Document Detail

Conventional digital subtraction x-ray angiography versus magnetic resonance angiography in the evaluation of carotid disease: patient satisfaction and preferences.
MedLine Citation:
PMID:  15041456     Owner:  NLM     Status:  MEDLINE    
AIM: To compare conventional digital subtraction x-ray angiography (DSA) and contrast-enhanced magnetic resonance angiography (MRA) of the carotid arteries in terms of patient satisfaction and preferences. METHODS: One hundred and sixty-seven patients with symptomatic carotid artery disease, who underwent both DSA and MRA, were prospectively recruited in this study. Patients' perceptions of each method were assessed by the use of a questionnaire after each procedure. Main outcome measures were anxiety, pain, satisfaction rate and patient preferences. RESULTS: DSA generated more anxiety and pain during the procedure, but the severity of these ill-effects was mild. Satisfaction rates for each method were similar. More patients were, however, willing to have a repeat MRA compared with DSA (67 versus 41%). The majority of patients (62%) preferred MRA over DSA (31%). The shorter MRA imaging time was found to be a significant factor in patients' acceptance of the technique. The main reasons cited by patients for their dislike of a particular procedure was noise and claustrophobia for MRA and invasiveness, pain and post-procedural bed rest for DSA. CONCLUSIONS: MRA is the method that is preferred by the majority of patients, although the actual disutility of DSA may be small. Assuming equal diagnostic accuracy, our data supports replacement of DSA by MRA for routine carotid imaging.
J M U-King-Im; R Trivedi; J Cross; N Higgins; M Graves; P Kirkpatrick; N Antoun; J H Gillard
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical radiology     Volume:  59     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-03-25     Completed Date:  2004-06-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  358-63     Citation Subset:  IM    
Department of Radiology, Addenbrooke's Hospital and the University of Cambridge, Cambridge, UK.
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MeSH Terms
Aged, 80 and over
Angiography, Digital Subtraction* / methods,  psychology
Anxiety / etiology
Carotid Stenosis / diagnosis*,  psychology
Magnetic Resonance Angiography* / methods,  psychology
Middle Aged
Pain / etiology
Patient Satisfaction*
Prospective Studies
Comment In:
Clin Radiol. 2004 Apr;59(4):356-7   [PMID:  15041455 ]

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

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