Document Detail


Utility of VasoCT in the treatment of intracranial aneurysm with flow-diverter stents.
MedLine Citation:
PMID:  22559846     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Object The small size and tortuous anatomy of intracranial arteries require that flow-diverter stents in the intracranial vasculature have a low profile, high flexibility, and excellent trackability. However, these features limit the degree of radiopacity that can be incorporated into the stents. Visualization of these stents and the degree of stent deployment using conventional radiographic techniques is suboptimal. To overcome this drawback, the authors used a new combined angiography/CT suite that uses flat-panel detector technology for higher resolution angiography. Methods The authors present their preliminary experience in the imaging of flow-diverter stents in 31 patients in whom VasoCT was used with a new flat-panel detector angiographic system. Results Intraarterial VasoCT was performed after flow-diverter stent deployment in all cases. In 4 of these cases, balloon angioplasty or telescopic stent deployment-related decisions were made after checking VasoCT images. At 3- and 6-month follow-up in 27 patients, digital subtraction angiography was performed in 12 patients and intravenous VasoCT in 11 patients. Twenty-three of 31 patients had their aneurysm occluded during short-term follow-up, and 4 of the 31 patients still had minimal residual filling of the aneurysms. None of the 27 patients had stenosis of the parent artery. Conclusions The authors found that VasoCT provides clear visualization of flow-diverter stents. The images obtained both intraarterially and intravenously are very promising. The initial results provide a high confidence and reproducibility rate for further utilization of this new technique.
Authors:
Osman Kizilkilic; Naci Kocer; George Emmanuel Metaxas; Drazenko Babic; Robert Homan; Civan Islak
Related Documents :
18432456 - Regulation of pulmonary vasoconstriction by agonists and caveolae.
22836036 - Expanded endonasal endoscopic approach for resection of a growth hormone-secreting pitu...
16524786 - Upregulation of profilin, cofilin-2 and limk2 in cultured pulmonary artery smooth muscl...
22456636 - Zenith® tx2®lowprofile taa endovascular graft: a next generation thoracic stent-graft.
24244396 - Single intraperitoneal injection of monocrotaline as a novel large animal model of chro...
3041626 - Primary arteritis of the aorta and its branches.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-4
Journal Detail:
Title:  Journal of neurosurgery     Volume:  -     ISSN:  1933-0693     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Radiology, Division of Neuroradiology, Cerrahpasa Medical School, University of Istanbul, Kocamustafapasa, Istanbul, Turkey; and.
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:  Flow diverters failing to occlude experimental bifurcation or curved sidewall aneurysms: an in vivo ...
Next Document:  Significance of Simpson grading system in modern meningioma surgery: integration of the grade with M...