AJDRAJNR - American Journal of Neuroradiology

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INTERVENTIONAL

Overlying Fluoroscopy and Preacquired CT Angiography for Road-Mapping in Cerebral Angiography

C.-J. Lin, R. Blanc, F. Clarençon, M. Piotin, L. Spelle, J. Guillermic and J. Moret

From the Department of Functional and Interventional Neuroradiology (C.-J.L., R.B., F.C., M.P., L.S., J.M.), Fondation Rothschild Hospital, Paris, France; University of Paris (R.B., F.C., M.P., L.S., J.M.), Bichat School of Medicine, Paris, France; Department of Medical Imaging (C.-J.L.), Far Eastern Memorial Hospital, Pan-Chiao City, Taiwan, ROC; National Yang Ming University School of Medicine (C.-J.L.), Taipei, Taiwan, ROC; and Philips Healthcare (J.G.) Cardio/Vascular Innovation, Best, the Netherlands.

Please address correspondence to Raphaël Blanc, MD, Department of Functional and Interventional Neuroradiology, Fondation Rothschild Hospital, 25–29 rue Manin, 75940 Paris, Cedex 19, France; e-mail: rblanc{at}fo-rothschild.fr

SUMMARY: We describe our preliminary experience using a road-mapping procedure that involves combining preacquired CTA with real-time fluoroscopy. This maneuver facilitates navigation in supra-aortic vessels from the arch to skull base levels. It requires less contrast than is used for traditional road-mapping while potentially reducing the hazard of thromboembolic events associated with direct catheterization. The accuracy of registration between the 2 volume datasets seems satisfactory for clinical practice.

Abbreviations: MIP, maximum intensity projection