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At the initial angiographic examination,aneurysms were found in 195 patients(60.4%),and arteriovenous malformations were found in 11 patients (3.4%).Sixty-six patients with negative findings at initial examination underwent repeat cerebral angiography.Three additional aneurysms were detected,all of which could be seen retrospectively on the initial angiogram.Complications of the 391 angiographic examinations were definitive neurologic deficits in one patient(0.2%)and transient deficits in seven patients(1.8%).Repeat angiography is not necessary in patients with subarachnoid hemorrhage if technically good,carefully evaluated digital subtraction angiography is performed initially.Repeat angiography seems to be justified only when the initial exam is technically inadequate,when vasospasm is present,or if further bleeding occurs. |
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aneurysm aneurysm,intracranial angiography,cerebral angiography,cerebral,false negative angiography,cerebral,indications subarachnoid hemorrhage subarachnoid hemorrhage,normal cerebral angiography with vasospasm,cerebral
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