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選擇的 內頸動脈 X線檢査方法의 새로운 考察

A NEW TECHNIQUE OF SELECTIVE INTERNAL CAROTID ANGIOGRAPHY

대한의학협회지 1970년 13권 10호 p.847 ~ 850
강석린,
소속 상세정보
강석린 (  ) - 국립의료원 방사선과

Abstract

Many authors tried for selective internal carotid angiography. (Liverud, 1958. Elfin, 1960. Sheldon, 1964) Seldinger trchnique (Catheter method) in caro샹 angiorgraphy been first started by Liverud (1958) and it is modified by Elfin (1960). The author used catheter method more than 1,000 cases and experienced not a singleserious complications. For. selective internal carotid angiography the author used-following technique.
Patient in supine position the examiner puncture the common carotid artery at the thyloid cartilage level which is about 2~3cm above the ordinary common carotid puncture. After puncture the common carotid artery the examiner turn the needle top 180° and the needle opening directed to the cervical spine,. so as to prevent the guide wire proceed to the external carotid artery. Next, the patients head bend downwards as much as possible. Then the guide wire naturally go into the internal carotid artery (Fig. I).
With this new technique among 143 examinations successful internal carotid angiography were 116 examinations (81. 9%) and 27 cases (18. 1%) failed internal carotid angiography and common carotid angiography were done. For control 95 examinations were performed in usual Seldinger method and only 44 examinations (46.3%) succeeded internal carotid angiography and remained 51 examinations (53. 7%) made with common carotid angiography.
More experienced skillful hand will succeed much more percentage of selective internal carotid angiography by the author´s method.

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