Hankey G J, Warlow C P, Sellar R J
Department of Clinical Neurosciences, Western General Hospital, Edinburgh, United Kingdom.
Stroke. 1990 Feb;21(2):209-22. doi: 10.1161/01.str.21.2.209.
We review the eight prospective and seven retrospective studies from which it is possible to derive the complication rate of conventional cerebral angiography for patients with mild ischemic cerebrovascular disease who are potential candidates for carotid endarterectomy. Three studies of intravenous and one of intra-arterial digital subtraction angiography are also examined. An overview of the results suggests that the risk of a neurological complication (TIA or stroke) is about 4% and that a permanent neurological deficit (disabling stroke) occurs in about 1%. The mortality rate is very low (less than 0.1%). Systemic complications are not infrequent, particularly with intravenous digital subtraction angiography. The complication rate of cerebral angiography must be considered when evaluating the risks of carotid endarterectomy in patients with ischemic cerebrovascular disease.
我们回顾了八项前瞻性研究和七项回顾性研究，从中可以得出对于可能适合接受颈动脉内膜切除术的轻度缺血性脑血管病患者，传统脑血管造影的并发症发生率。还对三项静脉数字减影血管造影研究和一项动脉数字减影血管造影研究进行了审查。结果概述表明，神经并发症（短暂性脑缺血发作或中风）的风险约为4%，永久性神经功能缺损（致残性中风）的发生率约为1%。死亡率非常低（低于0.1%）。全身并发症并不罕见，尤其是静脉数字减影血管造影。在评估缺血性脑血管病患者接受颈动脉内膜切除术的风险时，必须考虑脑血管造影的并发症发生率。
