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American Journal of Roentgenology, Vol 95, 845-851, Copyright © 1965 by American Roentgen Ray Society

THE RELATION OF ARTERIAL TRAUMA TO COMPLICATIONS OF CEREBRAL ANGIOGRAPHY

JOSEPH H. ALLEN M.D.1, CARLOS PARERA M.D.2, and D. GORDON POTTS M.D.3

1 Department of Radiology, Vanderbilt University, School of Medicine, Nashville, Tennessee
2 Department of Neuroradiology, Institute of Neurological Sciences, Madrid, Spain
3 From the Department of Radiology, Columbia University, College of Physicians and Surgeons, and the Radiological Service of the Neurological Institute, Columbia-Presbyterian Medical Center, New York, New York

In a series of 538 angiographic studies on 400 patients there were 21 complications including 1 death and 1 permanent hemiplegia. All of the remaining complications cleared within 4 days.

The evidence suggests that when simultaneous biplane angiography is used, and small quantities of contrast medium are injected, trauma to the artery and subintimal injection of the contrast material are the most common causes of complications, and that true toxic effects of the contrast medium (other than allergic reactions) are rare.


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