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October 1962

Retrograde Brachial Angiography in Cerebrovascular Disease

Author Affiliations

The Department of Neurosurgery, Wayne State University College of Medicine.; The Neurosurgical Services of the Grace and the Detroit Memorial Hospitals.

Arch Neurol. 1962;7(4):339-346. doi:10.1001/archneur.1962.04210040091010

Recent reemphasis of the need for complete vascular study of patients with cerebrovascular disease requires reevaluation of the methods used.2,5,6,16,27 The value of carotid angiography is well known. Retrograde brachial angiography in cerebrovascular disease is becoming more popular because of its dependability and accuracy. It is the purpose of this paper to discuss brachial angiography from the standpoint of value in the study of cerebrovascular disease and the x-ray findings obtained in a series of 200 consecutive cases studied by 4 vessel angiography. It should be pointed out that with retrograde brachial angiography, the origin of the right common carotid artery is seen only in 24% of the cases and that of the left common carotid artery in 3% (see Comment later).

Material  The 200 cases consist of 121 male and 79 female patients. The group included 6 patients under the age of 30 and 2 patients more than