The clinical application of the transradial approach for selective cerebral angiography
- VernacularTitle:经桡动脉途径行全脑血管造影的临床应用
- Author:
Xiaobo ZHANG
;
Ning YANG
;
Wei LIU
;
Jie PAN
;
Xiaoguang LI
;
Haifeng SHI
;
Zhengyu JIN
- Publication Type:Journal Article
- Keywords:
Cerebral angiography;
Radial artery;
Femoral artery
- From:
Chinese Journal of Radiology
2008;42(8):793-796
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of transrudial cerebral angiography and to discuss the technique points, advantages, disadvantages, indication and contraindication. Methods Transradial cerebral angiography was performed in 52 patients who were not suitable for transfemoral access or could not suffer from being kept in bed for 24 hours after transfemoral angingraphy, related comphcations and success rate of puncture and selective angiography were recorded and compared with transfemoral group (n = 83 ). Chi-square test was used for statistics. Results The success rate of puncture and selective angiography and the comphcation rate of transradial and transfemoral groups were 96.2% (50/52),94.2% (49/52),9.6% (5/52) and 100% (83/83),95.2% (79/83),8.4% (7/83),respectively. There were no significant differences between two groups (X2 = 0.000, P>0.05). After angiography, 2 patients of transradial group developed a mild bruise at the puncture site, no hematoma,pseudoaneurysm and artery- venous fistula occurred. Conclusion Transradial selective cerebral angiography is technically feasible and safe with comfortable and minimal comphcations. It should be used as the choice of mutes for selective cerebral angiography.