[Incidence of ischemic lesions in diffusion-weighted imaging after transbrachial digital subtraction angiography].

Rofo

Institut f. diagnostische und interventionelle Radiologie und Neuroradiologie, HELIOS Klinikum Erfurt, Nordhäuser Strasse 74, Erfurt.

Published: April 2008

Purpose: To evaluate the frequency of ischemia after transbrachial digital subtraction angiography under ambulant conditions using diffusion-weighted imaging.

Materials And Methods: 200 patients were included in a prospective study design and received transbrachial digital subtraction angiography under ambulant conditions. Before and after digital subtraction angiography, diffusion-weighted imaging of the brain was performed.

Results: In our study population no new lesions were found in diffusion-weighted imaging after digital subtraction angiography during the 3-hour window after angiography. One new lesion was found 3 days after angiography as a late onset complication. Therefore, the frequency of neurological complications is at the level of the confidence interval of 0 - 1.5 %.

Conclusion: The transbrachial approach under ambulant conditions is a safe method for digital subtraction angiography resulting in a low rate of ischemic lesions in diffusion-weighted imaging.

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http://dx.doi.org/10.1055/s-2008-1027141DOI Listing

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