Amaurosis fugax: carotid endarterectomy without an angiogram
Baliga, K.P.; Bell, W.H.; Kerstein, M.D.
Journal of the Louisiana State Medical Society Official Organ of the Louisiana State Medical Society 141(7): 35-36
1989
ISSN/ISBN: 0024-6921 PMID: 2769008 Document Number: 342104
The risks of carotid angiography--technical, allergic, cardiac, renal, or emotional--may be lessened or absented by the use of real-time B-mode ultrasound to evaluate carotid artery disease. A patient with amaurosis fugax, a positive fluorescein angiogram, ulceration on ultrasound, and an unremarkable computed tomography scan was operated on without angiography. The pathology was correct and the patient did well.