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Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 81
Views PDF: 46
DOI: https://doi.org/10.55046/vjrnm.14.326.2013
Issue
No. 14 (2013)
Section
Scientific research
How to Cite
Le, T. T. L., Tran, A. T., Vu , D. L., & Pham, M. T. (2022). BƯỚC ĐẦU ĐÁNH GIÁ TÁI THÔNG TÚI PHÌNH VÀ VAI TRÒ CHỤP MẠCH CỘNG HƯỞNG TỪ 1,5 TESLA TRONG THEO DÕI PHÌNH MẠCH NÃO SAU ĐIỀU TRỊ CAN THIỆP NỘI MẠCH. Vietnamese Journal of Radiology and Nuclear Medicine, 14, 242-249. https://doi.org/10.55046/vjrnm.14.326.2013

BƯỚC ĐẦU ĐÁNH GIÁ TÁI THÔNG TÚI PHÌNH VÀ VAI TRÒ CHỤP MẠCH CỘNG HƯỞNG TỪ 1,5 TESLA TRONG THEO DÕI PHÌNH MẠCH NÃO SAU ĐIỀU TRỊ CAN THIỆP NỘI MẠCH

Dr Le Thi Thuy Lan1, Dr Tran Anh Tuan2, Dr Vu Dang Luu2, professor Pham Minh Thong2
1 PhD student 29- School Ha Noi medical university
2 Imaging dept Bach Mai Hospital

Main Article Content

Abstract

The assessment of aneurysms recanalization and the role of MR angiography 1,5 Tesla in follow-up of intracranial aneurysms
embolization in comparison with digital subtraction angiography.


Purpose: The evaluation of aneurysmal recurrence and the role of three-dimensional time of flight MR angiography in follow-up of intracranial aneurysms embolization
Material and methods: 66 patients harbored 68 selectivetreated intracranial aneurysms, in which 30 patients were both
underwent three-dimensional time of flight MR angiography (MRA) and DSA, 33 patients were done only one method MRA, 0 patient were done only one method DSA.
Results: The recanalization was observed in 68 selectivetreated intracranial aneurysms (39.7%), including major recanalization in 11 patients (16.1%). Compared with DSA, the overall sensitivity and specificity of MRA were 100% and 93.75%. MRI found out the ischemie lession concerning aneurysmal embolization about 8.8% and the hydrocephalus about 9.1%.
Conclusion: The problem of aneurysmal recurrence shoud be considered. MRA was non-invasive method and was of very high
sensitivity and specificity in follow-up of intracranial aneurysms embolization.

Article Details

References

1. Molyneux AJ, Kerr RSC, Yu LM, Clarke M, Sneade M et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patiets with ruptured intracranial aneurysm: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005; 366: 809-817.
2. Pierot L., Spelle L., Vitry F. Unrupture intracranial aneurysms treated by endovascular approach, results of the ATENA study. Stroke 2008;39:2497-2504.
3. Cognard C, Weill A, Spelle L, Piotin M, Castaings L, rey A, Moret J. Long-term angiographic follow-up of 169 intracranial berry aneurysms occluded with detachable coils. AJNR 1999; 212(2): 348-56.
4. Raymond J, Guilbert F, Georganos S, Juravsky L, Lambert A et al. Long- term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke. 2003;34:421-427.
5. Deutschmanne HA, Augustin M, Simbrunner J, et al. Diagnostic accuracy of 3D Time-of Flight MR angiography compared with digital subtraction angiography for follow-up of coiled intracranial aneurysms: influence of aneurysms size. AJNR Am J Neuroradiol 2007;28:628-34
6. Kwee TC, Kwee RM. MR angiography in the follow-up of intracranial aneurysms treated with Guglielmi detachable coils: systematic review and meta-analysis. Neuroradiology 2007;49:703-13.
7. Okahara M, Kiyosue h, Hori Y et al. Three-dimensional time of flight MR angiography for evaluation of intracranial aneurysms after endovascular packing with Guglielmi detachable coils : comparison with 3D digital subtraction angiography. Eur Radio 2004;14:1162-8.
8. Pierot L, Delcourt C, Bouquigny F et al. Follow-up of intracranial aneurysms selectively treated with coils : Prospective evaluation of contrast-enhanced MR angiography. AJNR Am J neuroradiol 2006;27:744-749.
9. Pierot l, Leclerc X, Bonafe A, Bracard S. Endovascular treatment of intracranial aneurysms with Matrix detachable coils: Midterm anatomic follow-up from a prospective multicenter registry. AJNR Am J Neuroradiol 2008; 29:57-61.