Arteriography is a research method that allows you to assess the condition of blood vessels and arteries, as well as detect possible circulatory disorders. One type of arteriography is the cerebral carotid arteriograph, which is used to diagnose and treat brain diseases.
When performing cerebral carotid arteriography, a contrast agent is injected into the common or one of the internal carotid arteries. Then, using special equipment, high-resolution images of the vessels are taken, which allows you to obtain a detailed image of the arteries and their condition.
The main indications for cerebral carotid arteriography are:
- Cerebral circulatory disorders (stroke, atherosclerosis, thrombosis and other diseases).
- Suspicion of cerebral aneurysm.
- Diagnosis of brain and vascular tumors.
- Assessment of the condition of the walls of blood vessels and their elasticity.
- Monitoring the effectiveness of treatment.
The procedure for cerebral carotid arteriography usually takes about 30-40 minutes and is performed under local anesthesia. After the contrast agent is administered, the patient lies in a supine position on the couch, and then a series of images of the vessels follows, which are processed on a computer. In some cases, an additional procedure, such as cerebral angiography, may be required to study the condition of the vessels in more detail.
Arteriography is a safe and effective diagnostic method that can help identify various diseases of the blood vessels and arteries of the brain in the early stages of development. It is widely used in medicine and allows doctors to start treatment in a timely manner and prevent the development of complications.
Arteriography is a method of studying arteries based on the introduction of a radiopaque substance into them and subsequent X-ray examination. According to the method of applying contrast, there are several types of arteriography (endovascular diagnostics), some of them are described below. Endovascular examination of blood vessels is extremely limited. The study of large arteries (arteriocarotid-cerebral arteriography) is performed according to strict indications. It is indicated for the diagnosis of aneurysms, thrombosis and occlusions in the neck when other methods are ineffective. Although the radiologist's judgment is important, auscultatory findings are unlikely to play a significant role. Signs of blood flow from affected vessels are usually determined visually. The narrow lumen of the affected vessel and the high pressure in it allow one to hear a low-amplitude noise stream, but nothing more. The assumption of vessel thrombosis is based on the smoothness of its walls and uniform clearing only with the introduction of a contrast agent. Thrombosis of the superficial branch of the anterior cerebral artery is manifested by an increase in the stiffness index to 45%, while thrombotic masses can destroy the internal layers of the wall. Retrograde blood flow along M-II can manifest itself as calcification of blood vessels.