title: [Selective ambulatory transbrachial intra-arterial DSA of supra-aortic arteries with atypical origins].
abstract: We have already published the technique of SATISDA of supra-aortic arteries using the Tomac 1-3 catheter. In this group of 500 patients, selective demonstration of individual supra-aortic arteries was unsuccessful in 77 patients (15.4%). Demonstration was unsuccessful of three left vertebral arteries (0.6%), 45 left carotid arteries (9%), right carotid in nine (1.8%) and right vertebral artery in 20 (4%). In most cases the failure was due to an atypical origin of the vessel. To increase the success rate we used a 4-French newly developed straight Tomac 4-5 catheter. Using a combination of both catheters, selective demonstration of the left carotid was successful in 41 patients (91.1%), the right carotid in 8 (88.8%) and the right vertebral in 18 (90%). In three patients, a left-sided catheterisation had to be performed to demonstrate the left vertebral artery. Complications consisted of 17 local haematomas (3%) and reversible spasm at the puncture site in one patient (0.2%).
authors.affiliation: Neuroradiologische Abteilung der neurologischen Klinik des St. Johannes-Hospitals Hagen.
authors.forename: B
authors.initials: B
authors.lastname: Tomac
authors.forename: A
authors.initials: A
authors.lastname: Hebrang
mesh_terms: D000553:Ambulatory Care; D015901:Angiography, Digital Subtraction / Q000295:instrumentation / Q000379:methods*; D001916:Brachial Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D016122:Brachiocephalic Trunk / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002339:Carotid Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002406:Catheterization, Peripheral / Q000295:instrumentation; D006801:Humans; D014711:Vertebral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging
vernacular_title: Selektive ambulante transbrachiale intraarterielle DSA der supraaortalen Arterien bei atypischen Abgängen der supraaortalen Arterien.