Summary
Angiography remains a very important means of evaluation of ischemic strokes: it confirms the diagnosis showing the occluded artery. It eventually shows the anastomotic pathways for cerebral circulation and it often finds the causes of stroke, among which the most frequent are atherosclerosis (70%) and fibromuscular hyperplasia (10%). The safer way to perform angiography is the retrograde route. Indications for angiography must be discussed according to the type of stroke, its onset, and the arterial territory involved.
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References
Fisher CM (1951) Occlusion of the internal carotid artery. Arch Neurol Psychiatr 65:346–377
Bradac BL, Oberson R (1983) Angiography and computed tomography in cerebro-arterial occlusion disease. Springer, Berlin Heidelberg New York
Kilgore B, Fields W (1974) Arterial occlusion disease in radiography of the skull and brain. Newton TH, Potts DG (eds) Mosby, St Louis, pp 2311–2343
Bruetman H, Fields W, Crawford E, Debaly M (1963) Cerebral hemorrhage in carotid artery surgery. Arch Neurol 9: 458–468
Wylie E, Hein H, Adams J (1964) Intracranial hemorrhage following surgical revascularization for treatment of acute stroke. J Neurosurg 21:212–215
Deramond H, Remond A, Rosat P, Froissard M, Dobbelaere P, Trinez G (1980) Spontaneous evolution of non traumatic dissecting aneurysms of the cervical portion of the internal carotid artery. Radiology aspects. J Neuroradiol 7 (3):167–182
Sellier N, Chiras J, Benhamou M, Bories J (1983) Dissections spontanées de la carotide interne cervicale. Aspects cliniques, radiologiques et évolutifs. A propos de 46 cas. J Neuroradiol 10:243–259
Wylie E, Ehrenfeld N (1970) Extracranial occlusion cerebrovascular disease: diagnosis on a management. Saunders, Philadelphia
Bories J, Merland JJ (1979) Angiographie carotidienne. In: Ecoiffier J, Tessier JP, Roche A, Fischgold H (eds) Précis de techniques spécialisées du radiodiagnostic. Masson, pp 188–213
Clarisse J, Malke D, Malke Ribet C, Dubbelaerep Francke JP (1979) Athérome carotidien et sénescence artérielle. Etude microradiographique. J Neuroradiology 6:33
Metz H, Murray Leslie RM, Bannister RG, Bull JW, Marshall J (1961) Kinking internal carotid artery in relation to cerebrobasilar disease. Lancet 1:424
Vannix RJ, Jorgensen EJ, Cartier R (1977) Kinking of the internal carotid artery. Clinical significance and surgical management. Am J Surg 134–182
Weibel J, Fields W (1965) Tortuosity, coiling and kinking of the internal carotid artery: etiology and radiographic anatomy. Neurology 15–17
Weibel J, Fields W (1965) Relationship of morphological variation to cerebrovascular insufficiency. Neurology 15:462
Wylie EJ, Binkley FM, Palubinsras AJ (1966) Extrarenal fibromuscular hyperplasia. Am Surg 112–149
Ehrenfeld WK, Stoney RJ, Wylie EJ (1968) Fibromuscular hyperplasia of the internal carotid artery. Arch Surg 95–284
Houser OW, Maker HL (1968) Fibromuscular hyperplasia and other uncommon disease of the cervical carotid artery. Angiographic aspects. Am J Roentgenol 104:201–212
Manelfe C (1974) DFM. J Neuroradiol
Vega Molina J, Chiras J, Poirier B, Bories J. Fibromuscular hyperplasia of the vertebral artery. 85 cases. Neuroradiology
O'Dwier JA, Moscow N, Trevor R, Ehrenfeld WK, Newton TH (1980) Spontaneous dissection of the internal carotid artery. Radiology 137–179
Chiras J, Marciano S, Vega Molina J, Touboul J, Poirier B, Bories J. Spontaneous dissecting aneurysm of the extracranial vertebral artery. Neuroradiology
Chiras J, Bories J, Fredy D, Missir O, Leguillou C, Drouineau J (1982) Traumatisme fermé de la carotide extracranienne. J Radiologie 63:329–336
Cellerier P, Georget AM (1984) Dissection des artères vertébrales après manipulation du rachis cervical. J Radiologie 65: 191–196
Sherman DG, Hart RG, Easton JD (1981) Abrupt change in head position and cerebral infarction. 12 (1):2–6
Ferris CJ (1984) Arteritis. In: Newton TH, Potts DG (eds) Radiology of the skull and brain, angiography. Vol 2, Book 2 (arteries) C.K. Mosby, St. Louis
Launay M, Fredy D, Merland JJ, Bories J (1977) Narrowing and occlusion of arteries by intracranial tumors: review of the literature and report of 25 cases. Neuroradiology 14:117–126
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Chiras, J., Bories, J., Barth, M.O. et al. Cerebral angiography in ischemic strokes. Neuroradiology 27, 521–538 (1985). https://doi.org/10.1007/BF00340848
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DOI: https://doi.org/10.1007/BF00340848