This Article Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by McIvor, J. Articles by Rose, F. C. Search for Related Content PubMed PubMed Citation Articles by McIvor, J. Articles by Rose, F. C.

Neurological morbidity of arch and carotid arteriography in cerebrovascular disease. The influence of contrast medium and radiologist

J. McIvor, F.R.C.R. T. J. Steiner, M.B., Ph.D. ^* G. D. Perkin, B.A., M.B., F.R.C.P R. M. Greenhalgh, M.A., M.Chir., F.R.C.S. and F. Clifford Rose, F.R.C.P. ^*,

Department of Radiology and Neurology, Charing Cross Hospital, London W6 Department of Neurology, Charing Cross Hospital, London W6 ^* Academic Unit of Neuroscience, Charing Cross and Westminster Medical School, London W6 Professorial Department of Surgery, Charing Cross and Westminster Medical School, London W6

A prospective study of 230 arch and carotid arteriograms in 229 patients with symptomatic cerebrovascular disease revealed that neurological morbidity was not significantly affected by patient age, nature of neurological symptoms, duration of procedure, volume of contrast medium or degree of arterial stenosis. The total neurological morbidity of 132 examinations carried out with non-ionic contrast medium (iohexol) was slightly lower than that of 98 examinations carried out with ionic contrast medium (meglumine and sodium iothalamate) but the difference was not statistically significant. However, the morbidity of 185 examinations performed by an experienced vascular radiologist was significantly lower (p < 0.025) than the morbidity of 45 examinations performed by a series of radiologists in training and the mean time required for the procedure was 18 min longer in the latter group (p < 0.001). These findings suggest that the neurological morbidity of arch and carotid arteriography in patients with cerebrovascular disease depends largely upon catheter technique and will not be significantly reduced by the use of non-ionic contrast medium.

Received for publication April 1, 1986.

This article has been cited by other articles:

				R. Thiex, A.M. Norbash, and K.U. Frerichs The Safety of Dedicated-Team Catheter-Based Diagnostic Cerebral Angiography in the Era of Advanced Noninvasive Imaging AJNR Am. J. Neuroradiol., February 1, 2010; 31(2): 230 - 234. [Abstract] [Full Text] [PDF]

				A. F. AbuRahma, J. D. Hayes, J. T. Deel, S. Abu-Halimah, B. B. Mullins, J. H. Habib, C. A. Welch, and Z. AbuRahma Complications of Diagnostic Carotid/Cerebral Arteriography when Performed by a Vascular Surgeon Vascular and Endovascular Surgery, May 1, 2006; 40(3): 189 - 195. [Abstract] [PDF]

				N. Angle and P. A. Schneider What Are the Skills That Prepare Vascular Surgeons for Carotid Stenting? Perspectives in Vascular Surgery and Endovascular Therapy, June 1, 2005; 17(2): 83 - 93. [Abstract] [PDF]

				J. J. Connors III, D. Sacks, A. J. Furlan, W. R. Selman, E. J. Russell, P. E. Stieg, M. N. Hadley, and for the NeuroVascular Coalition Writing Group Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention: A Joint Statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, the Congress of Neurological Surgeons, the AANS/CNS Cerebrovascular Section, and the Society of Interventional Radiology Neurology, January 25, 2005; 64(2): 190 - 198. [Full Text] [PDF]

				J. J. Connors III, D. Sacks, A. J. Furlan, W. R. Selman, E. J. Russell, P. E. Stieg, M. N. Hadley, and For the NeuroVascular Coalition Writing Group Training, Competency, and Credentialing Standards for Diagnostic Cervicocerebral Angiography, Carotid Stenting, and Cerebrovascular Intervention: A Joint Statement from the American Academy of Neurology, American Association of Neurological Surgeons, American Society of Interventional and Therapeutic Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, AANS/CNS Cerebrovascular Section, and Society of Interventional Radiology Radiology, January 1, 2005; 234(1): 26 - 34. [Full Text] [PDF]

				J. J. Connors III, D. Sacks, A. J. Furlan, W. R. Selman, E. J. Russell, P. E. Stieg, M. N. Hadley, and for the NeuroVascular Coalition Writing Group Training, Competency, and Credentialing Standards for Diagnostic Cervicocerebral Angiography, Carotid Stenting, and Cerebrovascular Intervention: A Joint Statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, the Congress of Neurological Surgeons, the AANS/CNS Cerebrovascular Section, and the Society of Interventional Radiology AJNR Am. J. Neuroradiol., November 1, 2004; 25(10): 1732 - 1741. [Full Text] [PDF]

				R. T. Higashida, P. M. Meyers, C. C. Phatouros, J. J. Connors III, J. D. Barr, D. Sacks, and for the Technology Assessment Committees of the Am Reporting Standards for Carotid Artery Angioplasty and Stent Placement Stroke, May 1, 2004; 35(5): e112 - e134. [Full Text] [PDF]

				J. D. Barr, J. J. Connors III, D. Sacks, J. C. Wojak, G. J. Becker, J. F. Cardella, B. Chopko, J. E. Dion, A. J. Fox, R. T. Higashida, et al. Quality Improvement Guidelines for the Performance of Cervical Carotid Angioplasty and Stent Placement: Developed by a Collaborative Panel of the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, and the Society of Interventional Radiology AJNR Am. J. Neuroradiol., November 1, 2003; 24(10): 2020 - 2034. [Full Text] [PDF]

				R. A. Willinsky, S. M. Taylor, K. terBrugge, R. I. Farb, G. Tomlinson, and W. Montanera Neurologic Complications of Cerebral Angiography: Prospective Analysis of 2,899 Procedures and Review of the Literature Radiology, May 1, 2003; 227(2): 522 - 528. [Abstract] [Full Text] [PDF]

				Cooperative Study between the ASNR ASITN, and the Quality Improvement Guidelines for Adult Diagnostic Neuroangiography AJNR Am. J. Neuroradiol., January 1, 2000; 21(1): 146 - 150. [Full Text] [PDF]