Carotid Stenosis: Utility of Diagnostic Angiography

Daniel R. Felbaum; Christina Maxwell; Stan Naydin; Andrew Ringer; Ricardo A. Hanel; Eric Sauvageau; Amin Aghaebrahim; Pedro Aguilar-Salinas; Erol Veznedaroglu; Kenneth Liebman; Zakaria Hakma; Hirad Hedayat; Peter Kan; Visish Srinivasan; Mandy J. Binning

doi:10.1016/j.wneu.2018.10.054

Carotid Stenosis: Utility of Diagnostic Angiography

Daniel R. Felbaum, Christina Maxwell, Stan Naydin, Andrew Ringer, Ricardo A. Hanel, Eric Sauvageau, Amin Aghaebrahim, Pedro Aguilar-Salinas, Erol Veznedaroglu, Kenneth Liebman, Zakaria Hakma, Hirad Hedayat, Peter Kan, Visish Srinivasan, Mandy J. Binning

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Objective: Carotid artery stenosis is frequently diagnosed through screening tests with noninvasive imaging. Because of differences noted between the various modalities, we sought to investigate our experience comparing noninvasive imaging (ultrasound, computed tomography angiography, magnetic resonance angiography) with invasive imaging (digital subtraction angiography). Methods: In a multicenter retrospective analysis, 249 carotid vessels were reviewed based on angiography with the associated noninvasive imaging. Results: Overall, medical or surgical decision management was changed in 43% (107/243) of cases investigated with digital subtraction angiography owing to a discrepancy between the measured percentage stenosis. In patients with potentially treatable carotid stenosis, angiography revealed nonsignificant stenosis 25.7% of the time. Conclusions: Angiography should be considered the confirmatory test for degree of stenosis in certain patients before definitive surgical treatment.

Original language	English (US)
Pages (from-to)	e962-e966
Journal	World Neurosurgery
Volume	121
DOIs	https://doi.org/10.1016/j.wneu.2018.10.054
State	Published - Jan 2019
Externally published	Yes

Keywords

Angiography
Carotid imaging
Carotid stenosis

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/j.wneu.2018.10.054

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title = "Carotid Stenosis: Utility of Diagnostic Angiography",

abstract = "Objective: Carotid artery stenosis is frequently diagnosed through screening tests with noninvasive imaging. Because of differences noted between the various modalities, we sought to investigate our experience comparing noninvasive imaging (ultrasound, computed tomography angiography, magnetic resonance angiography) with invasive imaging (digital subtraction angiography). Methods: In a multicenter retrospective analysis, 249 carotid vessels were reviewed based on angiography with the associated noninvasive imaging. Results: Overall, medical or surgical decision management was changed in 43% (107/243) of cases investigated with digital subtraction angiography owing to a discrepancy between the measured percentage stenosis. In patients with potentially treatable carotid stenosis, angiography revealed nonsignificant stenosis 25.7% of the time. Conclusions: Angiography should be considered the confirmatory test for degree of stenosis in certain patients before definitive surgical treatment.",

keywords = "Angiography, Carotid imaging, Carotid stenosis",

author = "Felbaum, {Daniel R.} and Christina Maxwell and Stan Naydin and Andrew Ringer and Hanel, {Ricardo A.} and Eric Sauvageau and Amin Aghaebrahim and Pedro Aguilar-Salinas and Erol Veznedaroglu and Kenneth Liebman and Zakaria Hakma and Hirad Hedayat and Peter Kan and Visish Srinivasan and Binning, {Mandy J.}",

note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2019",

month = jan,

doi = "10.1016/j.wneu.2018.10.054",

language = "English (US)",

volume = "121",

pages = "e962--e966",

journal = "World Neurosurgery",

issn = "1878-8750",

publisher = "Elsevier Inc.",

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TY - JOUR

T1 - Carotid Stenosis

T2 - Utility of Diagnostic Angiography

AU - Felbaum, Daniel R.

AU - Maxwell, Christina

AU - Naydin, Stan

AU - Ringer, Andrew

AU - Hanel, Ricardo A.

AU - Sauvageau, Eric

AU - Aghaebrahim, Amin

AU - Aguilar-Salinas, Pedro

AU - Veznedaroglu, Erol

AU - Liebman, Kenneth

AU - Hakma, Zakaria

AU - Hedayat, Hirad

AU - Kan, Peter

AU - Srinivasan, Visish

AU - Binning, Mandy J.

PY - 2019/1

Y1 - 2019/1

N2 - Objective: Carotid artery stenosis is frequently diagnosed through screening tests with noninvasive imaging. Because of differences noted between the various modalities, we sought to investigate our experience comparing noninvasive imaging (ultrasound, computed tomography angiography, magnetic resonance angiography) with invasive imaging (digital subtraction angiography). Methods: In a multicenter retrospective analysis, 249 carotid vessels were reviewed based on angiography with the associated noninvasive imaging. Results: Overall, medical or surgical decision management was changed in 43% (107/243) of cases investigated with digital subtraction angiography owing to a discrepancy between the measured percentage stenosis. In patients with potentially treatable carotid stenosis, angiography revealed nonsignificant stenosis 25.7% of the time. Conclusions: Angiography should be considered the confirmatory test for degree of stenosis in certain patients before definitive surgical treatment.

AB - Objective: Carotid artery stenosis is frequently diagnosed through screening tests with noninvasive imaging. Because of differences noted between the various modalities, we sought to investigate our experience comparing noninvasive imaging (ultrasound, computed tomography angiography, magnetic resonance angiography) with invasive imaging (digital subtraction angiography). Methods: In a multicenter retrospective analysis, 249 carotid vessels were reviewed based on angiography with the associated noninvasive imaging. Results: Overall, medical or surgical decision management was changed in 43% (107/243) of cases investigated with digital subtraction angiography owing to a discrepancy between the measured percentage stenosis. In patients with potentially treatable carotid stenosis, angiography revealed nonsignificant stenosis 25.7% of the time. Conclusions: Angiography should be considered the confirmatory test for degree of stenosis in certain patients before definitive surgical treatment.

KW - Angiography

KW - Carotid imaging

KW - Carotid stenosis

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SP - e962-e966

JO - World Neurosurgery

JF - World Neurosurgery

ER -

Carotid Stenosis: Utility of Diagnostic Angiography

Abstract

Keywords

ASJC Scopus subject areas

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