scholarly journals A Prospective Trial of 3T and 1.5T Time-of-Flight and Contrast-Enhanced MR Angiography in the Follow-Up of Coiled Intracranial Aneurysms

2009 ◽  
Vol 31 (5) ◽  
pp. 912-918 ◽  
Author(s):  
T.J. Kaufmann ◽  
J. Huston ◽  
H.J. Cloft ◽  
J. Mandrekar ◽  
L. Gray ◽  
...  
2008 ◽  
Vol 29 (8) ◽  
pp. 1530-1536 ◽  
Author(s):  
N. Anzalone ◽  
F. Scomazzoni ◽  
M. Cirillo ◽  
C. Righi ◽  
F. Simionato ◽  
...  

2005 ◽  
Vol 21 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Gordon F. Gibbs ◽  
John Huston ◽  
Matthew A. Bernstein ◽  
Stephen J. Riederer ◽  
Robert D. Brown

2015 ◽  
Vol 8 (6) ◽  
pp. 615-620 ◽  
Author(s):  
Benjamin Mine ◽  
Illario Tancredi ◽  
Ali Aljishi ◽  
Faisal Alghamdi ◽  
Margarita Beltran ◽  
...  

ObjectiveTo compare contrast-enhanced MR angiography (CE-MRA) and DSA for the follow-up of intracranial aneurysms (IAs) treated with the Woven EndoBridge embolization system DL (WEB DL; Sequent Medical, Aliso Viejo, California, USA).Materials and methodsWe retrospectively identified all patients treated with a WEB DL between November 2010 and February 2013 in 2 hospitals. The IA occlusion was graded on follow-up CE-MRA and DSA by 4 independent readers and by 2 readers reaching a consensus, respectively. Interobserver agreement for MRA and intertechnique agreement was evaluated by calculating linear weighted κ.ResultsFifteen patients with 16 IAs were included. Mean delay between MRA and DSA was 2 months (range 0–16 months). Interobserver agreement for MRA was substantial to almost perfect (κ=0.686–0.921; mean κ=0.809). Intertechnique agreement was moderate to substantial (κ=0.579–0.724; mean κ=0.669). Only three out of five inadequately occluded IAs were detected by MRA.ConclusionsCE-MRA is a useful tool for the follow-up of IAs treated with a WEB DL. However, early follow-up with DSA remains mandatory to detect inadequately occluded IAs.


2016 ◽  
Vol 37 (9) ◽  
pp. 1684-1689 ◽  
Author(s):  
C. Timsit ◽  
S. Soize ◽  
A. Benaissa ◽  
C. Portefaix ◽  
J.-Y. Gauvrit ◽  
...  

2008 ◽  
Vol 108 (3) ◽  
pp. 443-449 ◽  
Author(s):  
Jean-Yves Gauvrit ◽  
Sabine Caron ◽  
Christian A. Taschner ◽  
Jean-Paul Lejeune ◽  
Jean-Pierre Pruvo ◽  
...  

Object The aim of this study was to assess the long-term results of intracranial aneurysms treated with Guglielmi detachable coils (GDCs) with the aid of contrast-enhanced magnetic resonance (MR) angiography. Methods Between January 1998 and August 2001, 92 patients with 92 aneurysms treated by endovascular coiling with GDCs underwent contrast-enhanced MR angiography. These patients underwent long-term follow-up (range 32–78 months, mean 42.1 ± 11.9 months [standard deviation]) after endovascular treatment. All images were compared with digital subtraction angiograms and contrast-enhanced MR angiograms that had been obtained during the short-term follow-up (range 5–25 months, mean 13 ± 5.1 months after treatment). The MR angiograms were analyzed independently by 2 senior radiologists. Findings were assigned to 1 of 3 categories: complete obliteration (Class 1), residual neck (Class 2), or residual aneurysm (Class 3). Results Of 92 contrast-enhanced MR angiograms obtained at the long-term follow-up, complete obliteration of the aneurysm was noted in 57 patients (Class 1), a residual neck was seen in 22 (Class 2), and a residual aneurysm was observed in 13 (Class 3). One patient experienced aneurysm rehemorrhaging during the follow-up period. The comparison of short- and long-term follow-up angiograms demonstrated a change in aneurysm classification in 7 patients (7.6%), including 4 that progressed from Class 1 to Class 2 and 3 from Class 2 to Class 3. However, 4 (14.2%) of the 28 long-term recurrences were not detected on the short-term control images. Conclusions Long-term follow-up with contrast-enhanced MR angiography after selective embolization of intracranial aneurysms can identify late aneurysm recanalization that is undetected at short-term follow-up.


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