Advanced digital subtraction angiography and MR fusion imaging protocol applied to accurate placement of flow diverter device

BMJ Case Rep. 2015 Jan 9:2015:bcr2014011428. doi: 10.1136/bcr-2014-011428.

Abstract

In recent years there has been a progressive increase in interventional neuroradiology procedures, partially due to improvements in devices, but also to the simultaneous development of technologies and radiological images. Cone beam CT (Dyna-CT; Siemens) is a method recently used to obtain pseudo CT images from digital subtraction angiography (DSA) with a flat panel detector. Using dedicated software, it is then possible to merge Dyna-CT images with images from a different source. We report here the usefulness of advanced DSA techniques (Syngo-Dyna CT, three-dimensional DSA iPilot) for the treatment of an intracranial aneurysm with a flow diverter device. Merging MR and Dyna-CT images at the end of the procedure proved to be a simple and rapid additional method of verifying the success of the intervention.

Keywords: Aneurysm; Angiography; Flow Diverter; Intervention; Magnetic Resonance Angiography.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography, Digital Subtraction*
  • Cerebrovascular Circulation
  • Embolization, Therapeutic / methods*
  • Endovascular Procedures
  • Female
  • Humans
  • Imaging, Three-Dimensional
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / pathology*
  • Intracranial Aneurysm / physiopathology
  • Magnetic Resonance Imaging*
  • Radiographic Image Interpretation, Computer-Assisted*
  • Treatment Outcome