Summary
Selective intra-arterial digital subtraction angiography of the brachiocephalic arteries using the right brachial artery approach was successfully performed for 169 of 173 patients, 33 of whom were outpatients. Catheterization was unsuccessful for four patients; two of them elderly hypertensive men with tortuous brachial arteries, and two of them middle-aged obese women for whom arterial puncture could not be performed. 4-F modified Simmons type catheters were used in this study. Selective catheterizations of both common carotid arteries were successfully performed in all but one patient, a woman whose aberrant right subclavian artery prevented bilateral common carotid arterial catheterizations. Selective catheterizations of the right vertebral and left subclavian arteries, though relatively difficult, were successfully performed in 84.2% and 93.9% of patients, respectively. The mean examination time for a four-vessel study was 24.3 min. No major complications were encountered. Thus, transbrachial selective catheterization of the brachiocephalic arteries proved to be safe, useful, and relatively easy to perform.
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Matsunaga N, Hayashi K, Uetani M, Hirao K, Iwao M, Aikawa H, Mori H, Hombo Z (1987) Selective cerebral intraarterial digital subtraction angiography by transbrachia approach. Nippon Act Radiol 47:85–86
Uchino A, Satoh Y, Ohno M (1987) Selective intra-arterial digital subtraction angiography (IADSA) in cerebrovascular disease: Preliminary report of right transbrachial approach. Nippon Act Radiol 47:1051–1057
Touho H, Karasawa J, Shishido H, Tazawa T, Yamada K, Kobayashi K, Asai M, Yasue H, Kagawa M (1988) Transbrachial artery approach for selective cerebral angiography in outpatients. AJNR 9:334–336
Becker GJ, Hicks ME, Holden RW, Edwards MK, Jackson VP, Bendick PJ (1984) Screening for occlusive vascular disease with intraarterial DSA: Preliminary experience with a high flow 4-F catheter. Radiology 153:823
McCreary JA, Schellhas KP, Brant-Zawadzki M, Norman D, Newton TH (1985) Outpatient DSA in cerebrovascular disease using transbrachial arch injections. AJR 145:941–947
Hicks ME, Kreipke DL, Becker GJ, Edwards MK, Holden RW, Jackson VP, Bendick PJ, Kuehn DS (1986) Cerebrovascular disease: Evaluation with transbrachial intraarterial digital subtraction angiography using a 4-F catheter. Radiology 161: 545–546
Gritter KJ, Laidlaw WW, Peterson NT (1987) Complications of outpatient transbrachial intraarterial digital subtraction angiography: Work in progress. Radiology 162:125–127
Grollman JH, Marcus R (1988) Transbrachial arteriography: Techniques and complications. Cardiovasc Intervent Radiol 11:32–35
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Uchino, A. Selective catheterization of the brachiocephalic arteries via the right brachial artery. Neuroradiology 30, 524–527 (1988). https://doi.org/10.1007/BF00339694
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DOI: https://doi.org/10.1007/BF00339694