Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society, The 1989-Jul
Amaurosis fugax: carotid endarterectomy without an angiogram.
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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.
