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Cerebral Angiographic Risk in Mild Cerebrovascular Disease
Stroke 21:209-222, Hankey,G.J.,et al, 1990
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Article Abstract
We review the eight prospective and seven retrospective studies from which it is possible to derive the complication rate of conventional cerebral angiography for patients with mild ischemic cerebrovascular disease who are potential candidates for carotid endarterectomy.Three studies of intravenous and one of intra-arterial digital subtraction angiography are also examined.An overview of the results suggests that the risk of a neurological complication(TIA or stroke)is about 4%and that a permanent neurological deficit(disabling stroke)occurs in about 1%.The mortality rate is very low(<0.1%).Systemic complications are not infrequent, particularly with intravenous digital subtraction angiography.The complication rate of cerebral angiography must be considered when evaluating the risks of carotid endarterectomy in patients with ischemic cerebrovascular disease.
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angiography,cerebral
angiography,neurologic complications with
carotid artery disease,noninvasive evaluation of
cerebrovascular accident
cerebrovascular disease
duplex ultrasound
review article
ultrasonography
ultrasonography,carotid artery
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