Abstract:
OBJECTIVE:We wanted to present our experiences for performing transradial cerebral angiography during the learning period, and we also wanted to demonstrate this procedure's technical feasibility and utility in various clinical situations. MATERIALS AND METHODS:Thirty-two patients were enrolled in the study. All of them had unfavorable situations for performing transfemoral angiography, i.e., IV lines in the bilateral femoral vein, a phobia for groin puncture, decreased blood platelet counts, large hematoma or bruise, atherosclerosis in the bilateral femoral artery and the insistence of patients for choosing another procedure. After confirming the patency of the ulnar artery with a modified Allen's test and a pulse oximeter, the procedure was done using a 21-G micorpuncture set and 5-F Simon II catheters. After angiography, hemostasis was achieved with 1-2 minutes of manual compression and the subsequent application of a hospital-made wrist brace for two hours. The technical feasiblity and procedure-related immediate and delayed complications were evaluated. RESULTS:The procedure was successful in 30/32 patients (93.8%). Failure occurred in two patients; one patient had hypoplasia of the radial artery and one patient had vasospasm following multiple puncture trials for the radial artery. Transradial cerebral angiography was technically feasible without significant difficulties even though it was tried during the learning period. Pain in the forearm or arm developed in some patients during the procedures, but this was usually mild and transient. Procedure-related immediate complications included severe bruising in one patient and a small hematoma in one patient. Any clinically significant complication or delayed complication such as radial artery occlusion was not demonstrated in our series. CONCLUSION:Transradial cerebral angiography is a useful alternative for the patients who have unfavorable clinical situations or contraindications for performing transfemoral cerebral angiography. For the experienced neurointerventionalists, it seems that additional training for performing transradial cerebral angiography is not needed.
journal_name
Korean J Radioljournal_title
Korean journal of radiologyauthors
Kim JH,Park YS,Chung CG,Park KS,Chung DJ,Kim HJdoi
10.3348/kjr.2006.7.1.7subject
Has Abstractpub_date
2006-01-01 00:00:00pages
7-13issue
1eissn
1229-6929issn
2005-8330pii
2006v7n1p7journal_volume
7pub_type
杂志文章abstract:OBJECTIVE:To investigate the diagnostic performance of contrast-enhanced ultrasound (CEUS) and its role as a second-line imaging modality after gadoxetate-enhanced MRI (Gd-EOB-MRI) in the diagnosis of hepatocellular carcinoma (HCC) among at risk observations. MATERIALS AND METHODS:We prospectively enrolled participant...
journal_title:Korean journal of radiology
pub_type: 杂志文章
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
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更新日期:2016-01-01 00:00:00
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journal_title:Korean journal of radiology
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2015-11-01 00:00:00
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journal_title:Korean journal of radiology
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更新日期:2009-05-01 00:00:00
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journal_title:Korean journal of radiology
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更新日期:2005-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:Korean journal of radiology
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更新日期:2011-05-01 00:00:00
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更新日期:2010-09-01 00:00:00
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journal_title:Korean journal of radiology
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更新日期:2012-05-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
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更新日期:2010-07-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2009.10.4.333
更新日期:2009-07-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2008-09-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2007.8.4.295
更新日期:2007-07-01 00:00:00
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更新日期:2017-03-01 00:00:00
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journal_title:Korean journal of radiology
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更新日期:2017-05-01 00:00:00
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更新日期:2012-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
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更新日期:2003-07-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2002-10-01 00:00:00
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更新日期:2017-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2009-07-01 00:00:00