Lahl R
Zentralbl Neurochir. 1983;44(1):27-37.
A report is given on pathomorphic local findings in the cervical vessels and cerebral complications after direct (percutaneous) carotid angiography (d.c.a.). The studies were based on 1345 d.c.a. in 1199 patients of our establishment carried out in the period from July 1966 to the end of 1981. 112 d.c.a. of 102 decreased and dissected patients were pathomorphically evaluated. Of these, 12 cases showed massive angiographically produced findings in the cervical vessels, five of them with verified cerebral complications. In the cervical vessels, both A. carotis communis and V. jugularis may be affected. Circulatory disturbances of the cerebrum manifest themselves in anaemic and/or haemorrhagic disturbances. The relative importance of complications after d.c.a., their frequency as well as possibilities of a reduction are discussed.
本文报告了直接（经皮）颈动脉血管造影术（d.c.a.）后颈部血管的病理形态学局部发现及脑部并发症。这些研究基于1966年7月至1981年底在我们机构对1199例患者进行的1345次d.c.a.。对102例病情加重和血管夹层患者的112次d.c.a.进行了病理形态学评估。其中，12例在颈部血管造影中显示出大量造影剂产生的结果，其中5例伴有经证实的脑部并发症。在颈部血管中，颈总动脉和颈静脉都可能受到影响。大脑循环障碍表现为贫血和/或出血性障碍。讨论了d.c.a.后并发症的相对重要性、其发生率以及降低并发症的可能性。
