自1927年Moniz成功完成第一例颈动脉造影以来,脑血管造影技术已发生了巨大变化。作者运用长导管和长导丝借助“翻转”技术经股动脉选择性头颈血管造影使常规导管术失败者得以成功。避免了经上肢动脉时需第二次动脉穿刺的麻烦。病人年龄67～90岁。使用5F导管,长130cm,头端形成同向三级弯曲;导丝长180cm。经股动脉将导管头端置于 Since 1927 Moniz successfully completed the first case of carotid angiography, cerebral angiography has undergone tremendous changes. The authors used long catheters and long guide wires to succeed with conventional catheterization by “inversion” via selective head and neck angiography of the femoral artery. Avoid the trouble of needing the second arterial puncture through the upper extremity artery. Patient age 67 to 90 years old. The use of 5F catheter, length 130cm, head to form a three-level bending; guide wire length 180cm. The femoral artery catheter tip placed