4D CT Digital Subtraction Angiography (DSA)

Slides:

Advertisements

Similar presentations

Consultant Neuroradiologist

Advertisements

Angiography and Arteriography SPRING 2009 FINAL

Carotid artery stenting for carotid artery stenosis Dr. Nikolaos Melas, PhD Vascular and Endovascular Surgeon Military Doctor Associate in 1st department.

N EURORADIOLOGY. S TROKE ISCHEMICHEMORRHAGIC N ontraumatic intracranial hemorrhage HYPERTENSION RUPTURE ANEURYSM VASCULAR MALFORMATIONS COAGULOPATHY.

EP Discordance of CTA and Digital Subtraction Angiography in Diagnosing Vasospasm Following Subarachnoid Hemorrhage ASNR 53 rd Annual Meeting – April.

Objective To assess the impact of the increasing use of MDCT angiography in the setting of blunt and penetrating neck trauma on the use of digital subtraction.

Preoperative Embolization of Brain Tumor with Dural Branch of Internal Carotid artery as Feeding Artery. H Hirohata, Y Takeuchi, K Orito, S Yamashita T.

MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY IN DIAGNOSIS OF INTRACRANIAL ANEURYSMS Merhemic Z¹, Gavrankapetanovic F¹, Nikšić M¹, Avdagic.

Cigarette Smoking Increases the Risk Of Formation and Rupture of Intracranial Aneurysms Shelebra Bartley Master’s Project Dr. Grimes.

Effect of perianeurysmal environment on intraaneurysmal flow Szikora I *, Ugron A **, Varallyai Gy***, Marosfői M *, Berentei Zs*, Paal Gy ** *National.

August Medical student course Joseph Philip MD

Clipping in Awake Surgery as End-Stage in a Complex Internal Carotid Artery Aneurysm After Failure of Multimodal Endovascular and Extracranial-Intracranial.

Computed Tomography with Reconstructions and Volume Rendering

Copyright © 2003 American Medical Association. All rights reserved.

A 26-year-old woman with giant intracranial left internal carotid artery aneurysm. A. MRI brain scan shows pulsation artifact in large left retro-orbital.

Fig. 3. A 38-year-old man with large ruptured left paraophthalmic internal carotid artery (ICA) aneurysm (case 7). (A) Lateral view of left ICA angiogram.

Ha Son Nguyen, Akinwunmi Oni-Orisan, Ninh Doan, Wade Mueller

Fig. 1. (A) Brain computed tomography of a 64-year-old male presenting with severe headache, shows multiple calcification on the bilateral cavernous internal.

T.Belšan F.Charvát D.Netuka V.Mandys J.Vrána

Volume 32, Pages 7-11 (January 2016)

Volume 17, Issue 3, Pages (March 2009)

تکنیک های فروش. تکنیک های فروش آیا فروش همان بازاریابی است؟ نقطه شروع کانون توجه وسیله نقطه پایان سود آوری با تامین رضایت مشتری آمیزه بازاریابی نیازهای.

Volume 16, Issue 1, Pages 4-9 (July 2008)

دانشگاه شهیدرجایی تهران

B. Nemes, Z. Járányi, V. Bérczi, K. Hüttl, G. Acsády EJVES Extra

Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery Takuro Tsukube, MD, Keiji Ataka, MD, Masahiro Sakata,

Santanu Chakraborty, MD, FRCR, Reem A. Adas, MD

تعهدات مشتری در کنوانسیون بیع بین المللی

High-complexity example of Pipeline embolisation device (PED) treatment of a giant 25 mm right-sided petrocavernous internal carotid artery (ICA) cerebral.

Sara-Jane Smith, BM, Oliver T. A. Lyons, MRCS, Ashish S

Ruptured internal carotid aneurysm resulting from neurofibromatosis: Treatment with intraluminal stent graft Bertram L. Smith, MD, Carolyn E. Munschauer,

Axial CT scans of the brain and neck performed with contrast medium.

Embolic occlusion of the right middle cerebral artery (MCA), treated by mechanical thrombectomy using a Solitaire stent. Embolic occlusion of the right.

Endovascular Treatment for a Ruptured Lumbar Artery Aneurysm in a Patient with von Recklinghausen Disease T. Ishigaki, R. Kawasaki, H. Matsuda, N. Mukohara

Volume 57, Issue 2, Pages (August 2012)

Rupture of a giant carotid-ophthalmic aneurysm

Have You Seen SAM? EJVES Short Reports

Delayed Presentations of False Aneurysms of the Subclavian Artery

Effectiveness of Contrast-enhanced MR Angiography for Visualization of the Prostatic Artery prior to Prostatic Arterial Embolization Contrast-enhanced.

Carotid Stenting in Acute Ischemic Stroke Resulting from Tandem Occlusions STEWART WEBER, MD.

Jaap-Peter Schuurman, MD, Jean Paul P. M

VW-MR imaging to identify symptomatic, nonstenotic intracranial atherosclerotic plaque. VW-MR imaging to identify symptomatic, nonstenotic intracranial.

Contrast-enhanced coronal CT scan of a rabbit.

(A) CT angiography showing unexpected luminal narrowing in the left supraclinoid internal carotid artery, M1 segment of bilateral middle cerebral arteries,

Giant Aneurysm of the Extracranial Carotid Artery: Case Report

Endovascular treatment of right-sided subclavian artery aneurysm in a congenitally malformed aortic arch Gabriele Iannelli, MD, Luigi Di Tommaso, MD,

Sybren M. M. Robijn, Jantien C. Welleweerd, MD, Rob T. H

The patient is a 57-year-old man with a clinical diagnosis of in-stent restenosis on his left side by digital subtraction angiography and CT angiography.

Endovascular stent-grafting for traumatic aortic aneurysms with the use of a fenestrated stent-graft Taijiro Sueda, MDa, Kazumasa Orihashi, MDa, Masanabu.

A. Assadian, MD, C. Senekowitsch, MD, R. Rotter, MD, C. Zölß, MD, J

Sybren M. M. Robijn, Jantien C. Welleweerd, MD, Rob T. H

Imaging at the time of presentation.

Four more examples of missed additional aneurysms on DSA

28-year-old man with an aneurysmal SAH

Pipeline embolisation device (PED) treatment of two right-sided intracranial carotid artery (ICA) aneurysms, 4 mm anterior choroidal aneurysm and a 5 mm.

Provoked Dizziness from Bow Hunter's Syndrome

New exposure technique for management of giant internal carotid artery aneurysm Kiriakos Ktenidis, MD, PhD, EBSQ-VASC, Athanasios Lioupis, MD, PhD, Aggelos.

Unruptured left middle cerebral artery aneurysm

DSA and contrast-enhanced MRA show concordant findings

Patient with a 6-mm aneurysm of the AcomA that was treated with GDCs

A maximum intensity projection (MIP) image reconstructed from CT-angiographic data shows the high-grade stenosis of the right ICA as well as associated.

Case 1: Teenage patient with history of bicoronal craniotomy for craniopharyngioma resection followed by proton beam therapy who presented with (A) R ICA.

A 51-year-old man with a long history of headaches with associated nausea and vomiting. A 51-year-old man with a long history of headaches with associated.

Detection of aneurysmal neck remnant

Case 5: Sexagenarian with (A) R CCA DSA showing absent ACoA and (B) L CCA DSA showing fusiform PCoA aneurysm with (C) dome irregularity and short postcommunicating.

A 36-year-old woman (patient 13) presenting with right hemiparesis and left anterior circulation infarct diagnosed at brain MR imaging. A 36-year-old woman.

Preprocedural CT and procedural and follow-up angiograms of a 39-year-old female patient with a distal PICA aneurysm. Preprocedural CT and procedural and.

A, Right internal carotid artery angiographic approach for coiling of a right ophthalmic ICA aneurysm (black arrowhead) in a 71-year-old woman using 7.78.

(A) Anteroposterior view of the cerebral circulation following a left common carotid artery injection showing a large aneurysm arising from the cavernous.

A 71-year-old female with multiple large intracranial aneurysms.

Presentation transcript:

4D CT Digital Subtraction Angiography (DSA) for Blister Internal Carotid artery Aneurysms

4D CT DSA Exposure dose

4D CT DSA Dymamic scan Scan kV mA Rotation Time Sample Time 1 80 310 2 150 17-30s Contrast medium Dose ULTRAVIST 1ml/Kg XENETIX

4D CT DSA Dymamic scan

4D CT DSA

4D CT DSA

4D CT DSA

Anatomy of C1, C2 of ICA

Cas1: PHAN THI CHAN 48F, Cu Chi district. CT A of brain.

CE

Cas 2: HANG THI PHUOC 55F. CT A of brain.

BUI THI QUYNH ANH 46F, Raffles Medical. Supraclinoid ICA aneurysm, size about 2,5 -4 mm.

The left supraclinoid ICA saccular aneurysm, size about 2,5 x 3,5 mm

Treatment of Blister Internal Carotid Artery Aneurysms.

Summary 4D CT DSA and MIP-MRI can confirm Blister Internal Carotid Artery Aneurysms Radiology has been carefully read to avoid missing the small aneurysm of C1, C2 ICA.

Thanks for your attention!