Comparison between digital subtraction angiography and magnetic resonance angiography in investigation of nonlacunar ischemic stroke in young patients: preliminary results.
OBJECTIVE
We preliminarily investigated the relevance of performing digital subtraction angiography (DSA) in addition to magnetic resonance angiography (MRA) in definition of ischemic stroke etiology in young patients.


METHODS
DSAs and MRAs from 17 young patients with nonlacunar ischemic stroke were blindly analyzed and their impact on stroke management was evaluated.


RESULTS
Etiologies were the same considering results of either DSA or MRA in 12/17 cases. In 15/17 patients no changes would have been made in treatment, regardless of the modality of angiography considered.


CONCLUSIONS
These preliminary results suggest that DSA may be redundant in two thirds of ischemic strokes in young patients. Further larger prospective studies are necessary to determine indications of DSA in this age group.
Conforto
Adriana Bastos
AB
Neurology Clinical Division, Hospital das Clínicas, São Paulo University, Av. Dr. Enéas de Carvalho Aguiar 255, 5084 05403-000 São Paulo SP, Brazil. abconf@usp.br
Fregni
Felipe
F
Puglia
Paulo
P
Leite
Claudia da Costa
Cda C
Yamamoto
Fabio Iuji
FI
Coracini
Karen F
KF
Scaff
Milberto
M
D000293:Adolescent; D000328:Adult; D015901:Angiography, Digital Subtraction; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D015203:Reproducibility of Results; D020521:Stroke / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology