Flat panel detector angiographic CT in the management of aneurysmal rupture during coil embolization.
Angiographic CT (ACT) produces CT-like images within minutes in the angiography suite. We present the cases of 2 patients with intraprocedural aneurysmal rupture in which ACT enabled the neuroradiologist to rapidly assess the extent of bleeding during endovascular treatment. Additionally, ACT revealed pronounced rebleeding within the time between conventional CT and onset of treatment. In the management of aneurysmal rupture during coil embolization, ACT may be a valuable adjunct.
Engelhorn
T
T
Department of Neuroradiology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany. tobias.engelhorn@nrad.imed.uni-erlangen.de
Struffert
T
T
Richter
G
G
Doelken
M
M
Ganslandt
O
O
Kalender
W
W
Doerfler
A
A
D000328:Adult; D002533:Cerebral Angiography / Q000295:instrumentation* / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D025321:Surgery, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome; D014963:X-Ray Intensifying Screens