title: Diagnostic angiography of the cerebrospinal vasculature.
abstract: Diagnostic catheter angiography remains the gold standard for evaluation of vascular lesions of the brain, head and neck, and spine. It is often combined with cross-sectional and functional imaging to provide a complete anatomic and physiologic workup of patients. Such data are combined with clinical information to help make treatment decisions. This chapter describes the specific techniques for arterial access and catheter navigation of the cerebrospinal vasculature. Discussion of patient positioning, injection rates, and basic anatomy of arterial and venous systems is included. Finally, important safety issues related to contrast allergy, renal failure, and complications are considered.
authors.affiliation: Neurointerventional Service, Massachusetts General Hospital, Boston, MA, USA. Electronic address: jrabinov@mgh.harvard.edu.
authors.forename: James D
authors.initials: JD
authors.lastname: Rabinov
authors.affiliation: Neurointerventional Service, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Thabele M
authors.initials: TM
authors.lastname: Leslie-Mazwi
authors.affiliation: Neurointerventional Service, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Hirsch
mesh_terms: D001808:Blood Vessels / Q000000981:diagnostic imaging*; D002540:Cerebral Cortex / Q000000981:diagnostic imaging*; D006801:Humans; D018810:Magnetic Resonance Angiography; D013116:Spinal Cord / Q000000981:diagnostic imaging*
keywords: cerebral angiography; spinal angiography; vascular techniques and risks of angiography