Abstract
The purpose of this report is to examine the contemporary indications for diagnostic carotid arteriography and evaluate its utility and safety when performed by vascular surgeons. The records of all patients having selective carotid arteriography from September 2000 through March 2002 at our institution were reviewed. One hundred sixty-four consecutive patients had selective arteriography of the extracranial carotid arteries for the following indications: hemispheric symptoms with stenosis <80% by duplex ultrasound (20.6%), suspected brachiocephalic trunk stenosis (15.8%), unclear anatomy by duplex (10.3%), recurrent carotid stenosis (10.3%), symptomatic high-grade (>80% by duplex) internal carotid stenosis (9.8%), ipsilateral internal carotid artery occlusion (7.1%), bilateral high-grade internal carotid artery stenoses (7.1%), vertebral-basilar ischemia (7.0%), contralateral internal carotid occlusion (5.4%), duplex ultrasound from a nonaccredited vascular laboratory (3.3%), and evaluation of nonatherosclerotic carotid disease (3.3%). There were no transient ischemic attacks, strokes, or deaths related to the index procedure. Selective angiography of the extracranial carotid arteries remains an important adjunct in the evaluation of patients with carotid disease. This procedure can be performed safely by vascular surgeons.
Similar content being viewed by others
References
JJ Ricotta J Holen E Schenk et al. (1984) ArticleTitleIs routine angiography necessary prior to carotid endarterectomy? J. Vasc. Surg. 1 96–102 Occurrence Handle10.1067/mva.1984.avs0010096
IM Loftus MJ McCarthy H Pau et al. (1998) ArticleTitleCarotid endarterectomy without angiography does not compromise operative outcome Eur. J. Vasc. Endovasc. Surg. 16 489–493 Occurrence Handle1:STN:280:DyaK1M7htFymuw%3D%3D Occurrence Handle9894488
K Logason S Karacagil HG Hardemark et al. (2002) ArticleTitleCarotid endarterectomy solely based on duplex scan findings Vasc. Endovasc. Surg. 36 9–15
GC Kasper JM Lohr RE. Welling (2003) ArticleTitleClinical benefit of carotid endarterectomy based on duplex ultrasonography Vasc. Endovasc. Surg. 37 323–327
AJ Sandison CH Wood TS Padayachee et al. (2000) ArticleTitleCost-effective carotid endarterectomy Br. J. Surg. 87 323–327 Occurrence Handle10.1046/j.1365-2168.2000.01361.x
DP Spadone LD Barkmeier KJ Hodgson et al. (1990) ArticleTitleContralateral internal carotid artery stenosis or occlusion: pitfall of correct ipsilateral classification —a study performed with color-flow imaging J. Vasc. Surg. 11 642–649 Occurrence Handle10.1067/mva.1990.18703
AF AbuRahma BK Richmond PA Robinson et al. (1995) ArticleTitleEffect of contralateral severe stenosis or carotid occlusion on duplex criteria of ipsilateral stenoses: comparative study on various duplex parameters J. Vasc. Surg. 22 751–762
RM Fujatani JL Mills LM Wang SM Taylor (1992) ArticleTitleThe effect of unilateral internal carotid arterial occlusion upon contralateral duplex study: criteria for accurate interpretation J. Vasc. Surg. 16 459–468 Occurrence Handle10.1067/mva.1992.40207
DC Johnston JD Eastwood T Nguyen LB Goldstein (2002) ArticleTitleContrast-enhanced magnetic resonance angiography of carotid arteries: utility in routine clinical practice Stroke 33 2834–2838 Occurrence Handle10.1161/01.STR.0000043632.51378.24
T Sameshima S Futami Y Morita et al. (1999) ArticleTitleClinical usefulness of and problems with three-dimensional CT angiography for the evaluation of arteriosclerotic stenosis of the carotid artery: comparison with conventional angiography, MRA and ultrasound sonography Surg. Neurol. 51 301–308
M Monti ParticleDe G Ghilardi L Caverni et al. (2003) ArticleTitleMultidetector helical angio-CT oblique reconstructions orthogonal to internal carotid artery for preoperative evaluation of stenosis. A perspective study of comparison with US color Doppler, digital subtraction angiography and intraoperative data Minerva Cardioangiol. 51 373–385
MR Back JS Wilson G Rushing et al. (2000) ArticleTitleMagnetic resonance angiography is an accurate imaging adjunct to duplex ultrasound scan in patient selection for carotid endarterectomy J. Vasc. Surg. 32 429–440 Occurrence Handle10.1067/mva.2000.109330
LS Erdoes JM Marek JL Mills et al. (1996) ArticleTitleThe relative contributions of carotid duplex scanning, magnetic resonance angiography, and cerebral arteriography to clinical decision making: a prospective study in patients with carotid occlusive disease J. Vasc. Surg. 23 950–956
InstitutionalAuthorNameExecutive Committee for the Asymptomatic Carotid Atherosclerosis Study (1995) ArticleTitleEndarterectomy for asymptomatic carotid artery stenosis J.A.M.A. 273 1421–1428
DL Dawson RE Zierler DE Strandness et al. (1993) ArticleTitleThe role of duplex scanning and arteriography before carotid endarterectomy: a prospective study J. Vasc. Surg. 18 673–683 Occurrence Handle10.1067/mva.1993.48588
TM Sullivan SM Taylor DW Blackhurst et al. (2002) ArticleTitleHas endovascular surgery reduced the number of open vascular operations performed by an established surgical practice? J. Vasc. Surg. 36 514–519 Occurrence Handle10.1067/mva.2002.127341
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Sullivan, T.M., Patel, A., Langan III, E.M. et al. Can Carotid Angiography Be Performed by Vascular Surgeons? A Critical Evaluation of Indications, Technique, and Results . Ann Vasc Surg 18, 710–713 (2004). https://doi.org/10.1007/s10016-004-0121-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10016-004-0121-7