By Nicholas Bunce
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Extra resources for An Atlas of Contrast-Enhanced Angiography
Carotid endarterectomy in asymptomatic patients: is contrast angiography necessary? A morbidity analysis. J Vasc Surg 1995; 22:706–14 26. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 1995; 273:1421–8 27. The European Carotid Surgery Trialists Collaborative Group. Risk of stroke in the distribution of an asymptomatic carotid artery. Lancet 1995; 345:209–12 28. North American Symptomatic Carotid Endarterectomy Trial Collaborators.
11 A 59-year-old man with a known chronic type B aortic dissection was referred with a recurrence of chest and back pain. MRA demonstrates a type B dissection, arising just distal to the left subclavian artery and descending below the diaphragm. 12 A 33-year-old woman with Takayasu arteritis was referred with left biceps claudication. MRA demonstrates occlusion of the left subclavian artery with multiple collateral vessels. There is also mild narrowing of the left common carotid artery. 13 A 26-year-old woman was referred with left arm pain, reduced left brachial and radial arterial pulsation and blood pressure.
This confirmed the occluded left subclavian artery (a, arrow]. Phase-velocity mapping (b) was performed during hand-grasp exercise to determine if there was significant vertebral steal syndrome. This demonstrated caudal flow in the left vertebral artery during systole, with cranial flow in the right vessels and left An atlas of contrast-enhanced angiography 36 carotid artery. 16 Surface-rendered three-dimensional contrast-enhanced MRA in the left lateral view acquired in a patient with aortic coarctation repaired 20 years earlier using Dacron patch, and presented with hemoptesis (a) The initial study showed a false aneurysm caused by rupture of the distal sutures of the Dacron patch (arrow); (b) following resection of the false aneurysm and insertion of a Dacron tube (arrow) REFERENCES 1.
An Atlas of Contrast-Enhanced Angiography by Nicholas Bunce