Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
권호 표지

Cerebral Infarction after Transfemoral Carotid Angiography : Report of 2 Cases

두부 혈관 조영술후 발생한 뇌 경색증 -증례 보고-

  • Jang, Hong-Jun (Department of Neurosurgery, Kwangju Christian Hospital) ;
  • Cho, Kyu-Yong (Department of Neurosurgery, Kwangju Christian Hospital) ;
  • Lim, Jun-Seob (Department of Neurosurgery, Kwangju Christian Hospital) ;
  • Park, Seung-Kyu (Department of Neurosurgery, Kwangju Christian Hospital) ;
  • Lee, Rae-Seop (Department of Neurosurgery, Kwangju Christian Hospital)
  • 장홍전 (광주기독병원 신경외과) ;
  • 조규용 (광주기독병원 신경외과) ;
  • 임준섭 (광주기독병원 신경외과) ;
  • 박승규 (광주기독병원 신경외과) ;
  • 이래섭 (광주기독병원 신경외과)
  • Published : 2008.09.30

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Abstract

Computerized tomography angiography (CTA) and magnetic resonance angiography (MRA) have been frequently used as non-invasive methods for the evaluation of cerebral vessels. The use of an invasive therapeutic method, transfemoral carotid angiography (TFCA), has also recently increased. The complication rate after TFCA is reported to be 0.9 % to 4%, and it is continuously decreasing. We experienced 2 patients who underwent TFCA as a diagnostic tool. The embolic type of cerebral infarction, which occurred within 30 hours, was diagnosed with performing diffusion weighted MRI (DW-MRI). One patient developed temporary dysphasia and motor weakness, but the patient improved after 2 days. The other patient presented with an altered mentality and motor weakness with some permanent deficits. TFCA is a less invasive method for treating cerebral vessels, and because this is a popular therapeutic modality, the frequency of complications will increase. Clinicians should bear in mind that complications may occur when performing TFCA and so they should be prepared to deal with them.

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