Does intracranial dye study contribute to evaluation of carotid artery disease?
One thousand consecutive cerebral arteriograms for suspected carotid artery disease were retrospectively evaluated for the intracranial disease component. Only 784 patients (78 percent) had arteriograms of the intracranial circulation. Forty-six patients (6 percent) had siphon stenosis in the range of 5 to 70 percent. No patient had a lesion encompassing more than 75 percent of the vessel diameter. Thirteen patients (2 percent) had intracranial aneurysms. All patients were asymptomatic from the standpoint of their aneurysms and none required surgical intervention. One additional patient was noted to have an intracranial tumor, which was confirmed by computerized tomography. In this patient population, intracranial dye study did not provide information that altered management.
Akers
D L
DL
Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana 70112.
Bell
W H
WH
Kerstein
M D
MD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D002533:Cerebral Angiography; D004691:Endarterectomy; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed