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Semin intervent Radiol 2013; 30(03): 225-233
DOI: 10.1055/s-0033-1353474
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Basic Neuroangiography: Review of Technique and Perioperative Patient Care

Sun Ho Ahn
1   Division of Interventional Radiology, Department of Diagnostic Imaging, Alpert Medical School of Brown University, Providence, Rhode Island
,
Ethan A. Prince
1   Division of Interventional Radiology, Department of Diagnostic Imaging, Alpert Medical School of Brown University, Providence, Rhode Island
,
Gregory J. Dubel
1   Division of Interventional Radiology, Department of Diagnostic Imaging, Alpert Medical School of Brown University, Providence, Rhode Island
› Author Affiliations
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Publication History

Publication Date:
13 September 2013 (online)

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Abstract

Neuroangiography (NA) is an important part of diagnosis and treatment of patients with neurological disease. Although NA may be performed for diagnostic purposes, in many instances NA is performed with the intent to treat. Indications for NA range from extracranial diseases (vertebrobasilar insufficiency from subclavian steal, extracranial carotid stenosis, cavernous-carotid fistula, neck trauma, epistaxis, tumor invasion of the carotid artery, and tumor embolization) to intracranial diseases (nontraumatic subarachnoid hemorrhage, cerebral aneurysms, cerebral arteriovenous malformations, cerebral vasospasm, acute stroke, tumor embolization, and WADA test). Similar to peripheral angiography, appropriate preprocedural assessment and postprocedural care, along with understanding of anatomy, catheter technique, and disease processes, are vital to successful outcomes. This article will review the basic technique, equipment, and patient management in NA. With appropriate skill and knowledge, interventional radiologists can perform NA with safe and successful results.

Keywords

neuroangiography - technique - arteriography - interventional radiology
 

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