Combined carotid and femoral angiography in arterial occlusive disease

Grünberg, G.; Maurer, P.

Rofo Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin 126(4): 327-330


ISSN/ISBN: 1438-9029
PMID: 140123
DOI: 10.1055/s-0029-1230588
Accession: 068521815

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"Asymptomatic" carotid stenosis with a murmur is an indication for carotid angiography, particularly in patients with peripheral arterial occlusive disease. Carotid angiography in the neck, carried out in two planes, makes it possible to differentiate different types of stenosis. Plaques and ulcerating strictures are a source of micro-emboli. The extent and localisation of extracranial carotid stenoses must be precisely defined because of their haemodynamic effects, particularly before major vascular surgery, which may result in a transient fall in blood pressure. Carotid angiography can be combined with femoral angiography in patients with peripheral arterial occlusive disease. In our experience, the combined angiography does not result in any increase in the complication rate. This experience is based on 38 patients seen in the last 14 months.