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Research ArticleBRAIN

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

Albrecht Hochmuth, Uwe Spetzger and Martin Schumacher
American Journal of Neuroradiology August 2002, 23 (7) 1199-1205;
Albrecht Hochmuth
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Uwe Spetzger
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Martin Schumacher
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Article Figures & Data

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  • Fig 1.
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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.

  • Fig 2.
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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.

  • Fig 4.
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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.

Tables

  • Figures
  • Location and size of aneurysms detected only at 3D RA

    No.Location*Width × Length × Neck Size, mmStatusDSA
    Quality†Series Sufficient‡
    1Ophthalmic1.4 × 2.3 × 2.3UnrupturedExcellentYes
    2Ophthalmic1.1 × 0.9 × 0.9UnrupturedExcellentYes
    3A2 segment of the ACA1.4 × 1.7 × 1.7UnrupturedExcellentYes
    4MCA bifurcation2.2 × 2.2 × 1.6RupturedExcellentYes
    5MCA bifurcation1.6 × 1.5 × 1.6UnrupturedExcellentYes
    6MCA bifurcation2.3 × 2.2 × 2.7RupturedExcellentNo
    7M1 segment of the MCA1.1 × 1.5 × 1.5UnrupturedExcellentNo
    • * ACA indicates anterior cerebral artery; MCA, middle cerebral artery.

    • † The overall quality of the DSA images with respect to the 3D DSA series was graded as excellent, good, sufficient, or insufficient.

    • ‡ The sufficiency of the number of DSA series in diagnosing or excluding an aneurysm was assessed in terms of the following: usefulness for selective catheterization, adequacy in the depiction of all regions of a vascular territory with minimal overlapping, and depiction of the early arterial phase.

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American Journal of Neuroradiology: 23 (7)
American Journal of Neuroradiology
Vol. 23, Issue 7
1 Aug 2002
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Comparison of Three-Dimensional Rotational Angiography with Digital Subtraction Angiography in the Assessment of Ruptured Cerebral Aneurysms
Albrecht Hochmuth, Uwe Spetzger, Martin Schumacher
American Journal of Neuroradiology Aug 2002, 23 (7) 1199-1205;

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Comparison of Three-Dimensional Rotational Angiography with Digital Subtraction Angiography in the Assessment of Ruptured Cerebral Aneurysms
Albrecht Hochmuth, Uwe Spetzger, Martin Schumacher
American Journal of Neuroradiology Aug 2002, 23 (7) 1199-1205;
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