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Radiology, Vol 132, 369-373, Copyright © 1979 by Radiological Society of North America

ARTICLES

Angiographically undetected ulceration of the carotid bifurcation as a cause of embolic stroke

JH Edwards, II Kricheff, T Riles and A Imparato

The accuracy of angiographic diagnosis of carotid artery ulceration was evaluated. Of those carotid bifurcations showing ulceration at surgery, 60% were diagnosed as having ulcers at angiography. Half of the remaining ulcers occurred in smooth, benign-appearing plaques and were too small to be seen at angiography. An incorrect angiographic diagnosis of ulceration was made in 17 of 50 carotid arteries; in most cases this was due to the presence of a subintimal hematoma in the wall of the artery.


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