Carotid Stenosis: Utility of Diagnostic Angiography

Carotid artery stenosis is frequently diagnosed through screening tests with non-invasive imaging. Because of differences noted between the various modalities, we sought to investigate our experience comparing non-invasive imaging (ultrasound, CT angiography, MR angiography) with invasive imaging (digital subtraction angiography). In a multi-center retrospective analysis, 249 carotid vessels were reviewed based on angiography with the associated non-invasive imaging. Overall, medical or surgical decision management was changed in 43% (107/243) of cases investigated with digital subtraction angiography due to a discrepancy between the measured percentage stenosis.

Source: World Neurosurgery - October 15, 2018 Category: Neurosurgery Authors: Daniel R. Felbaum, Christina Maxwell, Stan Naydin, Andrew Ringer, Ricardo A. Hanel, Eric Sauvageau, Amin Aghaebrahim, Pedro Aguilar-Salinas, Erol Veznedaroglu, Kenneth Liebman, Zakaria Hakma, Hirad Hedayat, Peter Kan, Visish Srinivasan, Mandy J. Binning Tags: Original article Source Type: research