Radial artery puncture makes cerebral angiography easier.

"Can you really get out of bed after the procedure? I heard that you have to lie in bed all day without moving during cerebral angiography?" At the nurse station of the second ward of the neurosurgery department of Zhongshan Peoples` Hospital, Senior Li, a family member of the patient, asked with doubts Nurse Xiao Wang.

"Auntie, don't worry about it. Now we perform puncture angiography through the radial artery on the wrist with Surgical instruments, which is no longer as troublesome as traditional femoral artery angiography." Xiao Wang replied with a smile.

It turned out that at the end of December last year, Senior Li had undergone craniotomy and clipping in the second area of the hospital's Shenwai District due to ruptured aneurysm and bleeding. This was the first time he came back to review the cerebrovascular condition after recovery and discharge. After researching a lot of relevant knowledge, he became concerned about traditional cerebral angiography.

Cerebral angiography can clearly display intracranial blood vessel images and is the gold standard for diagnosing aneurysms. It is also a required examination item for postoperative review of various cerebrovascular diseases. However, the puncture site of traditional femoral arteriography is located at the root of the thigh, which takes a long time to stop bleeding and requires the patient to rest in bed for 24 hours, and the puncture site cannot be bent for 12 hours. The patient is prone to back pain, numbness of the lower limbs, and even the formation of thrombosis in the lower limbs. However, the contrast agent used during the operation requires the patient to drink a lot of water to promote excretion. If it is inconvenient to get out of bed, there is a hidden danger of urinary retention, which is a burden to the patient and their families.

In order to provide patients and their families with a better medical experience and implement excellent services into the details, Shenwai District has begun to try to perform puncture angiography through the radial artery since 2021, and successfully carried out the first transradial angiography in the city. The location of radial artery puncture angiography is on the wrist. Compared with traditional femoral artery puncture angiography, Radial artery compression torniquet is used to stop bleeding, and the Radial artery hemostatic device is very simple in usage, does not require rest in bed, and does not restrict the patient's activities. If the results are normal, the patient can be discharged from the hospital on the same day, which reduces the burden on the patient and their family members. Reduce medical costs.

"That's a lot more convenient and worry-free. Before I came here, I specifically told my son to come and take care of me. It seems like he won't need it anymore!" Aunt Zhou was very happy. It is understood that transradial artery puncture angiography has gradually become the main method of cerebral angiography in neurosurgery, opening up a new way of examination and treatment for patients with cerebral vascular disease, and improving the comfort and acceptability of cerebrovascular interventional surgery.