Bashir Qasim, Ishfaq Asim, Baig Ammad Anwar
Department of Neurointervention, Bahria Town Hospital, Lahore, Pakistan.
Department of Clinical and Interventional Neurology, Lahore, Pakistan.
Interv Neurol. 2018 Feb;7(1-2):99-109. doi: 10.1159/000481785. Epub 2017 Nov 30.
Digital subtraction angiography (DSA) remains the gold standard imaging modality for cerebrovascular disorders. In contrast to developed countries, the safety of the procedure is not extensively reported from the developing countries. Herein, we present a retrospective analysis of the basic technique, indications, and outcomes in 286 patients undergoing diagnostic cerebral and spinal angiography in a developing country, Pakistan.
A retrospective review of patient demographics, procedural technique and complication rates of 286 consecutive patients undergoing the diagnostic cerebral/spinal angiography procedure at one institution from May 2013 to December 2015 was performed. Neurological, systemic, or local complications occurring within and after 24 h of the procedure were recorded.
Mean age reported for all patients was 49.7 years. Of all the 286 cases, 175 were male (61.2%) and the rest female (111, 38.8%). Cerebral DSA was performed in 279 cases (97.6%), with 7 cases of spinal DSA (2.4%). Subarachnoid hemorrhage was the most common indication for DSA accounting for 88 cases (30.8%), closely followed by stroke (26.6%) and arteriosclerotic vascular disease (23.1%). No intra- or post-procedural neurological complications of any severity were seen in any of the 286 cases. One case of asymptomatic aortic dissection was reported (0.3%) in the entire cohort of patient population.
Diagnostic cerebral/spinal digital subtraction angiography was found to be safe in Pakistan, with complication rates at par with and comparable to those reported in the developed world.
数字减影血管造影（DSA）仍然是脑血管疾病的金标准成像方式。与发达国家不同，发展中国家对该检查安全性的报道并不广泛。在此，我们对巴基斯坦这一发展中国家286例接受诊断性脑和脊髓血管造影的患者的基本技术、适应症及结果进行回顾性分析。
对2013年5月至2015年12月在一家机构连续接受诊断性脑/脊髓血管造影的286例患者的人口统计学资料、操作技术及并发症发生率进行回顾性研究。记录操作过程中及操作后24小时内发生的神经、全身或局部并发症。
所有患者的平均年龄为49.7岁。在这286例病例中，175例为男性（61.2%），其余为女性（111例，38.8%）。279例（97.6%）患者接受了脑DSA检查，7例（2.4%）接受了脊髓DSA检查。蛛网膜下腔出血是DSA最常见的适应症，占88例（30.8%），紧随其后的是中风（26.6%）和动脉硬化性血管疾病（23.1%）。286例患者中无一例出现任何严重程度的术中或术后神经并发症。在整个患者队列中报告了1例无症状主动脉夹层（0.3%）。
在巴基斯坦，诊断性脑/脊髓数字减影血管造影被发现是安全的，并发症发生率与发达国家报道的相当。
