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October 1964

Angiography in Head and Neck Surgery

Author Affiliations

From the Head and Neck Service (Dr. Conley), the Neurological Division (Dr. Chusid), and the Department of Radiology (Dr. Schechter), St. Vincent's Hospital.

Arch Surg. 1964;89(4):609-618. doi:10.1001/archsurg.1964.01320040025005

Angiography has established itself as both a diagnostic and a therapeutic aid in the management of neoplasms in the region of the head and neck. The value and uses of angiography in the extremities, in the internal organs of the abdominal and thoracic cavities, and in the brain are well established and in active clinical use. However, the usefulness of this procedure in the region of the head and neck has not been fully realized. This presentation is an effort to call attention to some of the various extracranial head and neck abnormalities where carotid angiography is indicated and may be of specific value.

Angiography of the carotid arteries may be carried out bilaterally or as a single ipsilateral or contralateral injection. It is not always possible or necessary to perform angiography on the ipsilateral side, as in the presence of a large primary tumor or diffuse metastatic cancer limiting