Why the study?
What is the diagnostic yield of subsequent catheter angiography and other neuroimaging tests in patients with subarachnoid hemorrhage of unknown cause on initial angiography?
Population
86 patients with subarachnoid hemorrhage in whom initial transfemoral catheter angiography failed to reveal…
Design
Cohort
Authors
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Supports selective repeated catheter angiography in nonperimesencephalic SAH of unknown cause; leaves open optimal noninvasive strategies pending prospective validation.
What is the diagnostic yield of subsequent catheter angiography and other neuroimaging tests in patients with subarachnoid hemorrhage of unknown cause on initial angiography?
Repeated catheter angiography remains the most sensitive test for determining the cause of SAH not found on initial angiography, particularly in nonperimesencephalic SAH, while noninvasive techniques provide little additional diagnostic yield.
Topçuoğlu et al. (2003) studied this question.
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