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Complications of Cerebral Angiography in Patients with Sympt Carotid Territory Ischaemia Screened by Carotid Ultrasound JNNP 56:967-972, Davies,K.N.,et al, 1993 See this aricle in Pubmed Article Abstract Complications occurred in 28 patients.There were six(3%)local,two(1%) systemic and 20(10%)neurological complications.Seventeen neurological complications occurred within 24 hours and there were three late complications(24-72 hours).Neurological complications occurred more frequently when angiography was performed by a trainee rather than a consultant neuroradiologist(p<0.01).The neurological complications were transient(resolved within 24 hours)in 10/200(5%),reversible(resolved within seven days)in two(1%)and permanent in 8/200(4%).Two patients died after stroke and two others suffered a disabling stroke.At 24 hours post angiography the permanent(persisting beyond seven days)neurological complication rate was 2.5%.The incident of total neurological complications and post angiographic strokes was higher in patients with greater than 90%stenosis of the symptomatic internal carotid artery(p<0. 001).The increased use of non-invasive Doppler duplex screening will reduce the absolute number of patients put at risk of angiographic complications is likely to increase as patients with severe stenosis of the symptomatic internal carotid artery are probably most at risk of complications and have most to gain from carotid endarterectomy.

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(click to filter results - removes previous filter) angiography,cerebral angiography,neurologic complications with carotid angiogram carotid artery disease carotid artery stenosis doppler

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