Flat panel detector angiographic CT in the management of aneurysmal rupture during coil embolization.
نویسندگان
چکیده
Angiographic CT (ACT) produces CT-like images within minutes in the angiography suite. We present the cases of 2 patients with intraprocedural aneurysmal rupture in which ACT enabled the neuroradiologist to rapidly assess the extent of bleeding during endovascular treatment. Additionally, ACT revealed pronounced rebleeding within the time between conventional CT and onset of treatment. In the management of aneurysmal rupture during coil embolization, ACT may be a valuable adjunct.
منابع مشابه
Subarachnoid hyperattenuation on flat panel detector-based conebeam CT immediately after uneventful coil embolization of unruptured intracranial aneurysms.
BACKGROUND AND PURPOSE Flat panel detector-based CBCT can provide CT-like images of the brain without transferring patients from the angiography suite to a conventional CT facility. Conventional brain CT after uneventful endovascular treatment sometimes shows focal subarachnoid hyperattenuation with contrast leakage, mimicking SAH. Differentiating this finding from SAH is important for immediat...
متن کاملCase report: Intra-procedural aneurysm rupture during endovascular treatment causing immediate, transient angiographic vasospasm.
INTRODUCTION Cerebral vasospasm is a major cause of delayed ischemic cerebral injury, typically occurring 3-14 days after subarachnoid hemorrhage (SAH). Ultra-early vasospasm is defined as angiographic vasospasm observed within 48 h of SAH onset. Immediate vasospasm at the time of aneurysmal rupture has been suspected, but has not been previously reported. We describe a case of immediate, trans...
متن کاملRupture of intracranial aneurysms during endovascular coiling: management and outcomes.
OBJECTIVE In this study, the incidence, etiologies, and management with respect to clinical outcome of patients with iatrogenic aneurysmal rupture during attempted coil embolization of intracranial aneurysms are reviewed. METHODS A retrospective analysis was conducted of 274 patients with intracranial aneurysms treated with Guglielmi detachable coils over a 6-year period from 1994 to 2000. Pa...
متن کامل[Aneurysmal rupture during embolization with Guglielmi detachable coils].
OBJECTIVE The purpose of this study is to determinate the frequency, causes, management and outcome of aneurysmal rupture occurring during embolization. We present our experience with this severe and feared complication. METHODS We retrospectively reviewed 314 acute cerebral aneurysms that were treated with endovascular coiling. These patients were identified and the management and outcomes w...
متن کاملIntraprocedure aneurysm rupture in embolization: clinical outcome with imaging correlation.
BACKGROUND Intraprocedural aneurysm rupture (IPAR) is the most feared complication of embolization for intracranial aneurysms. Here we report the immediate and long-term imaging outcomes of IPAR during embolization and the correlation with clinical outcomes. METHODS Of the 376 consecutive patients harboring 412 intracranial aneurysms who had underwent endovascular coil embolizations in the pa...
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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 29 8 شماره
صفحات -
تاریخ انتشار 2008