Skip to main content
SpringerLink
Log in
Book cover

Cerebrovascular and Endovascular Neurosurgery pp 95–106Cite as

Prepping the Environment

  • Chapter
  • First Online:

  • 722 Accesses

Abstract

Noninvasive imaging studies to evaluate neurovascular anatomy/pathology such as computed tomographic angiography (CTA) and magnetic resonance angiography (MRA) have advanced significantly over the last few years; but interventional cerebral/spinal angiography is still the gold standard study for vascular imaging, achieving the best quality images and assessing the blood flow dynamics within the brain and spinal cord. There are many indications of interventional cerebral/spinal angiography, including diagnosis and treatment of vascular stenosis/occlusion, cerebral aneurysms, arteriovenous malformations, dural arteriovenous fistulas, malignancy, and multiple other vascular anomalies. Using a systematic, evidence-based approach while preparing for cerebral/spinal angiography can help minimize the uncommon, yet potential risks of this procedure.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Tank VH, et al. The endovascular suite. In: Prestigiacomo CJ, editor. Endovascular surgical neuroradiology/theory and clinical practice. New York: Thieme; 2015.

    Google Scholar 

  2. Cardella JF, et al. Optimal resources for the examination and endovascular treatment of the peripheral and visceral vascular systems. AHA Intercouncil Report on Peripheral and Visceral Angiographic and Interventional Laboratories. J Vasc Interv Radiol. 2003;14(9 Pt 2):S517–30.

    Article  PubMed  Google Scholar 

  3. Harrigan MR, Deveikis JP. Angiography suite. Handbook of cerebrovascular disease and neurointerventional technique. New York: Springer; 2009.

    Book  Google Scholar 

  4. Bergeron P, et al. Radiation doses to patients in neurointerventional procedures. AJNR Am J Neuroradiol. 1994;15(10):1809–12.

    PubMed  CAS  Google Scholar 

  5. Boone JM, Levin DC. Radiation exposure to angiographers under different fluoroscopic imaging conditions. Radiology. 1991;180(3):861–5.

    Article  CAS  PubMed  Google Scholar 

  6. Edwards M. Development of radiation protection standards. Radiographics. 1991;11(4):699–712.

    Article  CAS  PubMed  Google Scholar 

  7. Kuon E, Schmitt M, Dahm JB. Significant reduction of radiation exposure to operator and staff during cardiac interventions by analysis of radiation leakage and improved lead shielding. Am J Cardiol. 2002;89(1):44–9.

    Article  PubMed  Google Scholar 

  8. Norbash AM, Busick D, Marks MP. Techniques for reducing interventional neuroradiologic skin dose: tube position rotation and supplemental beam filtration. AJNR Am J Neuroradiol. 1996;17(1):41–9.

    PubMed  CAS  Google Scholar 

  9. Morris P. Radiation risks and safety. Practical neuroangiography. Philadelphia, PA: Lippincott Williams & Wilkins; 2013.

    Google Scholar 

  10. Madigan J. Vascular access: Guide catheter selection, usage, and compatibility. In: Murphy K, Robertson F, editors. Interventional neuroradiology. Lee MJ, Watkinson AF, series editors. Techniques in IR series. New York: Springer;2014.

    Google Scholar 

  11. Ahn SH, Prince EA, Dubel GJ. Basic neuroangiography: review of technique and perioperative patient care. Semin Intervent Radiol. 2013;30(3):225–33.

    Article  PubMed  PubMed Central  Google Scholar 

  12. American Society of Interventional and Therapeutic Neuroradiology. General considerations for endovascular surgical neuroradiologic procedures. AJNR Am J Neuroradiol. 2001;22(8 Suppl):S1–3.

    Google Scholar 

  13. Murphy K, Wyse G. Diagnostic cerebral angiography and groin access and closure. In: Murphy K, Robertson F, editors. Interventional neuroradiology. Lee MJ, Watkinson AF, series editors. Techniques in IR series. New York: Springer;2014.

    Google Scholar 

  14. Ferguson JJ, et al. The relation of clinical outcome to dissection and thrombus formation during coronary angioplasty. Heparin Registry Investigators. J Invasive Cardiol. 1995;7(1):2–10.

    PubMed  CAS  Google Scholar 

  15. Chew DP, et al. Defining the optimal activated clotting time during percutaneous coronary intervention: aggregate results from 6 randomized, controlled trials. Circulation. 2001;103(7):961–6.

    Article  CAS  PubMed  Google Scholar 

  16. Cipolle RJ, et al. Heparin kinetics: variables related to disposition and dosage. Clin Pharmacol Ther. 1981;29(3):387–93.

    Article  CAS  PubMed  Google Scholar 

  17. Narins CR, et al. Relation between activated clotting time during angioplasty and abrupt closure. Circulation. 1996;93(4):667–71.

    Article  CAS  PubMed  Google Scholar 

  18. Delaney A, Carter A, Fisher M. The prevention of anaphylactoid reactions to iodinated radiological contrast media: a systematic review. BMC Med Imaging. 2006;6:2.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Lasser EC, et al. Pretreatment with corticosteroids to alleviate reactions to intravenous contrast material. N Engl J Med. 1987;317(14):845–9.

    Article  CAS  PubMed  Google Scholar 

  20. Greenberger P, et al. Administration of radiographic contrast media in high-risk patients. Investig Radiol. 1980;15(6 Suppl):S40–3.

    Article  CAS  Google Scholar 

  21. Greenberger PA, et al. Emergency administration of radiocontrast media in high-risk patients. J Allergy Clin Immunol. 1986;77(4):630–4.

    Article  CAS  PubMed  Google Scholar 

  22. Maddox TG. Adverse reactions to contrast material: recognition, prevention, and treatment. Am Fam Physician. 2002;66(7):1229–34.

    PubMed  Google Scholar 

  23. Morcos SK. Prevention of contrast media-induced nephrotoxicity after angiographic procedures. J Vasc Interv Radiol. 2005;16(1):13–23.

    Article  PubMed  Google Scholar 

  24. Schweiger MJ, et al. Prevention of contrast induced nephropathy: recommendations for the high risk patient undergoing cardiovascular procedures. Catheter Cardiovasc Interv. 2007;69(1):135–40.

    Article  PubMed  Google Scholar 

  25. Heiserman JE, et al. Neurologic complications of cerebral angiography. AJNR Am J Neuroradiol. 1994;15(8):1401–7. Discussion 1408–11.

    PubMed  CAS  Google Scholar 

  26. Leffers AM, Wagner A. Neurologic complications of cerebral angiography. A retrospective study of complication rate and patient risk factors. Acta Radiol. 2000;41(3):204–10.

    Article  CAS  PubMed  Google Scholar 

  27. Willinsky RA, et al. Neurologic complications of cerebral angiography: prospective analysis of 2,899 procedures and review of the literature. Radiology. 2003;227(2):522–8.

    Article  PubMed  Google Scholar 

  28. Earnest FT, et al. Complications of cerebral angiography: prospective assessment of risk. AJR Am J Roentgenol. 1984;142(2):247–53.

    Article  PubMed  Google Scholar 

  29. Dawkins AA, et al. Complications of cerebral angiography: a prospective analysis of 2,924 consecutive procedures. Neuroradiology. 2007;49(9):753–9.

    Article  CAS  PubMed  Google Scholar 

  30. Kaufmann TJ, et al. Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. Radiology. 2007;243(3):812–9.

    Article  PubMed  Google Scholar 

  31. Pryor JC, et al. Complications of diagnostic cerebral angiography and tips on avoidance. Neuroimaging Clin N Am. 1996;6(3):751–8.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Westchester Medical Center/New York Medical College, Valhalla, NY, USA

    Ahmad M. Thabet M.D.

  2. Departments of Neurosurgery, Neurology, and Radiology, Mount Sinai Hospital, New York, NY, USA

    I. Paul Singh M.D., M.P.H.

Authors
  1. Ahmad M. Thabet M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. I. Paul Singh M.D., M.P.H.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to I. Paul Singh M.D., M.P.H. .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Westchester Medical Center/NY Medical College, Valhalla, New York, USA

    Chirag D. Gandhi

  2. Department of Neurological Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA

    Charles J. Prestigiacomo

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Thabet, A.M., Singh, I.P. (2018). Prepping the Environment. In: Gandhi, C., Prestigiacomo, C. (eds) Cerebrovascular and Endovascular Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65206-1_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-65206-1_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65204-7

  • Online ISBN: 978-3-319-65206-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation