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Diagnostic Cerebral Catheter Angiography

Diagnostic angiography, also called digital subtraction angiography (DSA), is a minimally invasive imaging method used to visualize and assess the vascular anatomy of a specific organ or area. It has a very high resolution and can provide valuable information for choosing the best therapy. Our clinic uses it to exmine the vessels of the brain, head and spine.

Overview

The most common indications for a DSA are:

  • investigating a suspected cerebral or spinal vascular disease (e.g., aneurysms, vascular malformations, fistulas, tumors, etc.)
  • preoperative planning
  • postoperative check to evaluate the surgical result

DSA is often not the first step when investigating vascular diseases, but it is nonetheless an essential one. Often, the method is indispensable for reliably detecting or excluding a diagnosis.

At the USZ, we perform angiography mostly on an outpatient basis and under local anesthesia.

Advantages and disadvantages

Advantages

  • Angiography is usually essential for the diagnosis of neurovascular diseases and for surgical planning and control.
  • DSA produces high-resolution images and provides information that cannot currently be obtained with non-invasive methods.

Disadvantages

  • DSA is an invasive method and is therefore associated with certain risks. However, modern technology can minimize those.

Many years of expertise

Our clinic is an internationally renowned institution in the field of diagnostics and minimally invasive, image-guided treatment. We treat diseases of the brain, spinal cord, peripheral nervous system, associated organs (eyes, auditory, vestibular, etc.), and surrounding structures of the head, neck and spine.

Latest treatment methods

At the Department of Neuroradiology, we strive to offer the best possible treatment to every patient. We therefore use the latest interventional methods, the most advanced materials and instruments, and cutting-edge imaging techniques.

Partner network

Additionally, we hold weekly interdisciplinary conferences with experts from neurosurgery, neurology and neuroradiology during which we develop an individual therapy concept for each case. To guarantee optimal treatment selection and patient care our experienced neuroradiological interventionists further collaborate with experts from other clinics as well as with outstanding nursing and rehabilitation specialists before, during and after the intervention.

Course of treatment

We usually perform angiography on an outpatient basis. As a patient, you must fast for at least four hours before the examination. This means that you are not allowed to eat any solid food and you can drink only small amounts of clear liquids. However, you can continue taking any medication which you require for unrelated health problems unless there is a special risk associated with them.

The procedure is minimally invasive and and IS performed under local anesthesia. First we puncture the femoral artery (thigh artery) in the groin region. Then we image the blood vessels by inserting a tiny catheter and injecting contrast medium. The latter may cause a warm or hot sensation. After the angiography is completed, we manually compress the groin for a few minutes and finally apply a pressure bandage.

Preparation (optional) Fasting for four hours before the procedure
Anesthesia Local anesthesia
Duration of the operation 40 – 80min

Aftercare

After the examination, you are required to rest in bed for six hours and to wear a compression bandage. Usually, patients can then go home still on the same day. It is possible to work in the days following the procedure, but heavy lifting and heavy physical labor should be avoided for a few days.

Hospital stay One day
Inability to work Usually none. It is possible to work in the days following the procedure, but heavy lifting and heavy physical labor should be avoided.

For patients

As a patient, you cannot register directly for an appointment. Please have your physician refer you to our clinic or to register you for the neurovascular consultation hour. ​

 

If you have any questions, please contact our patient secretariat.

Tel. +41 44 255 56 01

For referring physicians

Refer your patient through the online form or through an e-mail to the patient secretariat.

Tel. +41 44 255 56 01