Stroke, Vol 18, 997-1004, Copyright © 1987 by American Heart Association
JE Dion, PC Gates, AJ Fox, HJ Barnett and RJ Blom
Clinical events following cerebral angiography were prospectively evaluated
in 1,002 procedures. The ischemic event rate between 0 and 24 hours was
1.3% (0.1% permanent). This incidence was higher (2.5%) in patients
investigated for cerebrovascular disease, but the difference was not
significant. In addition, 1.8% of the patients suffered ischemia (0.3%
permanent) between 24 and 72 hours after angiography. Cerebral ischemic
events occurred as a recurrence or worsening of a preexisting phenomenon.
twice as often as de novo. All permanent ischemia was a worsening of a
preexisting phenomenon. There was a significant increase in the incidence
of neurologic events between 0 and 24 hours when the procedure lasted
longer than 60 minutes and when there was systolic hypertension. Trends
toward higher incidence were noted with the use of increased volume of
contrast, with increased serum creatinine, when transient ischemic attacks
or stroke were the indications, and when 3 or more catheters were used. The
incidence of neurologic events between 24 and 72 hours increased
significantly with the increase in the amount of contrast used, with age,
and with diabetes. The occurrence of nonneurologic events (mostly
hematomas) was significantly increased by multiple factors. This study
shows that events can and do occur beyond the usual observation period of
24 hours but confirms the low risk of cerebral angiography when performed
judiciously.
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Clinical events following neuroangiography: a prospective study
Department of Diagnostic Radiology, University Hospital, London, Ontario, Canada.
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|
|
|
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|
|
|
|
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|
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|
|
|
|
|
|
S. Chaturvedi, P. N. Policherla, and L. Femino Cerebral Angiography Practices at US Teaching Hospitals : Implications for Carotid Endarterectomy Stroke, October 1, 1997; 28(10): 1895 - 1897. [Abstract] [Full Text]
|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
R. P. Gerraty, D. N. Bowser, B. Infeld, P. J. Mitchell, and S. M. Davis Microemboli During Carotid Angiography: Association With Stroke Risk Factors or Subsequent Magnetic Resonance Imaging Changes? Stroke, September 1, 1996; 27(9): 1543 - 1547. [Abstract] [Full Text]
|
|
|
|
|
|
J. L. Wilterdink, E. Feldmann, J. D. Easton, and R. Ward Performance of Carotid Ultrasound in Evaluating Candidates for Carotid Endarterectomy Is Optimized by an Approach Based on Clinical Outcome Rather Than Accuracy Stroke, June 1, 1996; 27(6): 1094 - 1098. [Abstract] [Full Text]
|
|
|
|
|
|
H. G. Beebe, J. P. Archie, W. H. Baker, R. W. Barnes, G. J. Becker, E. F. Bernstein, B. Brener, G. P. Clagett, A. W. Clowes, J. P. Cooke, et al. Concern About Safety of Carotid Angioplasty Stroke, February 1, 1996; 27(2): 197 - 198. [Full Text]
|
|
|
|
 |
|
 H. J. M. Barnett, M. Eliasziw, and H. E. Meldrum The Identification by Imaging Methods of Patients Who Might Benefit From Carotid Endarterectomy Arch Neurol, August 1, 1995; 52(8): 827 - 831. [Abstract] [PDF]
|
|
|
|
 |
|
 R. B. Haynes, D. W. Taylor, D. L. Sackett, K. Thorpe, G. G. Ferguson, and H. J. M. Barnett Prevention of Functional Impairment by Endarterectomy for Symptomatic High-grade Carotid Stenosis JAMA, April 27, 1994; 271(16): 1256 - 1259. [Abstract] [PDF]
|
|
|
|
|
|
M. D. Colburn and W. S. Moore Risk-Benefit Aspects of Surgery for Asymptomatic Carotid Artery Stenosis Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1994; 7(2): 6 - 30. [PDF]
|
|
|
|
|
|
H. J. M. Barnett, R. W. Barnes, and J. T. Robertson The Uncertainties Surrounding Carotid Endarterectomy JAMA, December 2, 1992; 268(21): 3120 - 3121. [Abstract] [PDF]
|
|
|
|
|
|
A. Shuaib and V. C. Hachinski Migraine and the Risks From Angiography Arch Neurol, August 1, 1988; 45(8): 911 - 912. [Abstract] [PDF]
|
|