Abstract
Catheter angiography of the spine is much less common than cerebral angiography, but it remains the gold standard for imaging spinal vasculature. Non-invasive imaging of spinal vasculature, including high resolution MRA or CTA, can sometimes be helpful to screen for larger vascular abnormalities, but fails to provide precise information regarding flow patterns and collateral flow; many times the vessels of interest are below the spatial resolution of these non-invasive modalities. Diagnostic spinal angiography is also typically done as the first step during neurointerventional procedures involving the spine and spinal cord. The techniques and skills required for spinal angiography can overlap those required for cerebral angiography, since the upper cervical spine and spinal cord are supplied by the vertebral arteries. However, the spine extends from the base of the skull to the sacrum, and imaging the vasculature is a procedure entirely different from cerebral angiography.
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Harrigan, M.R., Deveikis, J.P. (2013). Spinal Angiography. In: Handbook of Cerebrovascular Disease and Neurointerventional Technique. Contemporary Medical Imaging, vol 1. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-946-4_3
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DOI: https://doi.org/10.1007/978-1-61779-946-4_3
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