Article Sidebar

PDF
Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 79
Views PDF: 51
DOI: https://doi.org/10.55046/vjrnm.18.375.2014
Issue
No. 18 (2014)
Section
Scientific research
How to Cite
Ho, T. L. H., Huynh, L. P., Vo, T. D., & Tran, M. H. (2022). A survey on characteristics of ruptured saccular intracranial aneurysms by digital subtraction angiography. Vietnamese Journal of Radiology and Nuclear Medicine, 18, 34-41. https://doi.org/10.55046/vjrnm.18.375.2014

A survey on characteristics of ruptured saccular intracranial aneurysms by digital subtraction angiography

Ho The Lam Hai1, Huynh Le Phuong2, Vo Tan Duc3, Tran Minh Hoang3,
1 Department of Diagnostic Imaging, Cho Ray Hospital, Ho Chi Minh City
2 Department of Neurosurgery, Cho Ray Hospital, Ho Chi Minh City
3 Department of Diagnostic Imaging, University of Medicine and Pharmacy Hospital, Ho Chi Minh City

Main Article Content

Abstract

SUMMARY


Background and purpose: Excluding completely intracranial aneurysms (IAs) from cerebral circulation is the goal of surgical
and endovascular treatment. The choice of methodology as well as the planning of the treatment is influenced by characteristics of
the IAs. Digital Subtraction Angiography (DSA) is the gold standard for evaluating this condition. We describe the characteristics of
ruptured IA (RIAs) by DSA and find the correlation between the characteristics of RIA with the clinical state of the patients.
Materials and methods: The descriptions of 237 patients definitely diagnosed with RIA by DSA at Cho Ray Hospital from June 2012 to February 2013 were reviewed for this study.
Results: Most of patients were hospitalized with Hunt – Hess from I to III (74.3%). 94.5% of RIAs were from the internal carotid. Small and medium size RIAs were 97%, only 1.3 % were the giant aneurysm. RIAs of the small neck size were 88.5%. According to Ratio of sac to neck size (RSN), the narrow and medium neck sizes were 88.4%. 97.5% of RIAs had an uneven edge. The relationship to the major neighboring artery from RIA was 6.8%.
The aplitic A1 segment at the opposite side for ACA of RIAs was 48.8%. Cerebral vasospasm after SAH was 28.3%. No correlation was found between location, RIA size or neck size and the clinical state of the patients. However, a definite correlation was found between cerebral vasospasm and the clinical state of the patients (Fisher test, p< .001).
Conclusion: Knowledge gained about the characteristics of RIAs by DSA is useful in order to choose methodology of the treatment as well as planning the technical treatment effectively.

Article Details

Keywords

Intracranial aneurysm, digital subtraction angiography, anterior communicating artery (ACA), subarachnoid hemorrhage (SAH)

References

TÀI LIỆU THAM KHẢO
1. Britz GW (2005). “Clipping or coiling of cerebral aneurysms”, Neurosurg Clin N Am 16, pp 475-485.
2. Castel JP, Frerebeau P, Lagarrigue J, Moreau JJ (1994). “Neurosurgical treatment of intracranial aneurysms”, Neurochirurgie, 40:31-66.
3. Caranci F, Briganti F, Cirillo L, Leonardi M, Muto M (2013). “Epidemiology and genetics of intracranial aneurysms”, Eur J Radiol;82(10); 1598 – 1605.
4. Christopher S, Ogilvy MD (2004). “Giant intracranial aneurysm: current stategies management”. Surgical Management of Cerebrovascular Disease, Third edition.
5. Đỗ Văn Dũng (2011), Tài liệu tập huấn “Phương pháp nghiên cứu khoa học trong nghiên cứu lâm sàng và dịch tể học”, Bộ môn Y tế công cộng, Đại học Y Dược TP. HCM, tr 34 – 242.
6. Forsting M, Wanke I (2008). “Intracranial Vascular Malformations and Aneurysms”, Medical Radiology, Diagnostic Imaging and Radiation Oncology,
pp 167 – 270.
7. Kiyosue H, Tanoue S, Okahara M, et al (2002). “Anatomic Features Predictive of Complete Aneurysm Occlusion Can Be Determined with Three - Dimensional Digital Subjaction Angiography”, Am J Neuroradiol 23:1206 – 1213.
8. Kucukay F, Okten RS, Teiner A, et al (2012). “Three - dimensionnal volume rendering digital subtraction angiography in comparision with two - dimensional DSA and rotational angiography for detecting aneurysms and their morphological properties in patients with subarachnoid hemorrhage”, Eur J Radiol 81, pp 2794 – 2800.
9. Mehra M, Spilberg G et al (2011). “Intracranial Aneurysm: Clinical Assessment and Treatment Options”, Stud Mechanobiol Tissue Eng Biomater, 7: 331 – 372.
10. Osborn AG (1999).“Diagnostic Cerebral Angiography” Lippincott Williams and Wilkins, Second edition, pp 3 – 277.
11. Parlea L, Fahrig R, Holdsworth DW, Lownie SP (1999). “An analysis of the geometry of saccular intracranial aneurysms”, Am J Neuroradiol, 20:1079- 1089.
12. Phạm Minh Thông, Vũ Đăng Lưu (2008), “Kết quả và kinh nghiệm điều trị phình động mạch não bằng can thiệp nội mạch tại Bệnh viện Bạch Mai”, Tạp chí Y học Việt Nam, số 2, tr 165-17.
13. Pierot L, Cognard C, Anxionnat R, Ricolfi F (2012). “Endovascular Treatment of Ruptured Intracranial Aneurysms: factors affecting midterm quality anatomic results: Analysis in a Prospective, Multicenter Series of Patients (CLARITY)”, Am J Neuroradiol 33:1475 -148.
14. Sugahara T, Korogi Y, Nakashima K, et al (2002). “Comparison of 2D and 3D Digital Subtraction Angiography in Evaluation of Intracranial Aneurysms”, Am J Neuroradiol 23:1545 – 1552.
15. Yasargil MG (1990). “Diagnosis and therapy of cerebrovascular diseases”, Schweiz Rundsch Med Prax 79:3-8.