title: Transcardiac cerebral angiography in a child.
abstract: The authors present a case in which transfemoral venous, transcardiac cerebral angiography was performed. In this 5-year-old girl with PHACE syndrome, both transfemoral and transbrachial arterial routes could not be used due to aortic interruption and aneurysmal dilation and small looping of the proximal portion of bilateral subclavian arteries. A 5-F balloon-tipped double-lumen catheter was advanced to the right atrium of the heart from the femoral vein. The catheter was then advanced to the left atrium through the patent foramen ovale and was further advanced to the left ventricle and then to the ascending aorta. The balloon catheter was exchanged for a 4-F catheter. Bilateral common carotid angiography was performed without difficulty. This transcardiac approach is useful in the unusual situation in which both femoral and brachial arterial routes are not available.
authors.affiliation: Department of Neurosurgery, Osaka City General Hospital, Osaka, Japan. komiyama@japan-mail.com
authors.forename: Masaki
authors.initials: M
authors.lastname: Komiyama
authors.forename: Tomoya
authors.initials: T
authors.lastname: Ishiguro
authors.forename: Aiko
authors.initials: A
authors.lastname: Terada
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Murakami
mesh_terms: D000768:Anesthesia, General; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization; D002339:Carotid Arteries / Q000000981:diagnostic imaging; D002533:Cerebral Angiography / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D005268:Femoral Vein; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging*; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging*; D006801:Humans; D018810:Magnetic Resonance Angiography; D010536:Peritoneovenous Shunt; D013577:Syndrome; D014057:Tomography, X-Ray Computed