Document Detail

Complications of intraarterial digital subtraction angiography in patients investigated for cerebral vascular disease.
MedLine Citation:
PMID:  8220965     Owner:  NLM     Status:  MEDLINE    
395 patients (236 males, mean age 55.6 years: 159 females, mean age 52.2 years) with suspected transient ischaemic attacks or previous strokes underwent intraarterial digital subtraction angiography (IADSA) over a 3-year period ending in March 1991. All procedures were performed via the femoral approach and the majority consisted of arch studies followed by selective catheterization. 253 (64.1%) of the patients had extracranial vascular disease confirmed at angiography. A retrospective analysis of the patients' records was made to extract all possible complications. Complications were defined as any untoward symptoms or signs occurring within 48 h and which could have been related to the angiogram. Neurological complications occurred in 15 (3.89%) patients. 10 (2.5%) patients had transient complications which resolved completely within 24 h. In three (0.8%) patients the neurological deficit was reversible, recovering fully within 6 days. Two (0.52%) patients were left with residual disability from stroke at 10 days. The permanent neurological complication rate is in the lower range of the rates recorded in previous conventional angiographic studies. We conclude that IADSA is a relatively safe and reliable form of investigation in patients with suspected cerebral vascular disease.
N G Warnock; M R Gandhi; U Bergvall; T Powell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  66     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-12-14     Completed Date:  1993-12-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  855-8     Citation Subset:  AIM; IM    
Department of Diagnostic Imaging, Royal Hallamshire Hospital, Sheffield, UK.
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MeSH Terms
Angiography, Digital Subtraction / adverse effects*
Cerebrovascular Disorders / radiography*
Ischemic Attack, Transient / radiography
Middle Aged
Nervous System Diseases / etiology
Retrospective Studies
Time Factors
Vascular Diseases / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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