" a(a len"k$n" +ena tala4ostriata a(aro#eksi rontal& at:& ika elearan +entrikel lateral 4en"heat& akak$r+e +ena tala4ostriata 4en=a(i kon+eks&


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;ERIA7ASI%

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angiografi serebral baru