AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on October 29, 2008
doi: 10.3174/ajnr.A1353

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MR Angiography Follow-Up 5 Years after Coiling: Frequency of New Aneurysms and Enlargement of Untreated Aneurysms

M.E. Sprengersa, W.J. van Rooijb, M. Sluzewskib, G.J.E. Rinkeld, B.K. Velthuisc, G.A.P. de Kortc and C.B.L.M. Majoiea

a Department Radiology, Academic Medical Center, Amsterdam, the Netherlands
b Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands
c Department of Radiology, Universitair Medisch Centrum, Utrecht, the Netherlands
d Department of Neurology, Universitair Medisch Centrum, Utrecht, the Netherlands


Figure 1
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Fig 1. Flowchart of the total cohort and included patients.


Figure 2
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Fig 2. A 54-year-old woman with 3 untreated additional aneurysms unchanged after 5 years. A and B, Right internal carotid angiogram (A) and vertebral angiogram (B) show additional aneurysms on the carotid cavernous sinus, middle cerebral artery, and superior cerebellar artery (arrows). C, MRA after 5 years demonstrates unchanged size of all 3 aneurysms (arrows).


Figure 3
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Fig 3. A 25-year-old woman with multiple additional untreated aneurysms. A, Initial lateral view of an internal carotid angiogram shows a 1.5-mm pericallosal artery aneurysm. B, Five-year follow-up MRA reveals growth to 2.5 mm. C, Angiogram confirms MRA findings.


Figure 4
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Fig 4. A 56-year-old woman with a de novo 3-mm middle cerebral artery aneurysm. A, Initial angiogram of the middle cerebral artery. B, MRA after 5 years shows 3-mm de novo aneurysm (arrow).


Figure 5
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Fig 5. Five-year MRA follow-up in a 42-year-old woman with a coiled right middle cerebral artery aneurysm demonstrates 2 left middle cerebral artery aneurysms and a superior cerebellar artery aneurysm (arrows) without available previous imaging. The 2 middle cerebral artery aneurysms were clipped.