Utility of 3D rotational angiography road map in flow diverter deployment in a distal dissecting MCA aneurysm

被引：2
|
作者：
Rustemi, Oriela [1 ]
Di Clemente, Loris [2 ]
Raneri, Fabio [1 ]
Volpin, Lorenzo [1 ]
Iannucci, Giuseppe [2 ]
机构：
[1] San Bortolo Hosp, Dept Neurosurg, Vicenza, Italy
[2] San Bortolo Hosp, Dept Neuroradiol, Vicenza, Italy
来源：
NEUROSURGICAL FOCUS | 2019年 / 46卷
关键词：
angiography; cerebral aneurysm; dissecting aneurysm; endovascular; flow diverter stent; video;
D O I：
10.3171/2019.1.FocusVid.18471
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Distal, dissecting, middle cerebral artery (MCA) aneurysms are changing surgically and endovascularly. Endovascular treatment requires flow diverter stenting. A good vessel visualization is crucial for safe navigation. Three-dimensional rotational digital subtraction angiography (3D-DSA) is used routinely in diagnostic imaging. The utilization of the 3DDSA road map in vessel navigation and stent deployment is novel. An illustrative video of a distal, dissecting left MCA aneurysm treated with flow diverter stenting is presented. The technical issues were distal location, dissecting nature with double lumen, proximal stenosis, and vessel curves. The 3D-DSA road map helped to enhance visualization with a safer procedure. © AANS 2019, Except Where Prohibited By Us Copyright Law.
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页数：1
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