経腕動脈選択的脳血管造影法

Transbrachial Artery Approach for Selective Cerebral Angiography

I．はじめに

　脳神経外科領域における脳血管造影は必須のものであることは言及するまでもない．しかし，通常選択的脳血管造影は入院後施行されているのが現状であるが，入院の上脳血管造影を施行することは，対象患者によっては不可能なことが起こり得る．今回，われわれはdigitalsubtraction angiography（DSA）systemを用いた経腕動脈選択的脳血管造影^14）を外来患者を中心に合わせて123症例に施行しその臨床的有用性につき検討したので報告する．

Abstract

Transaxillary or transbrachial approaches to the cere-bral vessels have been reported, but selective angiogra-phy of all four vessels has not been possible through one route. In this report, a new technique for selective cerebral angiography with transbrachial approach is de-scribed. One hundred and twenty three patients with cerebral infarction, vertebrobasilar insufficiency, in-tracerebral hemorrhage, epilepsy, or cerebral tumor were examined.

Those patients consisted of 85 outpatients and 38 in-patients whose age ranged from 15 years old to 82 years old.