Vertebral Arteriography Using the Sheldon Needle and Modifications of It

Swann, Garry

doi:10.1259/0007-1285-31-361-23

Cited by 20 publications

(4 citation statements)

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“…The angiographic technique used was that described by LINDGREN (1950), but a Sheldon needle with a small side aperture 2 to 3 mm from the trocarpointed tip, as modified by SWANN (1958), was used instead of the ordinary short-bevel needle. After the introduction of the Swann needle, we considered that puncture of the vertebral artery was so simple that every neuroradiologist experienced in carotid angiography should be able to perform vertebral angiography.…”

Section: Discussionmentioning

confidence: 99%

Arteriovenous Fistula after Percutaneous Vertebral Angiography

Lester¹

1966

Acta Radiologica. Diagnosis

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More than a hundred arteriovenous fistulas on the vertebral arteries, most of them after penetrating injuries, have previously been described (ELKIN & HARRIS 1946), but ARONSON (1961) was the first to demonstrate these fistulas arteriographically.Although SUGAR et colI. as early as 1949 mentioned the possibility of an arteriovenous fistula as a complication of percutaneous vertebral angiography, these fistulas are apparently uncommon, as only a few cases have been described in the literature since OLSON et colI. in 1963 published the first.The three additional cases of this complication reported here suggest that it is perhaps not as rare as has been presumed. As they are to be included in a future paper (JACOBSEN et coll.), which also describes two fistulas after closed injuries, they will only be summarized here. Case reportsCase 1. Male, aged 2 I, with a subarachnoid haemorrhage without focal neurologic symptoms or signs. Bilateral carotid angiography and percutaneous left vertebral angiography, undertaken by a less experienced operator, revealed nothing abnormal. After this last examination the patient was troubled by tinnitus and he was re-admitted 7 months later for further investigation. This revealed a machinery murmur over the middle of the left side cf the neck, and 22 --653272. Acta Radiologica Diagnosis 5 (1966) 337 at MCMASTER UNIV LIBRARY on July 25, 2015 acr.sagepub.com Downloaded from 338 JACK LESTER Transremoral catheterization demonstrates arteriovenous fistula on the left vertebral artery 6 months after percutaneous vertebral angiography. an arteriovenous fistula of the left vertebral artery was demonstrated by transfemoral catheterization (see accompanying illustration).Case 2. Boy, aged 14, with attacks of rotatory vertigo, tinnitus and headache. The left plantar response was extensor, but no other abnormal neurologic signs were found. On suspicion of a vascular malformation, left vertebral angiography was done by a less experienced operator. The angiography revealed nothing abnormal. After this the tinnitus changed; from a humming noise it turned into a rhythmic, blowing sound. The remaining symptoms were unchanged. The patient was re-admitted six months later and a machinery murmur was auscultated over the left side of the neck. Transfcmoral angiography revealed an arteriovenous fistula on the left vertebral artery similar to the one found in case I.Case 3. Woman, aged 26, with a six months history of rotatory vertigo and headache. For two weeks she had had buzzing in both ears. She was admitted to another hospital and on suspicion of a space-occupying infratentorial lesion left-sided percutaneous vertebral angiography was attempted. The examination was unsuccessful, as the needle could not be held in position in the artery. Sixteen ml Urografin 60 % was injected, but no intracranial filling was obtained. After this, the tinnitus increased and a rhythmic, blowing sound, which had not been present before the examination, could be heard on the left side of the neck. The patient was transferre...

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Section: Discussionmentioning

confidence: 99%

Arteriovenous Fistula after Percutaneous Vertebral Angiography

Lester¹

1966

Acta Radiologica. Diagnosis

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“…The major problem in percutaneous puncture, as pointed out by SJOGREN, is to maintain the tip of the needle in the correct position within the vessel. Various needles have been designed to facilitate this (SJo-GREN 1953, SHELDON 1956, SWANN 1958. SWANN (1958) The two catheter methods, as well as the puncture technique, have advantages as well as disadvantages.…”

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“…Various needles have been designed to facilitate this (SJo-GREN 1953, SHELDON 1956, SWANN 1958. SWANN (1958) The two catheter methods, as well as the puncture technique, have advantages as well as disadvantages. Percutaneous puncture of the vertebral artery may be a painful experience to the patient, while a puncture of the radial or femoral artery is readily tolerated.…”

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Vertebral Catheterization VIA the Femoral Artery

Cronqvist¹

1961

Acta Radiologica

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STEI: CRONQ,VISTThe direct percutaneous and the catheter methods, of all those proposed for vertebral angiography, are the only two commonly employed. We have in Lund mainly used the catheter technique introduced by RADNER in 1947 but during the last two years a technique with catheterization of the vertebral artery from the femoral artery has been tried as the primary approach in almost all cases. This paper represents an analysis of our experience with this method.The technique described by RADNER involved exposure of the radial artery, a small ureteric catheter being inserted through an incision in this vessel and manipulated upwards into the vertebral artery.In 1951 BIERMAN pointed out the possibility of introducing a catheter in the vertebral artery via the femoral artery. LINDGREN (1956) was the first to use this route and to report clinical experiences with the method. His technique consisted of percutaneous puncture of the femoral artery, a catheter being introduced and inserted into the aorta and up to the aortic arch through the needle. The catheter then usually slipped into the left subclavian artery and the contrast medium was injected with the tip of the catheter in the most proximal part of the vessel. If the tip of the catheter could not be passed into the subclavian artery it was left in the part of the aortic arch from which the subclavian artery arises; a larger amount of contrast medium than that used when

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The Dynamics of Transient Cerebral Blindness

Silverman¹,

Bergman²,

Bender³

1961

Arch Neurol

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Although cerebral blindness is well known and has been described in numerous communications,37,28,8 detailed studies, particularly those relating to changes in the visual functions over the course of time, have been limited. Thus the condition of the fields of vision before blindness is rarely known, and the history of the onset is often incomplete. Moreover patients usually have severe mental disturbances which make it impossible to determine whether they are totally blind. When there is residual vision, per-

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Vertebral Arteriography Using the Sheldon Needle and Modifications of It

Cited by 20 publications

References 6 publications

Arteriovenous Fistula after Percutaneous Vertebral Angiography

Arteriovenous Fistula after Percutaneous Vertebral Angiography

Vertebral Catheterization VIA the Femoral Artery

The Dynamics of Transient Cerebral Blindness

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