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AJNR - American Journal of Neuroradiology

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Transradial Approach for Diagnostic Selective Cerebral Angiography: Results of a Consecutive Series of 166 Cases

Yasushi Matsumoto^a, Kazuhiro Hongo^,a, Toshihide Toriyama^a, Hisashi Nagashima^a and Shigeaki Kobayashi^a

^a From the Department of Neurosurgery, Shinshu University School of Medicine (Y.M., K.H., H.N., S.K.), Matsumoto; and the Department of Neurosurgery, Komoro-Kosei General Hospital (T.T.), Komoro, Japan.

View larger version (75K): [in a new window]   FIG 1. A newly designed 120-cm-long 4F modified Simmons catheter is covered with special lubricant coating and is soft enough to be advanced over a 0.035-inch guidewire

View larger version (73K): [in a new window]   FIG 2. A and B, Radiographs show procedure for making a catheter tip J-shaped. The 4F catheter is advanced into the ascending aorta just above the aortic valves; a 0.035-inch guidewire is then turned over above the aortic valves (A) and the catheter is advanced over the guidewire until the tip forms a J shape (B)