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[Transbrachial artery approach for selective cerebral angiography]
H Touho1, J Karasawa, H Shishido
1Department of Neurosurgery, Osaka Neurological Institute.
No Shinkei Geka. Neurological Surgery
|February 1, 1990
Summary
A new transbrachial approach allows selective cerebral angiography of all four vessels. This digital subtraction angiography technique provides comprehensive patient information for neurosurgeons with satisfactory clinical results and no complications.
Area of Science:
- Neurology
- Radiology
- Vascular Surgery
Background:
- Selective cerebral angiography is crucial for diagnosing various neurological conditions.
- Previous transaxillary or transbrachial approaches had limitations in visualizing all four major cerebral vessels simultaneously.
- A need existed for a minimally invasive technique enabling comprehensive visualization of cerebral vasculature.
Observation:
- A novel transbrachial approach for selective cerebral angiography was developed and tested.
- The study involved 123 patients (85 outpatients, 38 inpatients) aged 15-82 with conditions like cerebral infarction and tumors.
- Digital subtraction angiography (DSA) was utilized with specific catheters, needles, and guidewires.
Findings:
- The transbrachial technique successfully enabled selective angiography of all four cerebral vessels in 123 patients.
- Contrast agent volumes were standardized for common carotid and vertebral arteries, with adjustments for subclavian or brachiocephalic injections if needed.
- The procedure yielded definitive diagnoses and facilitated treatment decisions with clinically satisfactory outcomes.
Implications:
- This technique offers neurosurgeons an accessible and effective method for detailed cerebral vessel imaging.
- It simplifies the diagnostic process for a wide range of cerebrovascular diseases.
- The absence of complications suggests a favorable safety profile for this innovative angiography approach.