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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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