[Skip to Navigation]
June 1963

Complications in Direct Percutaneous Carotid Arteriography

Author Affiliations

Department of Neurology, University of Miami School of Medicine, Jackson Memorial Hospital.

Arch Neurol. 1963;8(6):676-684. doi:10.1001/archneur.1963.00460060106010

The history of cerebral arteriography has repeatedly reaffirmed the values as well as the dangers of this diagnostic technique. The advent of surgical therapy for extracranial cerebral vascular disease necessitated new arteriographic methods which would permit visualization of as much as possible of the cervical-cerebral vasculature. Despite the widespread use of brachial arterial injections or catheterization for this purpose, direct injection of the left common carotid is still usually necessary in addition, for the brachial injection techniques rarely provide adequate visualization of this vessel. Further, it is still necessary to employ direct carotid puncture arteriography for that sizeable group of patients in whom it is desired to visualize intracranial vessels in detail.

For these reasons it is still important to consider the dangers of cerebral angiography, for its value as a diagnostic tool is widely accepted. The statistical incidence of complications from cerebral arteriography is fairly well documented.,1-10 The

Add or change institution