hpgh
Contributor
PROCEDURE: Both groins were prepped with Betadine. Using 1% lidocaine, the right common femoral artery wire was placed folowed by a 5-french sheath. Next, a glide wire was placed into the axcending aorta followed by a Pigtail catheter. A 30 cc flush arch aortogram was done. Then, wire was reintroduced, and a JB1 catheter was exchanged. It was then used to intubate the vertebral on the right, handheld injections of about 5 cc of dye or less. When we did the subclavian one, we then measured the pressure in the subclavian the then did a pullback into the innominate artery to show as if there was any gradient with pressure. We hten again placed a glide wire within the catheter and then intubated the left subclavian artery up the vertebral and again did selective shots with multiple views with handheld injection. We then took the catheter out of the left subclavian with the wire involved, and then we were able to intubate the left common carotid artery. Again,multiple views with handheld injections were done with the above findings.