Unintended intra-arterial injection of contrast of an intracranial CT angiography

Computed tomography angiography (CTA) is widely used to evaluate intracranial vascular disease. We report a case of intracranial CTA with unintended intra-arterial (IA) injection of contrast due to IA placement of an intravenous cannula, which results in a selective left vertebral artery IA CTA. Kno...

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Bibliographic Details
Main Authors: Han Zhang, MD, FRCR, Sumeet Kumar, MBBS, DMRD, DNB, FRCR
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043318304102
Description
Summary:Computed tomography angiography (CTA) is widely used to evaluate intracranial vascular disease. We report a case of intracranial CTA with unintended intra-arterial (IA) injection of contrast due to IA placement of an intravenous cannula, which results in a selective left vertebral artery IA CTA. Knowledge of anatomy is essential in analyzing the whole study and identifying the error. In clinical practice, it is important to avoid and recognize a wrongly placed intravenous cannula. And bolus tracking protocol might play a role as a gatekeeper. Keywords: Computed tomography angiography, Intra-arterial injection
ISSN:1930-0433