TITLE

Surveillance of intracranial aneurysms treated with detachable coils: a comparison of MRA techniques

AUTHOR(S)
Farb, Richard I.; Nag, Shudeshna; Scott, James N.; Willinsky, Robert A.; Marotta, Thomas R.; Montanera, Walter J.; Tomlinson, George; terBrugge, Karel G.
PUB. DATE
July 2005
SOURCE
Neuroradiology;Jul2005, Vol. 47 Issue 7, p507
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Two MRA techniques were evaluated for the follow-up of coiled intracranial aneurysms. Twenty-nine coiled aneurysms were evaluated for a total of 36 follow-up assessments using 3D time-of flight MRA (TOF MRA), an auto-triggered elliptic–centric-ordered three-dimensional gadolinium-enhanced MR angiogram (ATECO MRA), as well as a selective digital subtraction angiography (DSA), which served as the “gold standard”. Confident visualization was seen in 36 (100%) of ATECO MRAs and in 32 (89%) of the TOF MRAs. Eleven residual aneurysm components (RACs) greater than 2 mm were described on DSA. Of these, nine were seen on ATECO MRA (sensitivity of 81% and specificity of 88%) and four were seen on TOF MRA (sensitivity of 40% and specificity of 90%). The two RACs not seen on ATECO MRA both measured 3 mm. The six RACs not seen on TOF MRA measured 3, 4 and 5 mm. ATECO MRA provides a non-invasive reliable angiogram for the surveillance of coiled aneurysms and is superior to TOF MRA for this purpose.
ACCESSION #
17671832

 

Related Articles

  • Intracranial aneurysms: evaluation in 200 patients with spiral CT angiography. Young, N.; Dorsch, N. W. C.; Kingston, R. J.; Markson, G.; McMahon, J.; Dorsch, N W // European Radiology;Jan2001, Vol. 11 Issue 1, p123 

    The goal of this study was to assess the usefulness of spiral CT angiography (CTA) with three- dimensional reconstructions in defining intracranial aneurysms, particularly around the Circle of Willis. Two hundred consecutive patients with angiographic and/or surgical correlation were studied...

  • Difference in configuration of ruptured and unruptured intracranial aneurysms determined by biplanar digital subtraction angiography. Beck, J.; Rohde, S.; el Beltagy, M.; Zimmermann, M.; Berkefeld, J.; Seifert, V.; Raabe, A. // Acta Neurochirurgica;Oct2003, Vol. 145 Issue 10, p861 

    Summary ¶Summary There is an ongoing discussion about the risk of bleeding from unruptured intracranial aneurysms. Management guidelines were developed recently and some of the recommendations for decision making are based on the anatomical configuration of the aneurysm. The common assumption...

  • Angiographic follow-up after surgical treatment of intracranial aneurysms. Akyüz, M.; Tuncer, R.; Yilmaz, S.; Sindel, T. // Acta Neurochirurgica;Mar2004, Vol. 146 Issue 3, p245 

    This study was undertaken to evaluate the long-term angiographic outcome of surgically treated aneurysms. In addition, the incidence of recurrent aneurysms, the fate of residual aneurysms and the de novo formation of aneurysms were evaluated. Moreover, morphological conditions such as...

  • Endovascular Occlusion of Intracranial Aneurysms with Guglielmi Detachable Coils: Correlation Between Coil Packing Density and Coil Compaction. Kawanabe, Y.; Sadato, A.; Taki, W.; Hashimoto, N. // Acta Neurochirurgica;Jun2001, Vol. 143 Issue 5, p451 

    Summary This retrospective analysis was undertaken to evaluate a possible relationship between coil packing densitiy and coil compaction on intracranial aneurysms embolized using Guglielmi detachable coils (GDCs). Of the patients who underwent endovascular surgery using GDC in our hospital...

  • Ruptured intracranial dissecting aneurysms: management considerations with a focus on surgical and endovascular techniques to preserve arterial continuity. Uhl, E.; Schmid-Elsaesser, R.; Steiger, H.-J. // Acta Neurochirurgica;Dec2003, Vol. 145 Issue 12, p1073 

    Background. The present retrospective analysis was undertaken to review an institutional experience with 13 intracranial dissecting aneurysms as source of subarachnoid haemorrhage (SAH) among a total of 585 ruptured intracranial aneurysms. Methods and results. In 6 patients the vertebral artery...

  • Dual-energy direct bone removal CT angiography for evaluation of intracranial aneurysm or stenosis: comparison with conventional digital subtraction angiography. Watanabe, Yoshiyuki; Uotani, Kensuke; Nakazawa, Tetsuro; Higashi, Masahiro; Yamada, Naoaki; Hori, Yoshiro; Kanzaki, Suzu; Fukuda, Tetsuya; Itoh, Toshihide; Naito, Hiroaki // European Radiology;Apr2009, Vol. 19 Issue 4, p1019 

    Dual-energy CT can be applied for bone elimination in cerebral CT angiography (CTA). The aim of this study was to compare the results of dual-energy direct bone removal CTA (DE-BR-CTA) with those of digital subtraction angiography (DSA). Twelve patients with intracranial aneurysms and/or ICA...

  • Hypoplasia of the internal carotid artery: a noninvasive diagnosis. Ide, C.; De Coene, B.; Mailleux, P.; Baudrez, V.; Ossemann, M.; Trigaux, J. P. // European Radiology;Dec2000, Vol. 10 Issue 12, p1865 

    We present the characteristic imaging findings of hypoplasia of the internal carotid artery (ICA) in two cases, one accompanied by an intracranial aneurysm. Finding of a diffuse luminal narrowing of the ICA on MR angiography or digital subtraction angiography (DSA) could wrongly evoke severe...

  • The relation between packing and reopening in coiled intracranial aneurysms: a prospective study. Slob, Marjan J.; Sluzewski, Menno; van Rooij, Willem Jan // Neuroradiology;Dec2005, Vol. 47 Issue 12, p942 

    We evaluated prospectively the relation between packing and reopening in coiled intracranial aneurysms. Packing, defined as the ratio between the volume of inserted coils and volume of the aneurysm expressed as percentage, was calculated for 82 intracranial aneurysms treated with detachable...

  • Intracerebral aneurysms: a review with special attention to geriatric aspects. Vogel, Thomas; Verreault, Rene; Turcotte, Jean-Francois; Kiesmann, Michele; Berthel, Marc; Verreault, René; Turcotte, Jean-François; Kiesmann, Michèle // Journals of Gerontology Series A: Biological Sciences & Medical ;Jun2003, Vol. 58 Issue 6, p520 

    Rupture of an intracranial aneurysm (ICA) remains a devastating complication associated with a high degree of morbidity and mortality. In the past 2 decades, older people were often excluded from active treatment on the unique basis of their chronological age. Recent developments of...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics