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. Author manuscript; available in PMC: 2014 May 1.
Published in final edited form as: Neurosurgery. 2013 May;72(5):777–795. doi: 10.1227/NEU.0b013e318286fdc8

Table 1.

Angiogram-only strokes

Patient
Numb
er
Age/
Gend
er
Qualifying
Event
Baseline
Imaging
Location of
Stenotic
Artery
Timing QE
to
Procedure
(days)
Procedural and Stroke Details Mechanism of
Stroke
Associated
with Clinically
Relevant Infarct
30-day
Outco
me
35 57/M Stroke:
Ataxia
And
weakness
MR (+
infarct)
Vertebrobasil
ar junction
7 80% lesion at VBJ by diagnostic
catheter angiogram
Angiogram under anesthesia showed
significant reduction in stenosis, now
<60%. New PICA evident on angio
(Figure 2)
New vision loss post angio. New
occipital and posterior inferior
cerebellar artery territory strokes on
repeat MR
Embolic
Complication
of angio
mRS 4
36 70/F Stroke:
dysarthria,
arm and
leg
weakness
No
baseline
MR or CT
submitte
d
Basilar 5 Diagnostic angiogram (3 days after
stroke) demonstrated 98% basilar
stenosis
Therapeutic (for planned
angioplasty) angiogram showed
interval occlusion at the site of
tenosis
Retrograde filling from PComA.
atient awoke stable
Acute stroke in territory 3 days later.
New infarctions by MR in pons and
midbrain
Delayed
thrombo-
embolic
Died 3
days
after
angio
37 74/F Stroke:
face, arm
and leg
weakness,
aphasia
CT (+
infarct)
Internal
carotid artery
4 Catheter angiogram (2 days after
stroke) demonstrated 89% cavernous
ICA stenosis
Treatment angiogram showed
complete occlusion
Acute stroke in the territory 5 days
later while in rehab. (Figure 2, MR
ADC maps)
Delayed
thrombo-
embolic
mRS 4

Infarct size: 1.5 cm or less – small, 1.5 to 3.0 cm – medium. No petechial hemorrhage unless otherwise noted. Corresponding images described in the

“Procedural and Stroke Details” are shown in Figure 2 by patient number, unless indicated otherwise.

M = male; F = female; MR = magnetic resonance; CT = computed tomography; mRS = modified Rankin score; QE = Qualifying event; ADC = apparent diffusion coefficient)