Indications and contraindications for cerebral and spinal catheter angiography

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What are the indications and contraindications for cerebral and spinal catheter angiography?

Indications for Cerebral Catheter Angiography

  • • Cerebral artery aneurysm.
  • • Subarachnoid hemorrhage.
  • • Vasospasm.
  • • Cerebral vascular malformation.
  • • Intraparenchymal hemorrhage or intraventricular hemorrhage with suspicion for cerebral vascular malformation.
  • • Acute ischemic stroke.
  • • Vasculitis/vasculopathy.
  • • Severe intracranial/extracranial vascular stenosis.
  • • Traumatic cervical/cerebral vascular injury.
  • • Severe epistaxis.

Indications for Spinal Catheter Angiography

  • • Spinal vascular malformation.
  • • Vertebral tumors.

Contraindications to Catheter Angiography

  • • Platelet count <100,000 platelets/µL.
  • • International normalized ratio (INR) <1.5.
  • • Anaphylactic reaction to iodinated contrast material.
  • • Unstable patient status.
  • • Brain herniation with cranial nerve deficits.

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