117 Digital Substraction Angiography in CT Angiography Negative Spontaneous Subarachnoid Hemorrhage

Authors:
  • PJPinakin Rameshchandra Jethwa
    Pinakin Rameshchandra Jethwa
  • VPVineet Punia
    Vineet Punia
  • TPTapan Patel
    Tapan Patel
  • CGChirag D. Gandhi
    Chirag D. Gandhi
  • CPCharles J. Prestigiacomo
    Charles J. Prestigiacomo

Abstract
Recent studies have documented the high sensitivity of CT angiography (CTA) in detecting a ruptured aneurysm in the presence of acute subarachnoid hemorrhage (SAH). The practice of digital subtraction angiography (DSA) when CTA does not reveal an aneurysm has thus been called into question. We examined the efficacy of DSA in CTA negative SAH when balanced with the costs and risks associated with the procedure.