Abstract:
PURPOSE:Carotid artery stenting (CAS) has been proven to decrease the risk of stroke in symptomatic patients with moderate/high-grade carotid stenosis; however, there is an increased periprocedural risk of stroke with CAS compared to carotid endarterectomy. The goal of this article is to report the utilization of endovascular optical coherence tomography (OCT) during CAS to aid in the identification of stent malapposition, plaque prolapse, and adjacent residual thrombus that could cause periprocedural stroke. METHODS:Approval was obtained for endovascular OCT imaging in patients undergoing CAS. Images were obtained before and after stenting. Images were acquired with proximal balloon occlusion and saline to clear luminal blood during acquisition. RESULTS:A total of seven patients provided informed consent for imaging. There were no complications during image acquisition or the stenting procedure. Optical coherence tomography imaging revealed free intraluminal red thrombi, fibrous cap dissections, and thin cap fibroatheromas with underlying ulcerative plaques. Plaque herniation through stents was also demonstrated along with thrombus. Poor stent apposition was clearly visible. CONCLUSION:Optical coherence tomography image acquisition was found to be safe, effective, and to provide valuable information about plaque morphology and stent-vessel interactions. The role of perioperative anticoagulation after stenting should be re-evaluated given the new findings. A study comparing CAS with and without OCT with a clinical primary outcome such as ipsilateral stroke could help determine if OCT is an innovative tool to guide stenting and antithrombotic management.
journal_name
Clin Neuroradioljournal_title
Clinical neuroradiologyauthors
Pasarikovski CR,Ramjist J,da Costa L,Black SE,Cardinell J,Yang VXdoi
10.1007/s00062-019-00799-9subject
Has Abstractpub_date
2020-09-01 00:00:00pages
503-509issue
3eissn
1869-1439issn
1869-1447pii
10.1007/s00062-019-00799-9journal_volume
30pub_type
杂志文章abstract:PURPOSE:The aim of this study was to compare a recently established whole brain MR spectroscopic imaging (wbMRSI) technique using spin-echo planar spectroscopic imaging (EPSI) acquisition and the Metabolic Imaging and Data Analysis System (MIDAS) software package with single voxel spectroscopy (SVS) technique and LCMod...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-00757-x
更新日期:2020-06-01 00:00:00
abstract::The aim of the study was to evaluate the B‑flow sonography (BFS) to image the basal cerebral arteries in newborn infants. For this purpose 34 newborns, who underwent standardized ultrasound of the brain including BFS, color Doppler (CDS) and power Doppler (PDS) techniques were retrospectively assessed. Delineation of ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0624-6
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Tethered cord syndrome (TCS) is a clinical entity in which symptoms are induced through excessive tension on the spinal cord. The radiological method of choice to confirm TCS is magnetic resonance imaging (MRI), however limitations exist especially in patients with no underlying spinal dysraphism. MATERIALS AN...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0049-y
更新日期:2011-04-01 00:00:00
abstract::Primary goal of magnetic resonance imaging in epilepsy patients is to detect epileptogenic lesions with small lesions best detectable on a 3D FLAIR SPACE sequence with 1 mm(3) voxels. Morphometric analysis of 3D T1-weighted data sets helps to find subtle lesions and may reveal the true extent of a lesion. In further p...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0387-x
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Temporary balloon test occlusion (BTO) might be performed prior to procedures in which occlusion of the internal carotid artery (ICA) might be necessary. We tested the hypothesis that parametric color coding (PCC) of angiographic series (digital subtraction angiography (DSA)) along with the assessment of cer...
journal_title:Clinical neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00062-013-0208-z
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:The optimal strategy for the treatment of M1 segment aneurysms has not yet been determined as both standard microneurosurgical and endovascular techniques can pose challenges. We sought to determine the efficacy of flow diverting stents to treat small, unruptured aneurysms of the M1 segment. METHODS:We retrosp...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-016-0553-9
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:Brain arteriovenous malformations (bAVM) are the main cause of pediatric intracerebral hemorrhage (pICH). Embolization with Onyx (ev3, Irvine, CA, USA) in children with ruptured bAVM has been infrequently reported. The aim of this study was to assess the safety and efficacy profile of Onyx embolization as first...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00861-6
更新日期:2019-12-04 00:00:00
abstract:PURPOSE:Our aim was to identify imaging characteristics of pilocytic astrocytomas (PAs) in the cerebral ventricles to help radiologists distinguish PAs from other brain tumors preoperatively. METHODS:Twelve postsurgery patients with a pathological PA diagnosis were included. Among them, 10 had submitted to surgery bas...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-015-0370-6
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine potential effects of isometric non-machine-based training on the cross-sectional area (CSA) of the paravertebral muscles in volunteers who were participants in a prevention program. An increase in the CSA of back muscles after various machine-based exercises have been ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0104-3
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:In the diagnosis of brain death (BD), computed tomography angiography (CTA) results in some cases show intracranial filling, leading to diagnostic confusion. Because cerebral circulatory arrest commences at the capillary level, we hypothesized that computed tomography perfusion (CTP) would be a more sensitiv...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0631-7
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Computed tomography (CT) accounts for more than half of the total radiation exposure from medical procedures, which makes dose reduction in CT an effective means of reducing radiation exposure. We analysed the dose reduction that can be achieved with a new CT scanner [Somatom Edge (E)] that incorporates new dev...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0263-5
更新日期:2014-03-01 00:00:00
abstract:PURPOSE:Visualization of the abducens nerve in its petroclival segment still remains challenging. We aimed to investigate the detectability of the petroclival segment of the abducens nerve and to evaluate the role of the size of the petroclival venous confluence (PVC) in the visibility of the nerve using contrast-enhan...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-015-0415-x
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:Angiographic assessment of carotid cavernous fistulas (CCFs) can be complex. Our purpose was to examine whether the use of parametric color coding in the postprocessing of DSA series is advantageous in the evaluation of CCFs. METHODS:We enrolled 16 patients with angiographically proven CCFs. Endovascular treat...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0184-8
更新日期:2013-06-01 00:00:00
abstract::Correction to: Clin Neuroradiol 2019 https://doi.org/10.1007/s00062-019-00793-1The original version of this article unfortunately contained some mistakes. The Institutional Review Board number was given wrongly in the Methods/Participants section and in the Compliance with ethical guidelines/Ethical. ...
journal_title:Clinical neuroradiology
pub_type: 已发布勘误
doi:10.1007/s00062-020-00877-3
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:To review the fundamental principles of susceptibility-weighted imaging (SWI) and quantitative susceptibility mapping (QSM), and to discuss recent clinical developments. METHODS:SWI is a magnetic resonance imaging method that takes advantage of magnitude signal loss and phase information to reveal anatomic and...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0432-9
更新日期:2015-10-01 00:00:00
abstract::The technology available for the endovascular treatment of intracranial aneurysms is rapidly evolving. Both current and future devices are described. This includes, among others, UNO for parent vessel occlusion, the Medina device for saccular filling, the Comaneci device for remodeling, pCONus for assisted coil occlus...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0403-1
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:Primary spinal extradural Ewing's sarcoma (PSEES) or primitive neuroectodermal tumor (PNET) is uncommon. The present study summarizes the magnetic resonance (MR) imaging appearance of PSEES. METHODS:Literature search from 1994 to 2012 with our representative case presentation. RESULTS:Twenty-one patients, 12 ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-013-0222-1
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:The low-profile Acandis Acclino is a self-expandable nitinol microstent for stent-assisted coiling of intracranial aneurysms. This article reports long-term clinical and angiographic outcome in a multicenter setting. METHODS:In this study 98 consecutive patients (mean age 55.4 ± 13.5 years) were treated with t...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00847-4
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:Patients with transient global amnesia (TGA) present with a characteristic clinical syndrome although other differential diagnoses have to be considered. Diffusion-weighted imaging (DWI) represents a highly specific diagnostic tool in the context of TGA; however, standard clinical DWI often fails to detect the ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0140-7
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Several studies have shown that thrombectomy is safe and effective in occlusions of the M2 segment of the middle cerebral artery. This retrospective study compared superior and inferior division occlusions regarding radiological and clinical outcomes. METHODS:Between 2009 and 2017, patients trea...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00767-3
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:The authors investigated the potential of a 32-channel (32ch) receiving head coil for functional magnetic resonance imaging (fMRI) compared to a standard eight-channel (8ch) coil using a motor task. MATERIAL AND METHODS:Brain activation was analyzed in 14 healthy right-handed subjects performing finger tapping...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0029-2
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:Hereditary spastic paraplegia (HSP) and hereditary spastic ataxia (HSA) are a heterogeneous group of genetic disorders characterized by progressive lower limb spasticity resulting from pyramidal tract dysfunction. By identifying critical imaging findings within the clinical context of spasticity, radiologists a...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0665-5
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:The aim of this study was a comparison of the diagnostic value of time-of-flight magnetic resonance angiography (TOF-MRA) and contrast-enhanced (CE) MRA in the setting of acute stroke MRI. The hypothesis was that CE-MRA has at least the same diagnostic value as the commonly used TOF-MRA. MATERIALS AND METHODS:...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0039-0
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:The aim of the study was to examine the effects of mechanical thrombectomy using the Solitaire stent in patients with thromboembolic occlusions of the intracranial carotid artery bifurcation (carotid T) or middle cerebral artery (MCA) and to compare the results with a historical cohort treated with local intraa...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0099-9
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To elucidate the imaging findings of congenital oculomotor nerve palsy by evaluating the oculomotor nerve and extraocular muscles on magnetic resonance (MR) imaging in a relatively large series of 14 patients with congenital oculomotor nerve palsy. METHODS:Ophthalmologic examination of 14 consecutive patients ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00781-5
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:The aim of this study was to compare the diagnostic accuracy of 3D time-of-flight (TOF-MRA) and contrast-enhanced (CE-MRA) magnetic resonance angiography at 3 T for detection and quantification of proximal high-grade stenosis using multidetector computed tomography angiography (MDCTA) as reference standard. ME...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0279-x
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:We aimed to compare images obtained with an Enhanced 3D multi-echo GRE T2*-weighted angiography (ESWAN) sequence with those obtained with a susceptibility-weighted imaging-spoiled gradient-recalled echo (SWI-SPGR) sequence and a two-dimensional (2D) T2*-weighted gradient-recalled echo (GRE) sequence for the des...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0185-7
更新日期:2013-06-01 00:00:00
abstract::The value of magnetic resonance (MR) imaging for the clinical management of brain tumour patients has greatly increased in recent years through the introduction of functional MR sequences. Previously, MR imaging for brain tumours relied for the most part on contrast-enhanced T1-weighted MR sequences but today with the...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0439-2
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:Since the incidental discovery and systematic introduction of mechanical endovascular stroke treatment in 2015 there are few reports about the real-life situation in daily clinical practice. The aim of this study was to evaluate the mechanical thrombectomy data documented in the quality assurance database of th...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-020-00989-w
更新日期:2021-01-22 00:00:00
abstract:OBJECTIVES:The overlapping symptoms of Parkinson's disease (PD) and progressive supranuclear palsy-Richardson's syndrome (PSP-RS) often make a correct clinical diagnosis difficult. The volume of subcortical brain structures derived from high-resolution T1-weighted magnetic resonance imaging (MRI) datasets is frequently...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0727-8
更新日期:2019-12-01 00:00:00