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Research ArticleInterventionalE
Open Access

Observer Agreement Regarding the Necessity of Retreatment of Previously Coiled Recurrent Cerebral Aneurysms

W.P. Daugherty, A. Ehteshami Rad, J.B. White, P.M. Meyers, G.L. Lanzino, H.J. Cloft, J. Gordon and D.F. Kallmes
American Journal of Neuroradiology March 2011, 32 (3) 566-569; DOI: https://doi.org/10.3174/ajnr.A2336
W.P. Daugherty
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A. Ehteshami Rad
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J.B. White
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P.M. Meyers
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G.L. Lanzino
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H.J. Cloft
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J. Gordon
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D.F. Kallmes
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    Fig 1.

    DSA in the anteroposterior plane showing the initial aneurysm conformation (Pre), the initial postcoiling final angiogram (Post), and the follow-up angiogram (Follow-Up) demonstrating recurrence. Case 9 of the series demonstrates a carotid terminus aneurysm for which all the reviewers were in complete agreement. Each reviewer scored this aneurysm as a grade 5, definitely retreat.

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    Fig 2.

    DSA in the anteroposterior plane showing the initial aneurysm conformation (Pre), the initial postcoiling final angiogram (Post), and the follow-up angiogram (Follow-Up) demonstrating recurrence. Case 21 demonstrates a large basilar caput aneurysm that had a complete occlusion with the initial treatment and a recurrence with recanalization of the base. The average score for this aneurysm was a 2.6 ± 1.8, with scores of 1, 1, 5, 4, and 2. This case represents the highest variability of the 27 rated cases.

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    Fig 3.

    Relative tendency to recommend retreatment across readers. Readers responses on the need to retreat by using the 5-point retreatment scale. Readers 4 and 5 were more likely to recommend retreatment than observation compared with readers 1–3 (asterisk indicates P < .05).

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    Fig 4.

    Treatment adjunct per reviewer. Plot of the recommended adjunctive treatment technique for each of the 5 reviewers by the total number of cases. No significant difference between reviewers and adjuncts was found by using the Bowker test for significance. There was a trend toward significance for readers 1 and 5 (P < .07).

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American Journal of Neuroradiology: 32 (3)
American Journal of Neuroradiology
Vol. 32, Issue 3
1 Mar 2011
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Cite this article
W.P. Daugherty, A. Ehteshami Rad, J.B. White, P.M. Meyers, G.L. Lanzino, H.J. Cloft, J. Gordon, D.F. Kallmes
Observer Agreement Regarding the Necessity of Retreatment of Previously Coiled Recurrent Cerebral Aneurysms
American Journal of Neuroradiology Mar 2011, 32 (3) 566-569; DOI: 10.3174/ajnr.A2336

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Observer Agreement Regarding the Necessity of Retreatment of Previously Coiled Recurrent Cerebral Aneurysms
W.P. Daugherty, A. Ehteshami Rad, J.B. White, P.M. Meyers, G.L. Lanzino, H.J. Cloft, J. Gordon, D.F. Kallmes
American Journal of Neuroradiology Mar 2011, 32 (3) 566-569; DOI: 10.3174/ajnr.A2336
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