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Updated: Jun 25, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Diagnostic cerebral angiography: the interventional neurology perspective
S I Hussain1, T J Wolfe, J R Lynch
1Department of Neurology, Medical College of Wisconsin and Froedtert Hospital, Milwaukee, WI 53226, USA.
Summary
Cerebral angiography (CA) performed by neurologists is safe and effective, meeting current guidelines. This study reviewed 661 CA procedures, demonstrating low complication rates in neurological and non-neurological outcomes.
Area of Science:
- Neurology
- Interventional Neuroradiology
- Vascular Imaging
Background:
- Cerebral angiography (CA) utilization is increasing due to advances in neurointerventional therapies.
- Neurologists are increasingly performing CA at academic institutions.
Purpose of the Study:
- To evaluate the safety and efficacy of cerebral angiography (CA) performed by neurologists.
- To assess neurological and non-neurological outcomes of CA procedures.
Main Methods:
- Retrospective review of 661 cerebral angiograms performed between July 2005 and March 2008.
- Defined major neurological outcomes (deficit >24 hours or NIHSS worsening by 4 points).
- Defined major non-neurological outcomes (death, vascular injury, fistula, pseudo-aneurysm, large hematoma).
Main Results:
- Indications included ischemic stroke (31.7%), hemorrhagic stroke (48.6%), and epilepsy workup (14.3%).
- Permanent neurological deficit occurred in 0.2% (1 patient); reversible deficits in 0.2%.
- Major non-neurological complications occurred in 0.9% (6 patients), all below established guidelines.
Conclusions:
- Cerebral angiography performed by interventional neurologists demonstrates acceptable safety and efficacy.
- The complication rates align with current clinical guidelines for CA procedures.
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