Quiz case. Giant aneurysm of the right pulmonary artery.
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Biomedical subjects
Publications and source records attributed to J Demey.
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In diagnostic radiology a revolution has taken place over the last decade with the development of computer-based imaging (CT, MR). Such technologies are now available routinely even in medium-sized radiology departments. In radiotherapy departments, however, computer applications have often been limited to calculation of dose distributions on CT images and administrative tasks. The last few years applications are emerging and utilize the full power of modern computer technology and promise to revolutionize treatment planning and execution in everyday radiotherapy. The authors present their view on some of these applications and the way they may push ahead frontiers in clinical radiotherapy.
A total of 286 patients (158 outpatients) were examined by intra-arterial DSA in the evaluation of cerebrovascular disease using a transbrachial approach. In all cases a 5F introducer sheath, a 5F pigtail catheter for aortic arch injection and a 5F Simmons II catheter for selective catheterization were used. Excellent demonstration of aortic arch and supraaortic arteries (including intracranial circulation) was obtained (92.2-100%). The complication rate was favorable, with only one major complication (thrombosis of an axillary artery). The use of an introducer sheath minimizes local complications and vessel wall damage during catheter exchange. Aortic arch injection must always be performed prior to selective catheterization. The results of selective catheterization prove the suitability of the Simmons II catheter, whose typical shape was easily and safely obtained using the configuration of the pigtail catheter and a 180 cm long guide wire for catheter exchange. Using the technique as described, the transbrachial approach is a safe and easy way for optimal vascular evaluation in cerebrovascular disease, especially useful in outpatients.