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Correspondence
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Volume 340:1442 May 6, 1999 Number 18
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Rupture of Cerebral Aneurysm during Angiography

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 by Stockinger, Z.
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To the Editor: Dr. Stockinger's contribution to Images in Clinical Medicine (Dec. 10 issue)1 shows the fatal periangiographic rupture of an aneurysm of the posterior inferior cerebellar artery in a 35-year-old woman. Forceful injection of contrast medium into a vertebral artery to visualize the contralateral posterior inferior cerebellar artery through retrograde opacification of the contralateral vertebral artery is a procedure that has long been used in order to avoid the need for selective catheterization of both vertebral arteries during a workup for subarachnoid hemorrhage. It must be remembered, however, that the intraaneurysmal pressure is increased by the injection of contrast . . . [Full Text of this Article]

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