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March 1, 1993Neurosurgery

Surgical Decisions on the Basis of Magnetic Resonance Angiography of the Carotid Arteries

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Why the study?

Does magnetic resonance angiography accurately evaluate carotid artery stenosis compared to conventional angiography in symptomatic patients undergoing carotid endarterectomy?

Population

20 symptomatic patients (21 carotid arteries) treated surgically for severe stenosis or occlusion

Comparison

Magnetic resonance (MR) angiography vs Conventional angiography

Design

Cross-sectional, Interpreted by two independent neuroradiologists who were…

Authors

JAJohn A. AnsonSUNY Downstate Health Sciences UniversityJHJoseph E. HeisermanBarrow Neurological InstituteBDBurton P. DrayerMount Sinai Hospital

Discussion

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Implication

MR angiography correlates well with conventional angiography for severe carotid stenosis without missing lesions; leaves open whether it can replace conventional imaging preoperatively.

Structured PICO

Does magnetic resonance angiography accurately evaluate carotid artery stenosis compared to conventional angiography in symptomatic patients undergoing carotid endarterectomy?

P
Population
20 symptomatic patients (21 carotid arteries) treated surgically for severe stenosis or occlusion
I
Intervention
Magnetic resonance (MR) angiography
C
Comparator
Conventional angiography
O
Outcome
Accuracy of MR angiography compared with conventional angiography and surgical findings, interpreted on a five-grade scalesurrogate

Magnetic resonance angiography is highly correlated with conventional angiography for detecting severe carotid stenosis and may serve as an adequate sole preoperative imaging study in symptomatic patients.

Cite This Study

Anson et al. (1993) studied this question.

synapsesocial.com/papers/6a95bf0fc978dbd1111be62ehttps://doi.org/10.1227/00006123-199303000-00001
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Carotid artery stenosis: clinical efficacy of two-dimensional time-of-flight MR angiography.1992 · 133 citations
  2. 2Clinical Evaluation of Stenosis of the Carotid Bifurcation With Magnetic Resonance Angiographic Techniques1991 · 37 citations
  3. 3Beneficial Effect of Carotid Endarterectomy in Symptomatic Patients with High-Grade Carotid Stenosis1991 · 8,508 citations
  4. 4Flow patterns in stenotic blood vessel models1976 · 94 citations
  5. 5Complications of cerebral angiography for patients with mild carotid territory ischaemia being considered for carotid endarterectomy.1990 · 188 citations