Background and Objective: To evaluate the
frequency of indication of the neurovascular diseases
and trends in Srinagarind hospital, the northeastern
of Thailand by angiographic based
Material and Methods: This was a descriptive
retrospective study of patients who underwent first
diagnostic cerebral or spinal angiography, listed in the
database of intervention neuroradiology unit between
2014-2016. We interested in age, sex, indication for
diagnostic cerebral and spinal angiography and disease
diagnosis classified by angiographic based. We
described the trends of diseases in 3 years.
Results: 739 patients were performed diagnostic
angiography between 2014-1016 with mean age of
46.33 years. The most frequent indication for
diagnostic angiography is subarachnoid hemorrhage
(36.54%), followed by eye symptoms (13.40%). Five
most common diagnosis by angiographic based were
intracranial aneurysm (37.61%), intracranial
neurovascular malformations (17.59%), negative
diagnostic angiogram (11.31%), traumatic neurovascular
disease (11.23%) and intracranial DAVFs (7.98%).
Four uncommon diseases were head/neck tumor and
vascular malformations (7.58%), ischemic and
steno-occlusive disease (3.92%), spinal vascular
disease and spine/spinal cord tumor (1.62%) and
pedi atri c neurovascular di sease (0. 14%), r
espectively. Conclusion: Overall indication and trends
neurovascular disease in northeastern of Thailand are
variable among clinical presentation and disease
classification. In our institute, trends of the common
and uncommon diseases seem to be increased,
related to development capacity of our
multidisciplinary teams and quality of regional referral
systems.