【摘要】 目的 :对经颈总动脉穿刺行脑动脉DSA的方法进行再次改良。材料与方法 :15例经CTA或MRA检查诊断为一侧大脑半球病变的患者 ,行患侧颈总动脉穿刺脑动脉DSA ,穿刺成功后改为放置单腔中央静脉导管。结果 :全部获得成功。其中颅内的动静脉畸形 6例、动静脉瘘 3例、脑肿瘤 2例、脑动脉瘤 4例。造影后经局部压迫止血后 ,均无血肿形成 ,卧床 6小时后即可在床上作适当的活动。结论 :经我们再次改良的方法 ,操作简单易行 ,时间短、费用少。且由于其内置导管直径小 ,压迫止血容易 ,术后患者能较早活动。在手术前行患侧经颈总动脉穿刺脑动脉DSA检查。不失为一种简单易行而有效的方法 ,值得推广使用更多还原

【Abstract】 Purpose:Re-modifying the method of DSA puncturing arteria cerebri through arteria carotis communis.Materials and Methods:Regard to the 15 patients who were diagnosed to sick risk of one half of brain after CTA or MRA check,their arteria cerebri were punctured with DSA through vice arteria carotis communis and then replaced with putting single-lumen central venous catheter after successful puncture.Results:All succeeded including 6 patients of the arteriovenous monstrosities of inner cranium,3 patients of arteriovenous fistula,2 patients of brain tumor and 4 patients of arteria tumor of brain.There are not any hematomas formed through parcel oppressed stanch after angiography and the patients may do some appropriate activity in bde after 6 hours keeping the bde.Conclusion:It can be approved that this operation is easy and feasible saving time and expenditure after our re-modifying this method.Moreover,patients can earlier move after operation because of the little diameter of built-in pipe and easily oppressed stanch.So it is a really easy and feasible method and worthy of promoting to use that the patient was done the arteria cerebri puncture with DSA through vice arteria carotis communis before operation.更多还原