Intravenous Cholangiography procedure done in radiology department

Intravenous Cholangiography
It includes
*Intro
*Anatomy
* Indications
*Contraindications
*Contrast media
*Equipments
*Patient preparation
*Procedure
*Filming
*Aftercare
*Complications

1. INTRAVENOUS
CHOLANGIOGRAPHY
by
poovarasu

2. INTRODUCTION
Pre operative cholangiography ( or )
Intravenous cholangiography (IVC)
Intravenous cholangiography uses contrast
material injected into the blood stream that
then is rapidly taken up by the liver and
subsequently excreted into the biliary tree,
providing a cholangiogram.

3. ANATOMY
The gallbladder has a storage capacity of 30-50ml and, in life, lies anterior
to the first part of the duodenum.
It is typically divided into three parts:
Fundus
Body
Neck
The Biliary Tree

4. INDICATIONS
✪ Cholecystitis
✪ Cholelithiasis
✪ Bile duct obstruction
✪ Bile duct stenosis
✪ Oral cholangiography not succeed
CONTRAINDICATIONS
✵ Hepatocellular disease
✵ Renal failure
✵ Allergy to contrast media

5. EQUIPMENTS
CONTRAST MEDIA
❄ Iodinated contrast media - Iohexal
❄ Cholograffin - Iopamide meglutimine
❃ Fluoroscopy unit
❃ Spot film device
❃ X-ray cassette
❃ Water soluble contrast media
❃ IV set
❃ Syringe
❃ Gauze

6. PATIENT PREPARATION
✯ Ask patient not to eat and drink after midnight
✯ Fat free diet suggested for 2 days
✯ Explain whole procedure and obtain consent from patient
✯ Pre- procedure investigation is done
⋆Blood urea
⋆Serum creatinine
FILMING
✤ Upright standing
✤ Right lateral decubitus
✤ Right posterior oblique (RPO)
✤ Left anterior oblique (LAO)

7. PROCEDURE
⍟ The patient in supine position on x-ray table
⍟ Preliminary film of abdomen is taken
⍟ An intravenous (IV) line is inserted into patient arm
⍟ After contrast media is injected through line by drip infusion or
very slow hand injection.
⍟ The radiograph are taken after 4 hours of contrast injection.

8. AFTERCARE
❁ Patient can eat and drink normally
COMPLICATIONS
❅ Diarrhea
❅ Skin reaction
❅ Nausea
❅ Vomiting
❅ Gastrointestinal disturbance

9. THANK
YOU!