Flat Detector Computed Tomography-Based "Dual Vessel Fusion" Technique for Diagnosis and Surgical Planning in the Management of Dural Arteriovenous Fistula

World Neurosurg. 2015 Aug;84(2):520-7. doi: 10.1016/j.wneu.2015.04.020. Epub 2015 Apr 18.

Abstract

Objective: To explore the value of flat detector computed tomography-based vessel fusion technique for visualizing and evaluating anatomic structures and hemodynamic features of patients diagnosed with dural arteriovenous fistulas (DAVF).

Methods: Eleven patients with DAVF were investigated. The 3-dimensional structure of the DAVF fistula point, feeding arteries, and draining veins were reconstructed from separately acquired rotational angiographic images and then displayed as a single image in a fused manner.

Results: In the vessel fusion image, the tangled cluster of vessels of the DAVF could be clearly visualized from selected optimal viewing angles in the 3-dimensional space. Each component of the DAVF fistula point with its specific artery feedings and venous drainage could be identified accurately.

Conclusions: The vessel fusion technique gave detailed anatomic information that enabled better understanding of the DAVF structure, and facilitated an accurate interventional or surgical planning.

Keywords: 3D reconstruction; Angiography; DAVF; Dual vessel fusion.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography, Digital Subtraction / methods*
  • Central Nervous System Vascular Malformations / diagnostic imaging*
  • Central Nervous System Vascular Malformations / surgery*
  • Cerebral Angiography / methods*
  • Contrast Media
  • Female
  • Hemodynamics / physiology
  • Humans
  • Image Interpretation, Computer-Assisted / methods*
  • Imaging, Three-Dimensional / methods*
  • Male
  • Middle Aged
  • Radiographic Image Enhancement / methods*
  • Regional Blood Flow / physiology
  • Tomography, X-Ray Computed / methods*

Substances

  • Contrast Media