| "Real-world" comparison of non-invasive imaging to conventional catheter angiography in the diagnosis of cerebral aneurysms. | |
| | |
MedLine Citation:
|
PMID: 22059129 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: Based on numerous reports citing high sensitivity and specificity of non-invasive imaging [e.g. computed tomography angiography (CTA) or magnetic resonance angiography (MRA)] in the detection of intracranial aneurysms, it has become increasingly difficult to justify the role of conventional angiography [digital subtraction angiography (DSA)] for diagnostic purposes. The current literature, however, largely fails to demonstrate the practical application of these technologies within the context of a "real-world" neurosurgical practice. We sought to determine the proportion of patients for whom the additional information gleaned from 3D rotational DSA (3DRA) led to a change in treatment. METHODS: We analyzed the medical records of the last 361 consecutive patients referred to a neurosurgeon at our institution for evaluation of "possible intracranial aneurysm" or subarachnoid hemorrhage (SAH). Only those who underwent non-invasive vascular imaging within 3 months prior to DSA were included in the study. For asymptomatic patients without a history of SAH, aneurysms less than 5 mm were followed conservatively. Treatment was advocated for patients with unruptured, non-cavernous aneurysms measuring 5 mm or larger and for any non-cavernous aneurysm in the setting of acute SAH. RESULTS: For those who underwent CTA or MRA, the treatment plan was changed in 17/90 (18.9%) and 22/73 (30.1%), respectively, based on subsequent information gleaned from DSA. Several reasons exist for the change in the treatment plan, including size and location discrepancies (e.g. cavernous versus supraclinoid), or detection of a benign vascular variant rather than a true aneurysm. CONCLUSIONS: In a "real-world" analysis of intracranial aneurysms, DSA continues to play an important role in determining the optimal management strategy. |
| | |
Authors:
|
Luke Tomycz; Neil K Bansal; Catherine R Hawley; Tracy L Goddard; Michael J Ayad; Robert A Mericle |
Related Documents
:
|
19809049 - A-lines and b-lines: lung ultrasound as a bedside tool for predicting pulmonary artery ... 10319079 - Acute pulmonary edema associated with placement of waist-high, custom-fit compression s... 22231529 - Lesion characteristics of patients with chronic critical limb ischemia that determine c... 637209 - Diagnostic value of the portable chest x-ray technic in pulmonary edema. 17221189 - Assessing pulmonary permeability by transpulmonary thermodilution allows differentiatio... 14020689 - Pulmonary tuberculosis apparently caused by the avian tubercle bacillus. 7062129 - Cerebral dissecting aneurysm and intimal fibroelastic thickening of cerebral arteries. ... 15472589 - Axillary to saphenous vein bypass for treatment of central venous obstruction in patien... 17555069 - Peripheral pulmonary embolism on multidetector ct pulmonary angiography. |
Publication Detail:
|
Type: Journal Article Date: 2011-09-30 |
Journal Detail:
|
Title: Surgical neurology international Volume: 2 ISSN: 2152-7806 ISO Abbreviation: Surg Neurol Int Publication Date: 2011 |
Date Detail:
|
Created Date: 2011-11-07 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101535836 Medline TA: Surg Neurol Int Country: India |
Other Details:
|
Languages: eng Pagination: 134 Citation Subset: - |
Affiliation:
|
Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A role for motor and somatosensory evoked potentials during anterior cervical discectomy and fusion ...
Next Document: Thrombosed giant aneurysm of the distal anterior cerebral artery treated with aneurysm resection and...