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Vol.53 (2007) >

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Title: Can 3D-CT angiography (3D-CTA) replace conventional catheter angiography in ruptured aneurysm surgery? Our experience with 162 cases
Other Titles: Aneurysm surgery using 3D-CTA alone
Authors: Matsumoto, Masato
Kasuya, Hiromichi
Sato, Taku
Endo, Yuji
Sakuma, Jun
Suzuki, Kyouichi
Sasaki, Tatsuya
Kodama, Namio
Affiliation: 脳神経外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 53
Issue: 2
Start page: 85
End page: 94
Issue Date: Dec-2007
Abstract: In this communication, we studied whether 3D-CT angiography (3D CTA) gives us enough information for a safe operation without those from conventional catheter angiography (CCA) in patients with ruptured aneurysms. Between December 1996 and September 2005, we treated 162 consecutive patients with ruptured aneurysms in the acute stage based on 3D-CTA findings. One hundred sixty-two ruptured aneurysms, including 64 associated unruptured aneurysms, were detected using 3D-CTA. CCA was performed in nine (5.6%) of the 162 patients after 3D-CTA. They were four dissecting vertebral artery aneurysms, two basilar tip aneurysms, one basilar artery-superior cerebellar artery (BA-SCA), one previously clipped BA-SCA and one internal carotid-posterior communicating artery aneurysm. All ruptured aneurysms confirmed at surgery were treated successfully. The lack of information on CCA did not lead any neurological deficits or difficulties in the surgical procedure. 3D-CTA was of high diagnostic value compatible with CCA and yielded important information such as the configuration of the aneurysmal sac and neck, calcification in the aneurysmal wall, and the aneurysms' anatomic relation with adjacent vessels and bone structures. We suggest that 3D-CTA can replace CCA in the diagnosis of ruptured aneurysms and that most of ruptured aneurysms can be operated by using only 3D-CTA without CCA.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/213
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/213/1/FksmJMedSci_53_p85.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.53.85
PubMed ID: 18402288
Related Page: https://doi.org/10.5387/fms.53.85
Rights: © 2007 The Fukushima Society of Medical Science
Appears in Collections:Vol.53 (2007)

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