Intracranial Lesions In Children Research Articles

Selective carotid arteriography in infancy.

Various angiographic technics have been employed by investigators in an effort to produce good radiographic studies of carotid or intracranial lesions in children. Following the original work of Egas Moniz (1), several different methods have been developed which utilize varied approaches to the arterial system of the head. Open angiography is performed by making a surgical incision in the neck, dissecting out the common carotid artery, and introducing the needle in the exposed vessel (2). The percutaneous method is puncture of the artery without a skin incision; this method has been employed successfully in children (3, 4). The percutaneous Seldinger-needle method with flexible guide wire and catheter has been used from the femoral artery and has given satisfactory results in children (5). In 1958 Weiner reported the catheterization of the common carotid artery via the superficial temporal artery (6). The impetus for the development of so many methods is obvious, for the strides in vascular surgery and ne...