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首页> 外文期刊>American Journal of Neuroradiology >3.3F Catheter/Sheath System for Use in Diagnostic Neuroangiography
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3.3F Catheter/Sheath System for Use in Diagnostic Neuroangiography

机译：用于诊断性神经血管造影的3.3F导管/鞘系统

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BACKGROUND AND PURPOSE: Although neuroangiography remains the criterion standard standard for the detection of and surgical/interventional planning for cerebrovascular diseases, it usually requires that patients be confined to bed rest for several hours after angiography to prevent local complications. Decreasing catheter size has reduced the risk of hemorrhagic complications associated with early ambulation after angiography. For this study, we prospectively evaluated the clinical feasibility of a 3.3F catheter/sheath system for selective neuroangiography. METHODS: One hundred seventeen consecutive patients (49 men, 68 women; age range, 18–83 years; mean age, 56.9 years) underwent selective neuroangiography using 3.3F catheters. The exclusion criteria for this study included a subsequent surgicaleurointerventional procedure performed within 18 hours and necessity of arch aortography, which is routinely performed for the first examination of patients with ischemic cerebrovascular diseases. The procedure was evaluated prospectively in terms of success rate, compression time of the arterial puncture site, and periprocedural complications. RESULTS: Selective catheterization of the intended arteries was performed in 99% of the carotid arteries and 97.4% of the vertebral arteries. No neurologic complications or local hemorrhagic complications were observed. Manual compression time after the procedure ranged from 3 to 7 minutes (mean, 3.7 minutes), and patient bed rest after the procedure ranged from 2 to 3 hours (mean, 2.04 hours). CONCLUSION: Selective neuroangiography with a 3.3F catheter/sheath system is feasible and enables early ambulation in selected patients.
机译：背景与目的：尽管神经血管造影仍然是脑血管疾病的检测和外科手术/介入计划的标准标准，但通常要求患者血管造影 后应卧床休息数小时，以防止局部并发症。减小导管尺寸已经减少了与 早期血管造影后行走动相关的出血并发症的风险。对于本研究，我们前瞻性地 评估了3.3F导管/鞘 系统用于选择性神经血管造影的临床可行性。 方法：连续117例患者（49名男性， 女性；年龄范围18-83岁；平均年龄56.9岁） 使用3.3F导管进行了选择性神经血管造影。这项研究的 排除标准包括在18小时内进行的后续外科手术/神经介入手术 以及必要时进行弓形主动脉造影， 患有缺血性脑血管疾病的患者的首次检查。根据成功率，动脉穿刺部位的压迫时间和术中围手术期并发症对手术进行了评估。结果：选择性导管插入术99％的颈动脉和97.4％的 椎动脉执行了预期的动脉 。未观察到神经系统并发症或局部出血性 并发症。手术后 的手动压迫时间为3至7分钟（平均3.7分钟），而手术后 卧床休息的时间为2至3小时。 / sup>（平均2.04小时）。 结论：采用3.3F导管/鞘 系统进行选择性神经血管造影是可行的，并且可以使选定的 患者。

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  • 来源
    《American Journal of Neuroradiology》 |2002年第4期|711-715|共5页
  • 作者

    Hiro Kiyosue; Mika Okahara; Hirofumi Nagatomi; Takaharu Nakamura; Shuichi Tanoue; Hiromu Mori;

  • 作者单位

    Department of Radiology, Nagatomi Neurosurgical Hospital, Japan;

    Department of Radiology, Nagatomi Neurosurgical Hospital, Japan;

    Department of Neurosurgery, Nagatomi Neurosurgical Hospital, Japan;

    Department of Neurosurgery, Nagatomi Neurosurgical Hospital, Japan;

    Department of Radiology, Oita Medical University, Japan;

    Department of Radiology, Oita Medical University, Japan;

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