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NEUROLOGY 1985;35:1201
© 1985 American Academy of Neurology

Arteriography of the carotid bifurcation

Oblique projections

Mark Fisher, MD, Jamshid Ahmadi, MD, Chi-Shing Zee, MD, Roger Terry, MD and John M. Weiner, DrPH

Departments of Neurology (Dr. Fisher), Radiology (Drs. Ahmadi and Zee), Pathology (Dr. Terry), and Medicine (Dr. Weiner), University of Southern California School of Medicine, Los Angeles, CA.

Atherosclerotic plaques may not be demonstrated adequately by standard anteroposterior (AP)-lateral projections of carotid arteriography. We evaluated selective carotid arteriography in oblique projections for 60 individual carotid arteries. Two neuroradiologists evaluated arteriograms in four separate sessions devoted to AP-lateral views alone and in combination with oblique projections. The lumen surface was characterized as "smooth," "irregular," or "ulcerated." When oblique projections were added to AP-lateral views, there was a significant shift of radiologic diagnosis from smooth to irregular or ulcerated. Addition of oblique projections to standard AP-iateral views increases the radio-graphic diagnosis of carotid artery lesions that may be the source of emboli.

Address correspondence and reprint requests to Dr. Fisher, Department of Neurology, Unit I, Room 5641, USC School of Medicine, 1200 North State Street, Los Angeles, CA 90033.

Supported by the American Heart Association, Greater Los Angeles Affiliate, Inc., Grant No. 726 G2-2.

Dr. Fisher is recipient of Teacher-Investigator Development Award 1 K07 NS00884-01.

Presented in part at the 108th Annual Meeting of the American Neurological Association, October 2-5, 1983, New Orleans, LA.

Accepted for publication November 14, 1984.




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