AJDRAJNR - American Journal of Neuroradiology

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Comparison of Three-Dimensional Rotational Angiography with Digital Subtraction Angiography in the Assessment of Ruptured Cerebral Aneurysms

Albrecht Hochmutha, Uwe Spetzgerb and Martin Schumachera

a Section of Neuroradiology, Neurozentrum, Klinikum der Albert-Ludwigs-Universitaet, Freiburg, Germany
b Klinic for Allgemeine Neurochirurgie, Neurozentrum, Klinikum der Albert-Ludwigs-Universitaet, Freiburg, Germany



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FIG 1. Angiograms in a patient with SAH Hunt and Hess grade I.

A, SSD reconstruction,

B, DSA series in a small, middle cerebral arterial aneurysm accompanied by a second developing aneurysm, which was identified only at RA.



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FIG 2. Angiograms in a patient with SAH Hunt and Hess grade II.

A, SSD reconstruction.

B–D, DSA views of an anterior communicating arterial aneurysm that was visualized only at RA.



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FIG 3. Angiograms in a patient with SAH Hunt and Hess grade IV.

A and B, SSD-reconstructions.

C and D, DSA series in a large internal carotid arterial aneurysm. Its relation to the parent vessel and neighboring vessels were superiorly visualized at RA.



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FIG 4. Angiograms in a patient with SAH Hunt and Hess grade II.

A–C, SSD-reconstructions.

D–F, DSA series in an aneurysm in the bifurcation of the middle cerebral artery. The extent, neck, and spatial relationship of the aneurysm to the neighboring and parent vessels was reliably demonstrated at RA.