"Stent view" flat-detector CT and stent-assisted treatment strategies for complex intracranial aneurysms.

Abstract:

BACKGROUND:Complex intracranial aneurysms are often treated with endovascular stent-assisted coiling. Intracranial stents are difficult to visualize with conventional computed tomography (CT) or fluoroscopy. "Stent view" flat-detector CT can be used to visualize intracranial stents during endovascular treatment. METHODS:Three patients underwent endovascular treatment of complex intracranial aneurysms. Stent view flat-detector CT was used to study stent placement and morphology in vivo. RESULTS:Stent view CT was successful in visualizing stents in all patients. In two patients, stent morphology rendered endovascular coiling technically unfeasible; in one patient, visualization of stent strut herniation into the aneurysm lumen allowed successful coil embolization of the aneurysm. CONCLUSIONS:Stent view CT provided detailed imaging of stent placement and morphology in all three cases. The technique influenced treatment decisions and technical outcomes. Stent view CT is a valuable intraprocedural technical tool in stent-assisted endovascular procedures.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Levitt MR,Cooke DL,Ghodke BV,Kim LJ,Hallam DK,Sekhar LN

doi

10.1016/j.wneu.2010.07.042

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

275-8

issue

2

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(10)00485-7

journal_volume

75

pub_type

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