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Technical note: femoral angiography using the reverse shuffle technique

J W Oxtoby¹, C C Yeong, J Singanayagam

¹Department of Radiology, North Staffordshire Hospital, Hartshill, Stoke on Trent, UK.

The British Journal of Radiology

|September 1, 1995

Summary

The reverse shuffle technique for stepping table femoral angiography significantly reduces the number of runs needed. This modified angiography method improves efficiency, requiring only one run in most cases.

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Area of Science:

Medical Imaging
Vascular Interventions
Radiology

Background:

Stepping table angiography is a common procedure for visualizing femoral arteries.
Conventional techniques may require multiple runs, increasing procedure time and contrast agent usage.

Purpose of the Study:

To introduce and evaluate the efficacy of the "reverse shuffle" technique for stepping table femoral angiography.
To determine if the reverse shuffle technique can minimize the number of runs required per examination.

Main Methods:

A retrospective study was conducted comparing the "reverse shuffle" technique with the conventional stepping table sequence.
The reverse shuffle technique involves a modified reverse table movement for acquiring early and late films.

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Main Results:

98% of angiograms using the reverse shuffle technique required only a single run.
In contrast, only 58% of angiograms using the conventional technique required a single run.
The reverse shuffle technique demonstrated a significant reduction in the number of runs needed.

Conclusions:

The "reverse shuffle" technique is a simple and effective modification for stepping table femoral angiography.
This technique should be considered for routine use to improve procedural efficiency.
The reverse table movement may also benefit automated digital subtraction angiography (DSA) systems.