Translumbar carotid arteriography

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Diagnostic Imaging

Background:

• Selective catheterization is crucial for various diagnostic and interventional procedures.
• Traditional arterial access methods like the axillary approach can be associated with complications.
• Femoral arterial access is the preferred route but may not always be feasible.

Purpose of the Study:

• To evaluate the safety and efficacy of a translumbar catheter exchange sheath for carotid arteriography and arch aortography.
• To compare the translumbar approach with the axillary approach in terms of ease of use and complication rates.

Main Methods:

• Seven patients underwent carotid arteriography and arch aortography.
• A translumbar catheter exchange sheath was utilized to facilitate selective catheterization.
• Procedures were monitored for any significant complications.

Main Results:

• The translumbar approach was successfully employed in all seven patients.
• No significant complications were reported during or after the procedures.
• The translumbar approach was found to be easier to perform compared to the axillary approach.

Conclusions:

• The translumbar approach using a catheter exchange sheath is a safe and effective method for carotid arteriography and arch aortography.
• This technique offers a viable alternative when femoral arterial access is unavailable.
• The translumbar approach may lead to fewer complications than the axillary approach.