AJDRAJNR - American Journal of Neuroradiology

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Technical Note
INTERVENTIONAL

Use of the Ulnar Artery as an Alternative Access Site for Cerebral Angiography

K.F. Laytona,b, D.F. Kallmesa and T.J. Kaufmanna

a Department of Radiology, Mayo Clinic, Rochester, Minn
b Department of Radiology, Baylor University Medical Center, Dallas, Tex

Please address correspondence to Kennith F. Layton, MD, Baylor University Medical Center, Department of Radiology, 3500 Gaston Ave, Dallas, TX 75246; e-mail: klayton{at}americanrad.com

SUMMARY: Although the common femoral artery is the easiest and most widely accepted access site for cerebral angiography, atherosclerotic, aortoiliac, or femoral artery disease can preclude this approach. We describe our experience using the ulnar artery access site in a patient with bilateral aortoiliac occlusive disease. This article may be useful to neuroradiologists who encounter difficulty with other arterial access sites. A description of the technique and a review of the pertinent literature are provided.