American Journal of Neuroradiology 23:1121-1127, August 2002
© 2002 American Society of Neuroradiology
INTERVENTIONAL
Aneurysms of the Anterior Communicating Artery Treated with Guglielmi Detachable Coils: Follow-Up with Contrast-Enhanced MR Angiography
a Department of Neuroradiology, Salengro Hospital, University Hospital, Lille, France
b Department of Neurosurgery, Salengro Hospital, University Hospital, Lille, France
Address reprint requests to X. Leclerc, MD, Service de Neuroradiologie, Hôpital Roger Salengro, Boulevard du Professeur Leclercq, 59037 Lille Cedex, France
BACKGROUND AND PURPOSE: The long-term outcome of patients treated with Guglielmi detachable coils (GDCs) remains unknown and is being evaluated. We sought to assess the feasibility and utility of contrast-enhanced MR angiography in the follow-up of anterior communicating artery (AcomA) aneurysms treated with GDCs.
METHODS: In a prospective study, 20 consecutive patients with AcomA aneurysms underwent digital subtraction angiography (DSA), time-of-flight MR angiography (TOF-MRA), and contrast-enhanced MR angiography (MRA) 12 months after treatment with GDCs. The aneurysmal sac measured less than 10 mm in 19 patients and 12 mm in one patient. Two observers who did not analyze the DSA images independently reviewed the MRA images. Aneurysms were classified according to the presence of a residual neck (ie, complete occlusion, small residual neck, large residual neck, or not assessable). DSA was used as the standard of reference.
RESULTS: Images from all examinations were assessable. Venous enhancement was observed in five cases at contrast-enhanced MRA; this did not affect image interpretation. Interobserver agreement was good. A comparison of the techniques showed good agreement in the detection of a residual neck. Two cases of a small residual neck were not detected at TOF-MRA, and one case of complete occlusion was misclassified as a small residual neck at contrast-enhanced MRA.
CONCLUSION: Our findings showed that contrast-enhanced MRA is a valuable method for the follow-up of aneurysms in the AcomA after their treatment with GDCs. Further studies with multiple aneurysm locations and larger groups are required to determine the exact role of this technique.
This article has been cited by other articles:
 |
|
 |
|
  B. C. Bowen and C. L. Truwit MR Angiography versus CT Angiography in the Evaluation of Neurovascular Disease Radiology, November 1, 2007; 245(2): 357 - 361. [Full Text] [PDF]
|
|
|
|
 |
|
 R.C. Wallace, J.P. Karis, S. Partovi, and D. Fiorella Noninvasive Imaging of Treated Cerebral Aneurysms, Part I: MR Angiographic Follow-Up of Coiled Aneurysms AJNR Am. J. Neuroradiol., June 1, 2007; 28(6): 1001 - 1008. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.A. Deutschmann, M. Augustin, J. Simbrunner, B. Unger, H. Schoellnast, G.A. Fritz, and G.E. Klein Diagnostic Accuracy of 3D Time-of-Flight MR Angiography Compared with Digital Subtraction Angiography for Follow-Up of Coiled Intracranial Aneurysms: Influence of Aneurysm Size AJNR Am. J. Neuroradiol., April 1, 2007; 28(4): 628 - 634. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Pierot, C. Delcourt, F. Bouquigny, D. Breidt, B. Feuillet, O. Lanoix, and S. Gallas Follow-up of intracranial aneurysms selectively treated with coils: Prospective evaluation of contrast-enhanced MR angiography. AJNR Am. J. Neuroradiol., April 1, 2006; 27(4): 744 - 749. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-Y. Gauvrit, X. Leclerc, S. Caron, C. A. Taschner, J.-P. Lejeune, and J.-P. Pruvo Intracranial Aneurysms Treated With Guglielmi Detachable Coils: Imaging Follow-Up With Contrast-Enhanced MR Angiography Stroke, April 1, 2006; 37(4): 1033 - 1037. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Costalat, E. Lebars, L. Sarry, A. Defasque, E. Barbotte, H. Brunel, G. Bourbotte, and A. Bonafe In Vitro Evaluation of 2D-Digital Subtraction Angiography versus 3D-Time-of-Flight in Assessment of Intracranial Cerebral Aneurysm Filling after Endovascular Therapy AJNR Am. J. Neuroradiol., January 1, 2006; 27(1): 177 - 184. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Sluzewski, W. J. van Rooij, G. N. Beute, and P. C. Nijssen Late Rebleeding of Ruptured Intracranial Aneurysms Treated with Detachable Coils AJNR Am. J. Neuroradiol., November 1, 2005; 26(10): 2542 - 2549. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. C.-C. Chen, P. C.-T. Chang, C.-G. Shy, W.-S. Chen, and H.-C. Hung CT Angiography and MR Angiography in the Evaluation of Carotid Cavernous Sinus Fistula Prior to Embolization: A Comparison of Techniques AJNR Am. J. Neuroradiol., October 1, 2005; 26(9): 2349 - 2356. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Taschner, X. Leclerc, H. Rachdi, A. M. Barros, and J.-P. Pruvo Matrix Detachable Coils for the Endovascular Treatment of Intracranial Aneurysms: Analysis of Early Angiographic and Clinical Outcomes Stroke, October 1, 2005; 36(10): 2176 - 2180. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Lubicz, X. Leclerc, J.-Y. Gauvrit, J.-P. Lejeune, and J.-P. Pruvo Three-Dimensional Packing with Complex Orbit Coils for the Endovascular Treatment of Intracranial Aneurysms AJNR Am. J. Neuroradiol., June 1, 2005; 26(6): 1342 - 1348. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. B. L. M. Majoie, M. E. Sprengers, W. J. J. van Rooij, C. Lavini, M. Sluzewski, J. C. van Rijn, and G. J. den Heeten MR Angiography at 3T versus Digital Subtraction Angiography in the Follow-up of Intracranial Aneurysms Treated with Detachable Coils AJNR Am. J. Neuroradiol., June 1, 2005; 26(6): 1349 - 1356. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. T. Walker, J. Tsai, T. Parish, B. Tzung, A. Shaibani, E. Krupinski, and E. J. Russell MR Angiographic Evaluation of Platinum Coil Packs at 1.5T and 3T: An In Vitro Assessment of Artifact Production: Technical Note AJNR Am. J. Neuroradiol., April 1, 2005; 26(4): 848 - 853. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-Y. Gauvrit, X. Leclerc, M. Pernodet, B. Lubicz, J.-P. Lejeune, D. Leys, and J.-P. Pruvo Intracranial Aneurysms Treated with Guglielmi Detachable Coils: Usefulness of 6-Month Imaging Follow-Up with Contrast-Enhanced MR Angiography AJNR Am. J. Neuroradiol., March 1, 2005; 26(3): 515 - 521. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-P. Cottier, A. Bleuzen-Couthon, S. Gallas, C. B. Vinikoff-Sonier, P. Bertrand, F. Domengie, L. Barantin, and D. Herbreteau Intracranial Aneurysms Treated with Guglielmi Detachable Coils: Is Contrast Material Necessary in the Follow-up with 3D Time-of-Flight MR Angiography? AJNR Am. J. Neuroradiol., October 1, 2003; 24(9): 1797 - 1803. [Abstract] [Full Text] [PDF]
|
|