Complications of intra-arterial digital subtraction angiography in patients investigated for cerebral vascular disease in Tertiary Care Hospital

Abstract

Background: Cerebral DSA is mainly performed as a diagnostic procedure but at times used for intervention. Usually DSA is safe procedure but rarely could it be associated with complications such as nausea, vomiting, transient hypotension, anaphylaxis, and groin hematoma, neurological complications secondary to thromboembolism which occurs secondary to thrombus formation within catheters or device-induced micro-dissections. The purpose of this study was to determine the complications of intra-arterial digital subtraction angiography in patients investigated for cerebral vascular disease. Methods: Present study was prospective in nature conducted on 100 dengue patients. All patients fulfilling inclusion criteria and exclusion criteria were taken up for the study. Study was carried from August to October 2021. Results: Majority of the patients was in the age group of 40-60 years and most of them were male. Complications of the DSA procedure were neurological & non-neurological. Most of the non-neurological complications were local like pain at the puncture site, puncture site hematoma, femoral artery dissection & few were systemic as nausea, vomiting, contrast dye allergy. Neurological complications were transient ischemic attack of motor type, transient ischemic attack of sensory type & stroke of sensory type. Incidence of neurological complications in our study was 4.83%. Conclusion: DSA is a safe procedure with rare incidence of neurological complications.