title: [Evaluation of cerebral blood perfusion with IVR-CT/angio system during interventional procedures].
abstract: An interventional-radiology computed-tomography (IVR-CT)/angio system is a combination of an angiographic unit and a CT scanner. This system allows patient's movement in and out of the two imaging units, on the same table. Since June 2003, we have applied our conventional protocol for evaluation of cerebral blood perfusion during interventional radiology (IVR) procedures. We reviewed our experience using the IVR-CT/angio system and investigated the efficacy and limitations of this technique. No complications relating to radiation exposure, contrast medium use, or IVR procedures were observed. CT perfusion was useful for detecting cerebral perfusion impairment during IVR procedures. This was helpful in deciding the postoperative management. Because patients do not need to be transported to another radiographic suite to evaluate cerebral blood perfusion, the IVR-CT/angio system is ideal for safely and simply detecting cerebral perfusion defects during IVR procedures. However, it is important to consider whether there is sufficient indication for the procedure, because radiation exposure and the amount of contrast medium use are increased if the IVR procedures become difficult.
authors.affiliation: Department of Neurosurgery, Fujigaoka Hospital, Showa University, 1-30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Itokawa
authors.forename: Ryuta
authors.initials: R
authors.lastname: Suzuki
authors.forename: Masao
authors.initials: M
authors.lastname: Moriya
authors.forename: Goro
authors.initials: G
authors.lastname: Nagashima
authors.forename: Jun-ichiro
authors.initials: J
authors.lastname: Asai
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Fujimoto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Takasu
authors.forename: Kyoichi
authors.initials: K
authors.lastname: Kato
mesh_terms: D000368:Aged; D016893:Carotid Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015642:Radiology, Interventional / Q000295:instrumentation* / Q000379:methods; D015607:Stents; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000295:instrumentation* / Q000379:methods
chemical_list: D003287:Contrast Media