Cerebral angiographic risk in mild cerebrovascular disease

G J Hankey, C P Warlow, R J Sellar

Research output: Contribution to journalReview articlepeer-review

402 Citations (Scopus)

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 (less than 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.

Original languageEnglish
Pages (from-to)209-22
Number of pages14
JournalStroke
Volume21
Issue number2
Publication statusPublished - Feb 1990
Externally publishedYes

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