Document Detail


CT angiography for assessment of intracranial basilar apex aneurysm neck diameter reduction poststenting for treatment planning.
MedLine Citation:
PMID:  20146206     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Once a contraindication for a neuro-interventional therapeutic approach, some wide-necked aneurysms can now be treated with stent assistance. Radiologically assessing the impact of a stent on the neck of a wide-neck bifurcation, aneurysm remains a challenge however. METHODS: A 76-year-old female with a large irregular basilar apex aneurysm was referred for endovascular treatment. Angiographic imaging revealed a basilar apex aneurysm with a 6-mm neck and a 14-mm dome. The decision was made to perform staged stent-assisted coiling of the aneurysm. In the interim time, although the stent was allowed to heal in place, a CTA was done to assess the positioning of the stent and the degree of neck narrowing. RESULTS: The CTA showed that the neck had been narrowed from 6 to 2 mm hence making endovascular coiling feasible. CONCLUSION: Our case illustrates the use of CTA poststent deployment to visualize the change in aneurysm neck caliber precoil embolization.
Authors:
Joseph G Adel; Arun K Sherma; Bernard R Bendok
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  75     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-29     Completed Date:  2010-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  644-7     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cerebral Angiography / methods*
Embolization, Therapeutic*
Female
Humans
Intracranial Aneurysm / radiography*,  therapy*
Patient Selection
Predictive Value of Tests
Stents*
Tomography, X-Ray Computed*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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