Cerullo L J, Rajakulasingam K, Raimondi A J
Childs Brain. 1980;6(1):1-12.
The technique of femoral-cerebral catheterization in infants and children is described, and a series of 1,869 procedures is analyzed for complications. Clinical complications occurred in 12 of 678 or 1.8% of examinations while radiographic complications were discovered in 38 of 1,869 or 1.1% of procedures. The results are compared to a similar retrospective study of a large series (2,184 procedures) of direct puncture/retrograde brachial studies in a similar patient population at the same institution in which there was a 2.6% clinical complication rate and a 4.3% radiographic complication rate. Those factors which predispose to complications, clinical or radiographic, are more pronounced in the younger age groups but affect the direct puncture/retrograde brachial technique to a greater degree. The lower morbidity, greater selectivity and improved comfort make the femoral-cerebral route preferable for neuroangiographic studies in infants and children.
描述了婴幼儿股-脑导管插入术的技术，并对1869例该手术进行了并发症分析。在678例检查中有12例出现临床并发症，发生率为1.8%；而在1869例手术中有38例发现影像学并发症，发生率为1.1%。将这些结果与同一机构对类似患者群体进行的一大系列（2184例手术）直接穿刺/逆行肱动脉研究的类似回顾性研究进行比较，后者的临床并发症发生率为2.6%，影像学并发症发生率为4.3%。那些易引发临床或影像学并发症的因素在较年轻年龄组中更为明显，但对直接穿刺/逆行肱动脉技术的影响更大。较低的发病率、更高的选择性和更好的舒适度使得股-脑途径更适合于婴幼儿的神经血管造影研究。
