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, N G Warnock, MRCP, FRCR Department of Diagnostic Imaging , C-Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK Search for other works by this author on: Oxford Academic M R Gandhi, MRCP, FRCR Department of Diagnostic Imaging , C-Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK Search for other works by this author on: Oxford Academic U Bergvall, MD Department of Diagnostic Imaging , C-Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK Search for other works by this author on: Oxford Academic T Powell, FRCP, FRCR Department of Diagnostic Imaging , C-Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK Search for other works by this author on: Oxford Academic
British Journal of Radiology, Volume 66, Issue 790, 1 October 1993, Pages 855–858, https://doi.org/10.1259/0007-1285-66-790-855
Published:
28 January 2014
Article history
Received:
08 October 1992
Revision received:
08 February 1993
Accepted:
05 April 1993
Published:
28 January 2014
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N G Warnock, M R Gandhi, U Bergvall, T Powell, Complications of intraarterial digital subtraction angiography in patients investigated for cerebral vascular disease, British Journal of Radiology, Volume 66, Issue 790, 1 October 1993, Pages 855–858, https://doi.org/10.1259/0007-1285-66-790-855
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Abstract
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.
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