1Prof. Bassem Yousef Sheikh

1Madinah

Background(s):

Arterial catheterization is the first step in each and every endovascular procedure.  Failure to attain a decent access result in failure or complicated final outcome.  Although arterial access catheterization  is oftentimes performed by manual pulse palpation, ultrasound guided access has been introduced to increase catheterization success rates and to lower complications.

Identifying arterial pulse may be challenging.  Hypotensive patients, obese individuals, presence of edema, atherosclerosis, or small diameter arteries, in addition to anatomical landmark variation, all play role in cannulation failure, hematoma formation, arterial spasm, injury, thrombosis, and patient discomfort.

Ultrasound guided Arterial catheterization is advocated as a mean to decrease these difficulties.

Material(s) and Method(s):

Method: Case series hospital based population on neuro endovascular procedures.

In this report we present The type of ultrasound device used, the  ultrasound approach longitudinal or short  axis view, and outcomes including first-attempt success rate, failure rate, time to first successful attempt, and the rate of hematoma development.

Result(s):

Our experience confirmed that ultrasound guided  catheterization technique increased first-pass success and reduced failure rates.  Ultrasound guided  catheterization using combined short-long axis technique gave superior results than each separately.

Conclusion(s):

Our results advice for the routine utilization of ultrasound guided  arterial access catheterization technique.