Safety of arch aortography for assessment of carotid arteries

V. Bérczi, M. Randall, R. Balamurugan, D. Shaw, G. S. Venables, T. J. Cleveland, P. A. Gaines

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose. To retrospectively review the safety of arch aortography and compare complication rates with published figures for selective catheter angiography. Methods. The medical records of patients undergoing arch aortography over the last 3 years (n=311; 180 male, 131 female; mean±SD age 71.0±9.2 years, range 42-90 years) were retrospectively reviewed. Any peri-procedural (0-48 h) complications were recorded. A certified neurologist (MSR/GSV) classified all questionable neurological events. Results. There were no focal neurological events or deaths (n=0; 0%; CI: 0-0.96%). Non-focal neurological events included mild disorientation (n=2; 0.6%; CI: 0.176-2.31) and unequal pupils (n=1; 0.3%; CI: 0.056-1.79%). Cardiovascular events included symptomatic hypotension (n=4; 1.3%; CI: 0.50-3.25%), angina (n=1; 0.3%; CI: 0.056-1.79%) and arrhythmia (n=4; 1.3%; CI: 0.50-3.25). There were 27 minor access site complications (8.7%; CI: 6.0-12.3). None of these complications extended hospital stay. None of the arch angiograms had to be followed by selective carotid angiography. Conclusion. Arch aortography appears to have a lower neurological complication rate than selective carotid angiography.

Original languageEnglish
Pages (from-to)3-7
Number of pages5
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume31
Issue number1
DOIs
Publication statusPublished - Jan 2006

Fingerprint

Aortography
Carotid Arteries
Angiography
Safety
Pupil
Hypotension
Medical Records
Cardiac Arrhythmias
Length of Stay
Catheters
cyclo(Arg-Pro)

Keywords

  • Arch aortography
  • Carotid angiography
  • Carotid artery diagnosis
  • DSA
  • Neurological complications

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

Cite this

Bérczi, V., Randall, M., Balamurugan, R., Shaw, D., Venables, G. S., Cleveland, T. J., & Gaines, P. A. (2006). Safety of arch aortography for assessment of carotid arteries. European Journal of Vascular and Endovascular Surgery, 31(1), 3-7. https://doi.org/10.1016/j.ejvs.2005.07.021

Safety of arch aortography for assessment of carotid arteries. / Bérczi, V.; Randall, M.; Balamurugan, R.; Shaw, D.; Venables, G. S.; Cleveland, T. J.; Gaines, P. A.

In: European Journal of Vascular and Endovascular Surgery, Vol. 31, No. 1, 01.2006, p. 3-7.

Research output: Contribution to journalArticle

Bérczi, V, Randall, M, Balamurugan, R, Shaw, D, Venables, GS, Cleveland, TJ & Gaines, PA 2006, 'Safety of arch aortography for assessment of carotid arteries', European Journal of Vascular and Endovascular Surgery, vol. 31, no. 1, pp. 3-7. https://doi.org/10.1016/j.ejvs.2005.07.021
Bérczi, V. ; Randall, M. ; Balamurugan, R. ; Shaw, D. ; Venables, G. S. ; Cleveland, T. J. ; Gaines, P. A. / Safety of arch aortography for assessment of carotid arteries. In: European Journal of Vascular and Endovascular Surgery. 2006 ; Vol. 31, No. 1. pp. 3-7.
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N2 - Purpose. To retrospectively review the safety of arch aortography and compare complication rates with published figures for selective catheter angiography. Methods. The medical records of patients undergoing arch aortography over the last 3 years (n=311; 180 male, 131 female; mean±SD age 71.0±9.2 years, range 42-90 years) were retrospectively reviewed. Any peri-procedural (0-48 h) complications were recorded. A certified neurologist (MSR/GSV) classified all questionable neurological events. Results. There were no focal neurological events or deaths (n=0; 0%; CI: 0-0.96%). Non-focal neurological events included mild disorientation (n=2; 0.6%; CI: 0.176-2.31) and unequal pupils (n=1; 0.3%; CI: 0.056-1.79%). Cardiovascular events included symptomatic hypotension (n=4; 1.3%; CI: 0.50-3.25%), angina (n=1; 0.3%; CI: 0.056-1.79%) and arrhythmia (n=4; 1.3%; CI: 0.50-3.25). There were 27 minor access site complications (8.7%; CI: 6.0-12.3). None of these complications extended hospital stay. None of the arch angiograms had to be followed by selective carotid angiography. Conclusion. Arch aortography appears to have a lower neurological complication rate than selective carotid angiography.

AB - Purpose. To retrospectively review the safety of arch aortography and compare complication rates with published figures for selective catheter angiography. Methods. The medical records of patients undergoing arch aortography over the last 3 years (n=311; 180 male, 131 female; mean±SD age 71.0±9.2 years, range 42-90 years) were retrospectively reviewed. Any peri-procedural (0-48 h) complications were recorded. A certified neurologist (MSR/GSV) classified all questionable neurological events. Results. There were no focal neurological events or deaths (n=0; 0%; CI: 0-0.96%). Non-focal neurological events included mild disorientation (n=2; 0.6%; CI: 0.176-2.31) and unequal pupils (n=1; 0.3%; CI: 0.056-1.79%). Cardiovascular events included symptomatic hypotension (n=4; 1.3%; CI: 0.50-3.25%), angina (n=1; 0.3%; CI: 0.056-1.79%) and arrhythmia (n=4; 1.3%; CI: 0.50-3.25). There were 27 minor access site complications (8.7%; CI: 6.0-12.3). None of these complications extended hospital stay. None of the arch angiograms had to be followed by selective carotid angiography. Conclusion. Arch aortography appears to have a lower neurological complication rate than selective carotid angiography.

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