经上肢动脉全脑血管造影安全性与可行性研究

目的探讨经上肢动脉全脑血管造影的安全性及可行性。方法经上肢动脉脑血管造影156例与同期经股动脉穿刺脑血管造影278例在手术成功率、并发症方面比较,同时介绍二例经股动脉途径造影失败而改为经肱动脉穿刺颅内支架成形术成功的经过。结果经上肢动脉穿刺成功率100%。以选择双侧颈总动脉及单侧椎动脉造影获得足够诊断的影像为成功标准,经上肢动脉全脑血管造影成功率96.8%(151/156),低于经股动脉成功率99.2%(276/278),但两者比较无统计学差异(P>0.05),经上肢造影5例导管成袢失败,患者年龄均大于60岁。经上肢动脉造影术后并发症5.8%(9/156)低于经股动脉入路11.1%(31/278),两者比较无统计学差异(P>0.05)。结论经上肢动脉造影安全、可行,手术成功率高、并发症低。

Brain angiography and interventional therapy through artery of upper extremity

Objective To discuss the security and the feasibility of brain angiography and interventional therapy through artery of upper extremity.Methods 156 cases undergone brain angiography and 2 case stent-plasty through artery of upper extremity and 278 case undergone femoral artery to compare.Results The achievement ratio of arteriopuncture through artery of upper extremity is 100%.As select bilateral common carotid atery and one side of vertebral artry to reach the requirement for diagnostic as success,the achievement ratio of brain angiography through artery of upper extremity is 96.8%（151/156）,5 abortive case＇s age exceed 60,lower than through femoral artery（99.2%,276/278）,but both sides had no significance（P〉0.05）.The complication through artery of upper extremity is 5.8%（9/156）,lower than through femoral artery（11.1%,31/278）,both sides had no significance（P〉0.05）.The two abortive stent-plasty through femoral artery succeed by through brachial artery.Conclusion It is safe and feasible through artery of upper extremity brain angiography,It has higher achievement ratio and less complication.