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OtherINTERVENTIONAL

Simultaneous Dual Vessel Cerebral Angiography in Gamma Knife Planning

Seth S. Joseffer, Paul P. Huang and P. Kim Nelson
American Journal of Neuroradiology February 2003, 24 (2) 271-274;
Seth S. Joseffer
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Paul P. Huang
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P. Kim Nelson
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Article Figures & Data

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  • Fig 1.
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    Fig 1.

    Patient 1.

    A, Lateral projection arterial phase image from digital subtraction angiogram of the right internal carotid artery.

    B, Lateral projection arterial phase image from digital subtraction angiogram of the right vertebral artery.

    C, Dual vessel injections provide better representation of the AVM nidus for radiosurgical planning. The right M1 vessel in this patient was stenotic, resulting in extensive leptomeningeal collaterals.

  • Fig 2.
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    Fig 2.

    Patient 6.

    A, Anteroposterior view angiogram of the left vertebral artery.

    B, Anteroposterior view angiogram of the left internal carotid artery.

    C, Dual vessel injections provide better representation of the entire nidus in a single biplanar image.

  • Fig 3.
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    Fig 3.

    Patient 3.

    A, Anteroposterior view angiogram of the left internal carotid artery.

    B, Anteroposterior view angiogram of the left vertebral artery.

    C, Dual vessel injections show an inferomedial component of the nidus (arrow) that is poorly visualized with the vertebral injection alone (see B).

Tables

  • Figures
  • Angiographic characteristics and anatomic locations of the seven treated AVMs

    Patient No.Age (yr)/SexPresentationLocationSize (cc)Feeding VesselsVessels StudiedStagesDose (Gy)
    159, FSeizures, stealR frontoparietal20R ACA and PCA leptomeningeal collaterals, lenticulostriates, lateral postchoroidalR vertebral, R CCA215
    15
    266, FSubarachnoid hemorrhageCallosal7L ICA callosal branches, L PCA choroidal and splenial branchesR vertebral, L ICA116
    328, FHemorrhageL thalamus4.5L anterior choroidal, posterolateral choroidalL ICA, L vertebral120
    456, FHemorrhageR frontal18R ACA and MCA lenticulostriates, HeubnerR ICA, L ICA215
    15
    525, FHemorrhage, seizuresL medial temporal20L MCA and PCA temporal branches, L anterior and posterior choroidalL ICA, L vertebral215
    15
    628, MHemorrhageL basal ganglia and ventricular atrium8L MCA lenticulostriate, L PCA posterolateral choroidalL vertebral, L ICA116
    754, MSeizureL lateral ventricle, L choroid fissure, quadrigeminal cistern24R ICA splenial vessels, L MCA leptomeningeals, L PCA vessels to choroidal fissure and quadrigeminal cisternR ICA, L ICA213
    15
    • Note.—F indicates female; M, male; R, right; L, left; ACA, anterior cerebral artery; PCA, posterior cerebral artery; ICA, internal carotid artery; MCA, middle cerebral artery; CCA, common carotid artery.

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American Journal of Neuroradiology: 24 (2)
American Journal of Neuroradiology
Vol. 24, Issue 2
1 Feb 2003
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Simultaneous Dual Vessel Cerebral Angiography in Gamma Knife Planning
Seth S. Joseffer, Paul P. Huang, P. Kim Nelson
American Journal of Neuroradiology Feb 2003, 24 (2) 271-274;

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Simultaneous Dual Vessel Cerebral Angiography in Gamma Knife Planning
Seth S. Joseffer, Paul P. Huang, P. Kim Nelson
American Journal of Neuroradiology Feb 2003, 24 (2) 271-274;
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