Türk Nöroşirürji Dergisi 2000 , Vol 10 , Num 1
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi 2. ve 3. Nöroloji Klinikleri, İstanbul Complications related to cerebral angiography occur in the first 24 or 72 hours and classified as local, systemic and neurologic complications. Provided data concerning the complication rates are usually from retrospective studies; the number of prospective studies are few and rather report the neurologic complications and mortality rates. In different studies neurologic complications range from 0.2% to 4.5%, mortality from 0.06% to 0.6%. The systemic and local complications are reported overall as 5%. In this study we aimed to record all patients undergoing to angiography, consecutively and prospectively, for evaluating the complications during the angiography procedure and in the first 24 hours after the procedure is terminated.

Methods: All complications are classified as local (hematoma at the puncture site, ischemia in the foot), systemic (headache, giddiness, allergic reaction, nausea, chest pain, myocardial infarction) and neurologic (transient ischemic attack, stroke).

Results: 465 cerebral angiographies have been undertaken in 427 patients. 177 patients (41 %) had cerebrovascular diseases, 181 (42%) had subarachnoid hemorrhage, 13 (3%) had arteriovenous malformation, 22 (5%) had intracerebral hemorrhageand 17 (4%) had tumor. 199 patients were women and 228 were men and the mean age was 47.2 (age range 1286). During the angiography procedure no death has been seen. The local complication rate was 0.4%, systemic complication rate was 2.8% and transient neurologic complication rate was 0.2%. The evaluation of the records after 24 hours and one week showed that transient neurologic complication was 0.4% and permanent neurologic complication was 0.2%. The local and systemic complication rates were 0.2% and 1.7%, respectively. One patient died 2 days later and another patient died 14 hours later from the procedure so death was seen in 0.4% of the whole group.

Conclusions: Our complication rates are quite acceptable considering other studies' results in the literature. Since angiography risks differ among centers, all centers performing angiography need to audit their own results. With this purpose we found it necessary and fruitful to report our own results. Anahtar Kelimeler : Cerebral angiography, complication, digital substraction angiography