The Failure of Intravenous Digital Subtraction Angiography in Replacing Carotid Arteriography

Editorials1 April 1986The Failure of Intravenous Digital Subtraction Angiography in Replacing Carotid ArteriographyRANDALL D. CEBUL, M.D., RONALD A. PAULUS, B.S.RANDALL D. CEBUL, M.D.Search for more papers by this author, RONALD A. PAULUS, B.S.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-4-572 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWhen digital subtraction angiography was introduced commercially in 1980, it promised to accomplish for vascular disease what computed tomography was doing for soft tissue pathology: namely, the relatively noninvasive identification of disease with sufficient accuracy to obviate more invasive diagnostic evaluation. Digital subtraction angiography has been used primarily in the evaluation of suspected cerebrovascular disease, with fully two thirds of early and subsequent intravenous digital subtraction procedures used to evaluate the extracranial cerebral vasculature. As one of a series of reports that comprise the Office of Technology Assessment's evaluation of medical technology and the costs of the Medicare Program, Case...References1. . Health Technology Case Study 34: The Cost Effectiveness of Digital Subtraction Angiography in the Diagnosis of Cerebrovascular Disease. Washington, D.C.: Government Printing Office; 1985: publication no. OTA-HCS-34. Google Scholar2. GENTON E, BARNETT H, FIELDS W, GENT M, and HOAK J. Cerebral ischemia: the role of thrombosis and of antithrombotic therapy. Study group on antithrombolic therapy. Stroke. 1977;8:150-75. CrossrefMedlineGoogle Scholar3. ADELMAN S. The National Survey of Stroke: economic impact. Stroke. 1981;12(suppl 1):I69-87. MedlineGoogle Scholar4. 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Cerebral Vascular Disease. London: Butterworth; 1983:215-53. Google Scholar11. CHILCOTE W, MODIC M, and PAVLICEK W. Digital subtraction angiography: a comparative study in 100 patients. Radiology. 1981;139:287-95. CrossrefMedlineGoogle Scholar12. NEIMAN H, MINTZER R, and VOGELZANG R. Digital subtraction angiography. In: NEIMAN HL, YAO JS, eds. Angiography of Vascular Disease. New York: Churchill Livingstone; 1985. Google Scholar13. AARON J, HESSELINK J, OOT R, JONES R, DAVIS K, and TAVERAS J. Complications of intravenous DSA performed for carotid artery disease: a prospective study. Radiology. 1984;153:675-8. CrossrefMedlineGoogle Scholar14. HOFFMAN M, GOMES A, and PAIS S. Limitations in the interpretation of intravenous carotid digital subtraction angiography. AJR. 1984;142:261-4. CrossrefMedlineGoogle Scholar15. GLOVER J, BENDICK P, JACKSON V, BECKER G, DILLEY R, and HOLDEN R. Duplex ultrasonography, digital subtraction angiography, and conventional angiography is assessing carotid atherosclerosis. Arch Surg. 1984;119:664-9. CrossrefMedlineGoogle Scholar16. EISENBERG J. The internist as gatekeeper: preparing the general internist for a new role. Ann Intern Med. 1985;102:537-43. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RANDALL D. CEBUL, M.D.; RONALD A. PAULUS, B.S. 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Matchar, MDA Call for Randomized Controlled Cost-Effectiveness Analysis of Percutaneous Transluminal Coronary AngioplastyDiagnostic Tests for Cardiovascular Diseases in the Elderly 1 April 1986Volume 104, Issue 4Page: 572-574KeywordsAngiographyCerebrovascular diseasesComputed axial tomographyMedicareSoft tissuesVascular diseases ePublished: 1 December 2008 Issue Published: 1 April 1986 PDF downloadLoading ...