Abstract:
PURPOSE:To assess the usefulness of intraarterial computed tomographic (CT) angiography in conjunction with digital subtraction angiography (DSA) by using a combined CT and angiographic unit in the preoperative evaluation of intracranial aneurysms. MATERIALS AND METHODS:Prospectively, 22 patients with or without subarachnoid hemorrhage underwent CT angiography in conjunction with DSA. Two radiologists independently evaluated DSA and CT angiographic images. Referring neurosurgeons were questioned as to how the additional information provided by CT angiography changed patient treatment. RESULTS:Intraarterial CT angiography was superior to DSA for use in aneurysm detection in three (12%) of 26 aneurysms and for delineation of aneurysm shape, neck, and location in more than half. In 14 (64%) of 22 patients, CT angiography demonstrated 18 additional findings: a very small aneurysm (n = 2), aneurysm shape and neck (n = 6), relationship of the aneurysm to adjacent arteries or bone structure (n = 8), and branches deriving from the aneurysm (n = 2). In four (27%) of 15 patients who underwent surgery or embolization, additional information obtained at CT angiography affected the treatment. CT angiography failed to clearly demonstrate an aneurysm adjacent to bone structures and small perforators, which were derived from the parent artery. CONCLUSION:Intraarterial CT angiography is useful for preoperative evaluation of intracranial aneurysms as a supplement to DSA.
journal_name
Radiologyjournal_title
Radiologyauthors
Hirai T,Korogi Y,Ono K,Murata Y,Suginohara K,Omori T,Uemura S,Takahashi Mdoi
10.1148/radiology.220.2.r01au20499subject
Has Abstractpub_date
2001-08-01 00:00:00pages
499-505issue
2eissn
0033-8419issn
1527-1315journal_volume
220pub_type
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