Selective cerebral intraarterial DSA

Complication rate and control of risk factors


In 1095 patients 2770 brain supplying arteries have been studied by i.a.-DSA. Definitive neurological deficits occurred in 0.09%, transient deficits were observed in 0.45%. The reduced complication rate in comparison to former studies seems to be a continued effect of technical progress (DSA) and the use of new isoosmotic contrast media. In order to reduce the “training hospital effect” as to complication rate careful supervision of trainees is necessary. The average fluoroscopy time per vessel is proposed as an objective measure of the investigational skill of a neuroradiologist.

This is a preview of subscription content, access via your institution.


  1. 1.

    Earnest F, Forbes G, Sandock BA, Piepgras DG, Faust RJ, Ilstrup DM, Arndt LJ (1984) Complications of cerebral angiography: prospective assessment of risk. AJR 142:247–253

    Google Scholar 

  2. 2.

    Gross-Fengels W, Mödder U, Beyer D, Neufang KFR, Godehardt E (1987) Komplikationen brachiocephaler Katheterangiographien bei Verwendung eines nicht-ionischen Kontrastmittels. Radiologe 27:83–88

    Google Scholar 

  3. 3.

    Huckman MS, Shenk GI, Neems RL, Tinor T (1979) Transfemoral cerebral angiography versus direct percutaneous carotid and brachial ateriography: a comparison of complication rates. Radiology 132:93–97

    Google Scholar 

  4. 4.

    Kachel R, Ritter H, Schiffmann R, Schumann E (1980) Komplikationen bei zerebraler Angiographie. Bericht über 4181 zerebrale Angiographien. Zentralbl Chir 105:504–512

    Google Scholar 

  5. 5.

    Mani RL, Eisenberg RL (1978) Complications of catheter cerebral arteriography: analysis of 5000 procedures. III. Assessment of arteries injected. Contrast medium used, duration of procedure, and age of patient. AJR 131:871–874

    Google Scholar 

  6. 6.

    Mani RL, Eisenberg RL (1978) Complications of catheter cerebral arteriography: analysis of 5000 procedures. II. Relation of complication rates to clinical and arteriographic diagnoses. AJR 131:867–869

    Google Scholar 

  7. 7.

    Mani RL, Eisenberg RL, McDonald EJ jr, Pollock JA, Mani JR (1978) Complications of catheter cerebral arteriography: analysis of 5000 procedures. I. Criteria and incidence. AJR 131:861–865

    Google Scholar 

  8. 8.

    Mützel W, Speck U (1983) Effects of ionic and non-ionic contrast media after selective peripheral and cerebral arterial injections in rats. Fortschr Röntgenstr 118:62–66

    Google Scholar 

  9. 9.

    Pace A, Grassa C, Cavaletti C, Figa'Talamanca L (1984) Complicanza dell'angiografia cerebrale. Analisi statistica di 1260 casi. Recenti Prog Med 75:132–141

    Google Scholar 

  10. 10.

    Reisner H, Samec P, Zeiler K (1980) On the complication rate of cerebral angiography. Neurosurg Rev 3:23–29

    Google Scholar 

  11. 11.

    Skalpe IO (1983) The toxicity of nonionic watersoluble monomeric and dimeric contrastmedia in selective vertebral angiography. Neuroradiology 24:219–223

    Google Scholar 

  12. 12.

    Skalpe IO, Aulie A (1985) The toxicity of non-ionic water-soluble contrast media in selective vertebral angiography. An experimental study in rabbits with special reference to the difference between monomeric and dimeric compounds. Neuroradiology 27:77–79

    Google Scholar 

  13. 13.

    Steidle B, Wolf KJ, Banzer D, Seyferth W (1984) Iopromid, ein neues Kontrastmittel zur Angiographie. Klinische Studie und Vergleich zu anderen niederosmolaren Kontrastmitteln. Dtsch Med Wochenschr 109:1275–1278

    Google Scholar 

  14. 14.

    Touho H, Karasawa J, Tazawa T, Nakagawara J, Yamada K, Kobayashi K, Asai M, Kagawa M, Yasue H (1988) Intraarterial digital subtraction angiography for definitive diagnosis of intracranial aneurysms. AJNR 9:1157–1161

    Google Scholar 

  15. 15.

    Weinstein MA, Pavlicek WA, Modic MT, Duchesneau PM (1983) Intra-arterial digital subtraction angiography of the head and neck. Radiology 147:717–724

    Google Scholar 

  16. 16.

    Wende S, Schulze A (1961) Die zerebrale Angiographie und ihre Komplikationen. Ein Bericht über 2864 Untersuchungen. Fortschr Röntgenstr 94:494–504

    Google Scholar 

  17. 17.

    Zeumer H (1989) Stellung der zerebralen Angiographie in der neuroradiologischen Diagnostik. Bay Int 9:2–8

    Google Scholar 

Download references

Author information



Rights and permissions

Reprints and Permissions

About this article

Cite this article

Grzyska, U., Freitag, J. & Zeumer, H. Selective cerebral intraarterial DSA. Neuroradiology 32, 296–299 (1990).

Download citation

Key words

  • Cerebral angiography
  • i.a.-DSA
  • Complications