Why transfemoral route is used for cerebral angiography?

Cerebral angiography can be done through various routes
  • Transfemoral – most common
  • trans axillary – rarely used
  • trans carotid – rarely used

Why direct puncture of carotid artery is not used?

  • Any local complications like hematoma and pseudoaneurysm may be life threatening
  • Atherosclerotic plaques in the cartoid may dislodge during wall puncture and cause stroke

Why is the axillary artery not used?

  • Difficult to approach
  • Difficult to manouvre the catheter into the carotid artery

Why is transfemoral route preferred?

  • Easy and fast access
  • Even if local complication arise, they are not life threatening

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