Diffusion and perfusion MRI in patients with ruptured and unruptured intracranial aneurysms treated by endovascular coiling: complications, procedural results, MR findings and clinical outcome
| Autor: | Ola Nilsson, Lennart Brandt, Hans Säveland, Elna-Marie Larsson, Ronnie Wirestam, Stig Holtås, Birgitta Ramgren, Mats Cronqvist |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Perfusion scanning Aneurysm Ruptured Postoperative Complications Aneurysm Angioplasty medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Embolization Aged Neuroradiology Endovascular coiling medicine.diagnostic_test business.industry Intracranial Aneurysm Magnetic resonance imaging Middle Aged medicine.disease Embolization Therapeutic Magnetic Resonance Imaging Surgery Diffusion Magnetic Resonance Imaging Treatment Outcome Embolism Female Neurology (clinical) Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Neuroradiology. 47:855-873 |
| ISSN: | 1432-1920 0028-3940 |
| DOI: | 10.1007/s00234-005-1408-2 |
| Popis: | Our purpose was to evaluate treatment safety as well as complications frequency and management in endovascular coiling of intracerebral aneurysms using MR diffusion and perfusion imaging. In this prospective study, 77 MR examinations were performed in conjunction with 43 procedures in 40 patients, 14 patients presented with ruptured and 26 with unruptured aneurysms. Mean time interval between treatment and post-procedure MRI was 29 and 25 h for the ruptured and unruptured aneurysm group, respectively. Peri-procedural complications, including five major events and five minor transient events, occurred in 10/43 procedures (23%), necessitating thrombolytic therapy in two patients and angioplasty in one, all three within the unruptured aneurysm group. Fifty-one new lesions were found on post-treatment DWI and 47 of them were regarded as of ischemic origin. Most lesions were small ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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