title: Clinical study of the role of 64-slice CT cerebra angiography in aneurysmal subarachnoid hemorrhage.
abstract: The objective of this study is to assess the clinical role of computed tomography angiography (CTA) in determining the etiology of aneurysmal subarachnoid hemorrhage (ASAH) and selecting the treatment options. A total of 452 patients with ASAH underwent a 64-slice CTA examination to determine the etiology and select the treatment strategies. Digital subtraction angiography (DSA) or clipping operation confirmed the detection from the CTA. The CTA results of 452 patients with ASAH were confirmed through the DSA or clipping operation and the CTA results of 451 cases were consistent with what were seen during the DSA or clipping operation. The treatment choices for 451 patients (99.8 %) were based on the CTA results. A total of 90 cases (19.9 %) underwent endovascular embolization and 362 cases (80.1 %) underwent clipping operation. The other one patient underwent endovascular embolization after the DSA examination due to insufficient information from the CTA. Also, there was one patient who was misdiagnosed in the CTA. In conclusion, a 64-slice CTA can accurately detect intracranial aneurysms and is helpful in choosing the best treatment option.
authors.affiliation: Department of Neurosurgery, Institute of Surgery Research, Daping Hospital, Third Military Medical University, 10#, Changjiang Branch, Daping Yuzhong District, Chongqing, 400042, People's Republic of China, chenLiZhao1971@163.com.
authors.forename: Lizhao
authors.initials: L
authors.lastname: Chen
authors.forename: Minhui
authors.initials: M
authors.lastname: Xu
authors.forename: Yongwen
authors.initials: Y
authors.lastname: Zou
authors.forename: Lunshan
authors.initials: L
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002533:Cerebral Angiography; D003951:Diagnostic Errors; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D055815:Young Adult