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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.19 No.4
- 발행연도
- 2017.1
- 수록면
- 276 - 283 (8page)
이용수
초록· 키워드
오류제보하기
Objective : We aimed to introduce our method involving prepuncture ultrasound scan for cannulation of the common femoral artery (CFA) during transfemoral cerebral angiography (TFCA), and to assess the clinical and radiological outcomes. Material and Methods : Our study included 90 patients who underwent prepuncture ultrasound examination of the inguinal area for TFCA between April 2015 and June 2015. Prior to skin preparation and draping of the inguinal area, we identified the CFA and its bifurcation using ultrasound. Based on the ultrasound findings, we marked cruciate lines in the inguinal area. Thereafter, we inserted a puncture needle at the interface between the horizontal and vertical lines at a 30-45° angle, simultaneously palpating the pulsation of the femoral artery. After TFCA was completed, femoral artery angiography was performed in the anteroposterior and oblique directions. Clinical and radiological parameters, including CFA cannulation, the ultrasound scan time, the first pass success rate, the time required for the passage of the wire, and complications, were evaluated. Results : The mean ultrasound scan time of the CFA and its bifurcation was 72.6 seconds, and the mean time between administration of local anesthesia and wire passage was 67.44 seconds. The first pass success rate was 77.8% (70/90 patients), and the CFA puncture rate was 98.8% (89/90 patients). Although minor complications were noted in 7 patients, no patient reported serious complications (a large hematoma [≥ 5 cm], pseudoaneurysms, dissection, and/or a retroperitoneal hematoma.) Conclusion : Prepuncture ultrasound examination might be a simple, safe, and accurate technique for cannulation of the CFA during TFCA.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Abu-Fadel MS / 2009 / Fluoroscopy vs. traditional guided femoral arterial access and the use of closure devices: a randomized controlled trial / Catheter Cardiovasc Interv 74(4):533~539
Ho-Young Ahn / 2014 / Assessment of the Optimal Site of Femoral Artery Puncture and Angiographic Anatomical Study of the Common Femoral Artery / 대한신경외과학회지 56(2):91~97
Altin RS / 1989 / Pseudoaneurysm and arteriovenous fistula after femoral artery catheterization:association with low femoral punctures / AJR Am J Roentgenol 152(3):629~631
Ammann P / 2003 / Procedural complications following diagnostic coronary angiography are related to the operator's experience and the catheter size / Catheter Cardiovasc Interv 59(1):13~18
Chandrasekar B / 2001 / Complications of cardiac catheterization in the current era: a single-center experience / Catheter Cardiovasc Interv 52(3):289~295
Ho-Young Ahn / 2014 / Assessment of the Optimal Site of Femoral Artery Puncture and Angiographic Anatomical Study of the Common Femoral Artery / 대한신경외과학회지 56(2):91~97
Altin RS / 1989 / Pseudoaneurysm and arteriovenous fistula after femoral artery catheterization:association with low femoral punctures / AJR Am J Roentgenol 152(3):629~631
Ammann P / 2003 / Procedural complications following diagnostic coronary angiography are related to the operator's experience and the catheter size / Catheter Cardiovasc Interv 59(1):13~18
Chandrasekar B / 2001 / Complications of cardiac catheterization in the current era: a single-center experience / Catheter Cardiovasc Interv 52(3):289~295
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