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Instituto Nacional de Neurología y Neurocirugía

2008, Number 2

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Arch Neurocien 2008; 13 (2)

Prospective analysis of 200 cerebral diagnostic angiograms done by the residents of endovascular therapy of the neurosurgical service of the University of Nuevo Léon Mexico

Martínez-Ponce de León Á, Garza-Mercado R, Tamez-Montes D, Villarreal-Reyna G, Elizondo-Riojas G, Sánchez-González M, Alanís-Reséndiz HP

Language: Spanish
References: 25
Page: 99-105
PDF size: 143.01 Kb.


ABSTRACT

Recent advances in non-invasive neurovascular imaging techniques, including magnetic resonance angiography and computed tomography angiography, have reduced the number of catheter-based cerebral angiograms performed for purely diagnostic reasons. However, diagnostic cerebral angiography remains as the most accurate technique for evaluation of the cerebro-vascular system, and is irremplazable in many clinical situations. 200 consecutive cerebral angiograms performed by residents of endovascular neurosurgery at our Institution were analyzed, with particular emphasis on indications for the procedure. We also analyzed neurological and non-neurological complications. No permanent neurological deficit occurs in our patients. Transient neurological deficit were seen in 4 patients (2%): focal seizures, bilateral amaurosis and mild headache post procedure. We had four post procedural inguinal haematomas requiring no treatment and one patient developed acute renal failure. The average of fluoroscopy time was 14 minutes (range 9-22) and the amount of contrast was 108 ml (range 80-220). The low rate of complications associated with a diagnostic cerebral angiography justifies its performance when noninvasive techniques are not conclusive.


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