Document Detail


Minimal invasive method for intraoperative angiography using the superficial temporal artery with preservation of its trunk.
MedLine Citation:
PMID:  18291451     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Intraoperative angiography is useful in evaluating the vascular lesion before clipping/excision, presence of any residual lesion, and excluding unintended occlusion/stenosis of the arterial branch/parent artery. The previously reported techniques using the superficial temporal artery involved either retrograde cannulation of the aortic arch or its permanent obliteration at the end of the procedure. The present report describes a simple method that enables cannulation of the artery using standard Sildenger's technique and ensures its patency at the end of the procedure for possible use in present or future procedures. METHODS: The method was applied during craniotomies performed for various intracranial vascular lesions. One division of the superficial temporal artery was subjected to catheterization. At the end of the procedure, the division of the superficial temporal artery that was punctured was hemostased, leaving the main trunk patent. RESULTS: Intraoperative cerebral angiography was performed by the author via catheterization of one division of the superficial temporal artery in 56 craniotomies. Intraoperative cerebral angiography showed adequate high-quality subtraction images. CONCLUSION: The present report describes a simple method that enables cannulation of one division of the superficial temporal artery and preserves the main trunk at the end of the procedure.
Authors:
Bassem Yousef Sheikh
Publication Detail:
Type:  Journal Article     Date:  2008-03-04
Journal Detail:
Title:  Surgical neurology     Volume:  70     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-05     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  640-3; discussion 643-4     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Taibah University, Al-Madina, Saudi Arabia. bsheikh@health.net.sa
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MeSH Terms
Descriptor/Qualifier:
Catheterization*
Cerebral Angiography / methods*
Cerebrovascular Disorders / radiography*,  surgery
Cohort Studies
Craniotomy*
Hemostasis, Surgical
Humans
Surgery, Computer-Assisted*
Temporal Arteries*
Treatment Outcome
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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