Lahl R
Z Gesamte Inn Med. 1979 Dec 15;34(24):748-52.
We report on three deceased with pathomorphological findings at the CNS after direct (percutaneous) carotid angiography (d.c.a.). These alterations appeared as complications among 89 decreased with d.c.a. in the time interval from July 1966 to the end of 1978. The diagnostic investigation in the three cases was performed in order to exclude a brain tumour or a vascular disease. In all cases contemporary existed extensive changes at the vessels of the neck due to the angiographic investigation. The autopsy showed signs of a vascular disease in the CNS. For the performance of the carotid angiography an exact indication is necessary. To prevent such serious complications in future, we only can recommend the application of diagnostical methods without any risk.
我们报告了3例在直接（经皮）颈动脉血管造影（d.c.a.）后中枢神经系统出现病理形态学改变的死亡病例。这些改变是1966年7月至1978年底期间89例行d.c.a.的患者中出现的并发症。对这3例患者进行诊断性检查是为了排除脑肿瘤或血管疾病。在所有病例中，由于血管造影检查，颈部血管同时存在广泛改变。尸检显示中枢神经系统存在血管疾病迹象。进行颈动脉血管造影必须有确切指征。为防止今后出现此类严重并发症，我们只能建议应用无任何风险的诊断方法。
