Amaurosis fugax: carotid endarterectomy without an angiogram.
The risks of carotid angiography--technical, allergic, cardiac, renal, or emotional--may be lessened or absented by the use of real-time B-mode ultrasound to evaluate carotid artery disease. A patient with amaurosis fugax, a positive fluorescein angiogram, ulceration on ultrasound, and an unremarkable computed tomography scan was operated on without angiography. The pathology was correct and the patient did well.
K P
KP
Baliga
W H
WH
Bell
M D
MD
Kerstein
D000368:Aged; D001766:Blindness / Q000209:etiology*; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002533:Cerebral Angiography; D004691:Endarterectomy; D006801:Humans; D008297:Male; D011300:Preoperative Care