By Nicholas Bunce
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Additional resources for An Atlas of Contrast-Enhanced Angiography
3 A 50-year-old man had a surgical repair of an aortic coarctation in 1977. Because of severe resistant hypertension (blood pressure 212/121 mmHg) he was referred for exclusion of re-coarctation of the aorta and concomitant renal artery stenosis. 5 cm at the site of previous coarctation repair ((a) and (b) anterior view; (c) sagittal view). There Magnetic resonance of the aorta 23 is no significant aortic re-coarctation. 4 A 29-year-old woman with coarctation of the aorta and previous aortic interposition graft was referred for follow-up assessment of the graft.
This was demonstrated in the Scandinavian Simvastatin Survival Study, where 4444 patients with stable angina or previous myocardial infarction were randomized to receive simvastatin or placebo8. In the patients allocated to simvastatin, there was a 30% reduction in the rate of fatal and non-fatal strokes, in addition to the reduction of coronary events. Statin drugs have also been shown to slow the progression of carotid atherosclerosis, as documented with carotid ultrasound9,10. Heavy alcohol intake can increase the risk of stroke; but moderate alcohol intake may be neutral or reduce the risk of stroke11–13.
Petersen MJ, Cambria RP, Kaufman JA, et al. Magnetic resonance angiography in the preoperative evaluation of abdominal aortic aneurysms. J Vasc Surg l995; 21:891 37. Edelman RR. MR angiography: Present and future. Am J Roentgenol 1993; 161:1 4 Carotid artery disease INTRODUCTION Atheromatous disease affecting the carotid arteries may result in vessel narrowing; leading to symptoms of cerebral ischemia that may vary from temporary blindness (transient retinal ischemia) to complete limb paralysis (hemiparesis).
An Atlas of Contrast-Enhanced Angiography by Nicholas Bunce