ABSTRACT
Screening of cerebrovascular disease by transbranchial arch injection. One hundred and seventy five patients underwent non selective intra arterial digital subtraction angiography using a transbranchial approach. Unilateral failure occurred in eight patients, but contralateral approach was then possible. Transient cerebral ischaemia affected one patient. Seven locoregional complications occurred, five of them underwent among the seventy three first procedures. Experience of the examining radiologist, duration of procedure and diameter of the catheter (4 or 5 F) are essential safety factors. Three false-negative and one false-positive in carotid bifurcations appears with surgical results reviews. This safe and efficient technique is often sufficient for a therapeutic decision, especially for surgery, but, in a few cases, additional selective injections can be necessary. Possible in out patients, this approach is chosen when femoral artery catheterization is impossible, or before reconstructive aorto-ilio-femoral surgery, to decrease septic risk.
Subject(s)
Angiography, Digital Subtraction , Aorta, Thoracic/diagnostic imaging , Arteriosclerosis/diagnostic imaging , Adult , Aged , Aged, 80 and over , Angiography, Digital Subtraction/adverse effects , Angiography, Digital Subtraction/methods , Aortography/methods , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
After angiography, a 17 year-old male patient presented a pseudo appendicular syndrome. After two poorly contributive surgical explorations, CT and MR Imaging showed atresia of the infra-renal vena cava, with pelvic thrombophlebitis extending to the gonadal and lumbar collateral circulation.
Subject(s)
Thrombophlebitis/etiology , Vena Cava, Inferior/abnormalities , Adolescent , Humans , Kidney , Male , PelvisABSTRACT
The authors report four observations of synovial cysts of the psoas bursa. They recall the following from a review of the literature: the relative rarity of these lesions, their physiopathology, their clinical expression, the diagnostic tests available, which at present consist mainly of modern imaging (echography and tomodensitometry), and finally the principles of treatment.