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Real-Time Cineangiography Visualization of Cerebral Aneurysm Rupture in an Awake Patient: Anatomic, Physiological, and Functional Correlates  Tasha L.

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Presentation on theme: "Real-Time Cineangiography Visualization of Cerebral Aneurysm Rupture in an Awake Patient: Anatomic, Physiological, and Functional Correlates  Tasha L."— Presentation transcript:

1 Real-Time Cineangiography Visualization of Cerebral Aneurysm Rupture in an Awake Patient: Anatomic, Physiological, and Functional Correlates  Tasha L. Welch, MD, Waleed Brinjikji, MD, Guiseppe Lanzino, MD, William L. Lanier, MD  Mayo Clinic Proceedings  Volume 92, Issue 9, Pages (September 2017) DOI: /j.mayocp Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

2 Figure 1 Anterior/posterior angiographic image of intravascular catheter tip (indicated by arrow) at the junction of the subclavian artery and the origin of the right vertebral artery. CRAN = cranial; FD = field; LAO = left anterior oblique. Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

3 Figure 2 Cerebral angiogram demonstrating aneurysm rupture and blood flow through cranium. Estimated distance from catheter tip at right vertebral artery to aneurysm is approximately 37 cm. aTime C=0 second denotes the frame in which contrast material first appears in the cineangiogram. As such, the intraarterial injection of contrast material began before C=0 second. bTime R=0 second denotes the onset of aneurysm rupture. R=0 second coincides with C=1.5 seconds. Images were captured at a rate of every 0.5 second. Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

4 Figure 3 Hemodynamic and respiratory variables with intraprocedural event timeline. CT = computed tomography; ICU = intensive care unit; and IV = intravenous. Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions


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