1. PRINCIPIOS DE LA
ANGIOGRAFÍA CON
FLUORESCEÍNA
(Parte II)
Carlos Azañero Inope
Residente - Oftalmología

2. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
Prior to fluorescein
angiography, patients should be
counseled regarding the relevant
risks.
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com

3. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY

4. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
Fluorescein may temporarily
discolor the skin and urine yellow
until it is eliminated, which
occurs through both the kidneys
and liver.
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com

5. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
Patients with renal insufficiency may therefore experience delayed
elimination.
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com

6. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com

7. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
All units performing fluorescein
angiography should have ready
access to emergency medical
equipment (“crash cart”) in the
unlikely event of life threatening
reaction.
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com

8. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
Patients with a prior history of mild or moderately severe
reactions, depending on their seriousness, may still be
candidates for angiography following premedication with
antihistamines such as diphenhydramine and/or
corticosteroids such as prednisone.
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com

9. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
Common practice dictates the
avoidance of angiography in
pregnant women, especially in the
first trimester , although evidence
regarding toxicity is Scant.
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com

10. PROCEDURES FOR FLUORESCEIN ANGIOGRAPHY
The typical injection procedure
involves application of an upper
extremity tourniquet, cannulation of
an antecubital or forearm vein,
tourniquet release, initiation of
camera timer, and then injection of a
bolus of dye, often 5 mL of 10%
sodium fluorescein.
Dr.Carlos Augusto Azañero Inope
www.carlosvirtual.com