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Research ArticleBRAIN

Angiographic Quantification of Contrast Medium Washout from Cerebral Aneurysms after Stent Placement

Chander Sadasivan, Baruch B. Lieber, Matthew J. Gounis, Demetrius K. Lopes and L. N. Hopkins
American Journal of Neuroradiology August 2002, 23 (7) 1214-1221;
Chander Sadasivan
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Baruch B. Lieber
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Matthew J. Gounis
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Demetrius K. Lopes
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L. N. Hopkins
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Article Figures & Data

Figures

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  • Fig 1.
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    Fig 1.

    Geometry and 3D image of the aneurysm model.

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    Fig 2.

    Schematic diagram of the experimental setup.

  • Fig 3.
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    Fig 3.

    Images in patient 1.

    A, Angiogram illustrates the selection of an ROI.

    B, Final mask.

  • Fig 4.
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    Fig 4.

    Gray-scale intensity curves before and after stent placement.

    A, In vitro study.

    B, Raw data curves in patient 1 (AP projection).

  • Fig 5.
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    Fig 5.

    Top, Lagged normal distribution representing convective portion of model. Bottom, Diffusive component of the model. Dotted line indicates the sigmoid constituent; dashed line, the element of exponential decay.

  • Fig 6.
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    Fig 6.

    Model fits for the in vitro experiment (frame rate, 10 fps). Dotted line indicates data; solid line, model; dashed line and dash-and-dotted line, convection and diffusion components, respectively.

    A, Before stent placement.

    B, After stent placement.

  • Fig 7.
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    Fig 7.

    Variation in model parameters for the in vitro experiment, before and after stent placement. Values correspond to the model-fit curves in shown Figure 6.

  • Fig 8.
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    Fig 8.

    Model fit for patient 1 (AP projection; frame rate, 15 fps). Left, Before stent placement. Right, After stent placement. Dotted line represents data; solid line, the model; dashed line and dash-and-dotted line, convection and diffusion components of the model, respectively.

  • Fig 9.
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    Fig 9.

    Variation in model parameters for patient 1, before and after stent placement. Values correspond to the model-fit curves shown in Figure 8.

  • Fig 10.
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    Fig 10.

    Angiogram obtained at 3-month follow-up in patient 1 shows complete exclusion of the aneurysm from the circulation (AP projection).

Tables

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    TABLE 1:

    Summary of clinical data

    Patient and Stage of Angiographic Data CollectionSpeed, fpsTotal No. of Frames
    Patient 1*
     Before stent1584
     After stent15110
     Follow-up at 24 h15137
    Patient 2†
     No endovascular prostheses518
     One stent520
     One stent and coils519
     One stent and coils, after 2 mo1552
     Two stents and coils1543
    Patient 3‡
     Before stent520
     After stent529
    Patient 4§
     Before stent1559
     After stent15110
    Patient 5‖
     Before stent514
     After stent514
    • * Patient 1 had a fusiform aneurysm at the vertebrobasilar junction that was treated with a Magic S/P Wallstent, 4 × 47 mm (Boston Scientific).

    • † Patient 2 had a fusiform basilar trunk aneurysm that was treated with a S670 stent, 3.5 × 18 mm (Medtronic).

    • ‡ Patient 3 had a fusiform aneurysm at the vertebrobasilar junction that was treated with a Dynalink stent, 6 × 38 mm (Guidant).

    • § Patient 4 had a carotid-ophthalmic bifurcation aneurysm that was treated with an S7 AVE stent, 3.5 × 12 mm (Medtronic).

    • ‖ Patient 5 had a wide-necked posterior inferior cerebellar artery aneurysm that was treated with an S7 AVE stent, 3.5 × 9 mm (Medtronic).

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    TABLE 2:

    Model parameters for the clinical patients

    Patient and Run*ρconv, %ρdiff, %τconv, secondsτdiff, seconds
    Patient 1
     Before stent73.236.80.657.8
     After stent34.565.51.0618.2
    Patient 2
     No devices84.314.70.294.98
     One stent82.917.10.294.97
     One stent and coils89110.534.95
     One stent and coils, after 2 mo91.48.60.034.17
     Two stents and coils69.430.60.075.1
    Patient 3
     Before stent53471.7115
     After stent3961.11.9320
    Patient 4
     Before stent990.950.51.56
     After stent90.39.70.539.71
    Patient 5
     Before stent60.239.81.224.97
     After stent6733.12.774.77
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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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Cite this article
Chander Sadasivan, Baruch B. Lieber, Matthew J. Gounis, Demetrius K. Lopes, L. N. Hopkins
Angiographic Quantification of Contrast Medium Washout from Cerebral Aneurysms after Stent Placement
American Journal of Neuroradiology Aug 2002, 23 (7) 1214-1221;

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Angiographic Quantification of Contrast Medium Washout from Cerebral Aneurysms after Stent Placement
Chander Sadasivan, Baruch B. Lieber, Matthew J. Gounis, Demetrius K. Lopes, L. N. Hopkins
American Journal of Neuroradiology Aug 2002, 23 (7) 1214-1221;
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