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Complications of Carotid Arteriography
RUSSEL H. PATTERSON, JR., MD;
HELEN GOODELL, BS;
HENRY S. DUNNING, MD
Arch Neurol. 1964;10(5):513-520.
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Introduction
Opinions vary about the hazard of carotid arteriography, especially in those patients with cerebral ischemia whether secondary to occlusive arterial disease, arterial spasm following subarachnoid hemorrhage, or vascular headache of the migraine type. In 1957, Riishede concluded after a detailed study of 100 patients with cerebral infarction that "the risk (of arteriography) is not greater than in any general neurosurgical material."1 However, in 1959, McDowell et al found a high morbidity of 20%, resulting from carotid arteriography in 68 patients with cerebrovascular disease. These authors urged caution in the use of arteriography, particularly in patients who were stuporous or whose condition was deteriorating following a stroke.2
To prevent the occurrence of these complications various authors have stressed the value of using small amounts of dye, restricting the number of injections, and performing the procedure under general anesthesia. In order to assess the risk involved and the
. . . [Full Text PDF of this Article]
Author Affiliations
NEW YORK
From Departments of Surgery (Neurosurgery) and Neurology, Cornell University Medical College, and The New York Hospital.
Footnotes
Submitted for publication Nov 30, 1963; accepted Feb 14, 1964.
Assistant Professor of Surgery (Neurosurgery) Cornell University Medical College (Dr. Patterson); Research Fellow Cornell University Medical College (Miss Goodell); Clinical Professor of Neurology in Medicine, Cornell University Medical College (Dr. Dunning).
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