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논문 기본 정보

자료유형
학술저널
저자정보
Park, Jung-Hyun (Department of Neurosurgery, Gospel Hospital, Kosin University College of Medicine) Kim, Dae-Yong (Department of Neurosurgery, Gospel Hospital, Kosin University College of Medicine) Kim, Jin-Wook (Department of Neurosurgery, Gospel Hospital, Kosin University College of Medicine) Park, Yong-Seok (Department of Neurosurgery, Gospel Hospital, Kosin University College of Medicine) Seung, Won-Bae (Department of Neurosurgery, Gospel Hospital, Kosin University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제53권 제4호
발행연도
2013.1
수록면
213 - 217 (5page)

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Objective : Transradial angiography has become popular among many cardiologists as a diagnostic and therapeutic tool. However, transradial cerebral angiography is not utilized to the same extent. The purpose of this study is to present our experience regarding the usefulness of transradial cerebral angiography, especially in elderly patients. Methods : Between May 2011 and February 2012, a total of 126 cerebral angiographies were performed via a transradial approach in a single center. Of them, only 47 patients were over 60 years old. In our institution, we shifted the initial access from the right femoral artery to the right radial artery in all patients requiring cerebral angiography in 2011. We did not attempt radial access in 40 cases for variable reasons. Results : The procedural success rate was 92.2%. We have four failures of transradial angiography; two because of loop formations of the radial and brachial artery and two due to multiple puncture failures. All supra-aortic vessels were successfully catheterized. However, the selective catheterization rates of the left side distal vessels were lower, as success rates were 89.7% for the right internal carotid artery and 75% for the left internal carotid artery. Procedure-related vascular complications, such as puncture site hematoma, hand ischemia, pseudoaneurysm, arteriovenous fistula and arterial dissection were not observed in our series. However, intraprocedural thrombosis developed in one patient, which was resolved completely by intraarterial thrombolytic agents. Conclusion : With advancing patient's age, we believe that transradial cerebral angiography is a useful tool to decrease patient's discomfort and more effectively manage the vessel tortuosity.
#Angiography #Cerebral angiography #Radial artery #Transradial

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참고문헌 (19)

참고문헌 신청
Bendok BR / 2005 / Neuroendovascular interventions for intracranial posterior circulation disease via the transradial approach : technical case report / Neurosurgery 56:E626 google schola Campeau L / 1989 / Percutaneous radial artery approach for coronary angiography / Cathet Cardiovasc Diagn 16:3~7 google schola Fessler RD / 2000 / Transradial approach for vertebral artery stenting : technical case report / Neurosurgery 46:1524~1527 google schola Heiserman JE / 1994 / Neurologic complications of cerebral angiography / AJNR Am J Neuroradiol 15:1401~1407 google schola Hildick-Smith DJ / 2004 / Transradial coronary angiography in patients with contraindications to the femoral approach : an analysis of 500 cases / Catheter Cardiovasc Interv 61:60~66 google schola

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