
Aortic arch & its 3 major branches.
Common & less common variations of the aortic arch.
Common carotid artery (CCA).
Subclavian artery & its branches.
Segments & branches of internal carotid artery (ICA) on a model of skull
Segments & branches of anterior cerebral artery (ACA)
Segments & branches of middle cerebral artery (MCA)
Segments & branches of vertebral artery (VA)
Basilar artery (BA) & its branches
Segments & branches of posterior cerebral artery (PCA)
Superior & inferior groups of dural sinuses
Supra-tentorial superficial & deep veins
Brain-stem & cerebellar veins
Explore the equipment used in diagnostic cerebral angiography, including 18-gauge femoral needles, 6 French sheaths, 5 French and Simmons catheters, 0.038 inch guide wires, and 1200 PSI power injectors.
Assistant staff nurse prepares diagnostic cerebral angiography equipment in a sterile basin with heparinized saline. She flushes the needle, dilator, sheath, catheter, and guide-wire.
Demonstrates assembling and inserting the femoral arterial sheath on a model, detailing the J wire, introducer, dilator, sheath, and arterial access steps.
Learn to insert a femoral arterial sheath under general anesthesia, including artery localization, 18-gauge needle puncture, wire insertion, dilator-assisted sheath placement, and angiography confirmation.
Demonstrate diagnostic cerebral angiography from femoral access, navigating over a guide-wire to engage brachiocephalic, carotid, and vertebral arteries using pulses of contrast and road-map guidance.
Learn manual closure technique after diagnostic or therapeutic procedures in cerebral angiography, including proximal artery compression, sheath removal, 10–15 minute compression with gradual release, clot removal, and sterile gauze coverage.
** An overview of the arterial tree, from the aortic arch, to the distal branches of cerebral arteries using illustrations, skull model, models of cervical vertebrae & angiographic images.
This includes:
- Aortic arch, its branches & its common & less anatomical variants.
- Segments & branches of the following arteries: common carotid artery (CCA), internal carotid artery (ICA), anterior cerebral artery (ACA) & middle cerebral artery (MCA).
- Segments & branches of the following arteries: subclavian artery, vertebral artery (VA), basilar artery (BA) & posterior cerebral artery (PCA).
Hand drawn illustrations are followed by plates including summary of each piece of information. Also, angiographic images are included to form a base for understanding cerebral angiography & facilitate interpretation of various vascular studies of the brain.
Segmentation of the internal carotid artery (ICA) is discussed following modified Fischer classification (Alain Bouthillier classification). All 7 segments are discussed on a skull model & the branches of each segment.
Some mnemonics are mentioned during the lectures to facilitate remembering the branches of subclavian artery, the branches of the external carotid artery (ECA) & the cortical branches of anterior cerebral artery (ACA).
Segments of vertebral artery (VA) are both hand drawn & illustrated on a model of cervical vertebrae.
** Cerebral venous anatomy:
Anatomy of the venous system of the brain is discussed in the same manner of the arterial tree in the following sequence:
- Dural sinuses in their superior & inferior groups.
- Cerebral veins (supra-tentorial superficial & deep veins).
- Posterior fossa veins (brain-stem & cerebellar veins).
All lectures are best viewed on large screens of computers & tablets. Although viewing on mobile phones is accepted.
** How to perform diagnostic cerebral angiography, on models & in a live case.
This includes:
- Equipment used in diagnostic cerebral angiography.
- Equipment preparation.
- Insertion of femoral arterial sheath on a model.
- Insertion of femoral arterial sheath in a live case.
- How to perform diagnostic cerebral angiography.
- Closure technique - manual compression.