Clinical value of three-dimensional rotational angiography as emergency first-line procedure for ruptured intracranial aneurysms

doi:10.3877/cma.j.issn.2095-5782.2013.01.014

Abstract

Abstract:

Objective

To evaluate the clinical application of three-dimensional rotational angiography（3D-RA）as emergency procedure in the treatment of ruptured intracranial aneurysms.

Methods

Between Jan 2010 and May 2012，sixty-three patients underwent 3D-RA as emergency procedure and intracranial aneurysms were confirmed in all those patients.Endovascular treatment and surgical clipping were scheduled according to the results of the procedures.The initial 3D-RA results were evaluated and compared with endovascular and surgical findings.Clinical outcome and follow up results were recorded and analyzed.

Results

A total of 66 cerebral aneurysms were detected by 3D-RA and treated.3D-RA with reconstructed CT images correlated well with the surgical findings in 19 patients（surgical group）.Meanwhile，47 aneurysms in 44 patients（endovascular group）were treated by endovascular procedures.Clinical follow up was completed for a mean duration of 10 months.Complications were revealed during the follow up in 6 cases in the endovascular group.One aneurysm coiling procedure failed because of unsuccessful micro-catheterization and the patient was transferred to surgical clipping successfully.The technique success rate was 100.0%in the surgical group and 97.7%in the endovascular group.

Conclusions

Emergency 3D-RA provides enough evidence to determine the optimal treatment plan for ruptured intracranial aneurysms.A strategy of using 3D-RA for aneurysmal hemorrhage appears to be practical and safe with multi-disciplinary team work in selected cases and qualified clinical centers.

Key words: Three-dimensional rotational angiography(3D-RA), Intracranial aneurysm, Surgical clipping, Endovascular treatment

Qiang HUANG, Shi-Long ZHANG, Yong-Quan SUN, Jing-Ping LI, Jian-Feng WANG, Ren-You ZHAI. Clinical value of three-dimensional rotational angiography as emergency first-line procedure for ruptured intracranial aneurysms[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2013, 01(01): 51-53.

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References 18

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动脉瘤部位	手术夹闭	介入栓塞
椎动脉	1	3
颈内动脉	1	11
大脑前动脉	2	1
大脑中动脉	5	5
前交通动脉	5	7
后交通动脉	5	19
基底动脉	0	1

动脉瘤部位	手术夹闭	介入栓塞
椎动脉	1	3
颈内动脉	1	11
大脑前动脉	2	1
大脑中动脉	5	5
前交通动脉	5	7
后交通动脉	5	19
基底动脉	0	1

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