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Research ArticleNeurointervention

Postinterventional Assessment after Stent and Flow-Diverter Implantation Using CT: Influence of Spectral Image Reconstructions and Different Device Types

C. Zaeske, T. Hickethier, J. Borggrefe, L. Goertz, R. Dettmeyer, M. Schlamann, N. Abdullayev and C. Kabbasch
American Journal of Neuroradiology March 2021, 42 (3) 516-523; DOI: https://doi.org/10.3174/ajnr.A6952
C. Zaeske
aFrom the Institute for Diagnostic and Interventional Radiology (C.Z., T.H., J.B., L.G., M.S., N.A., C.K.)
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  • ORCID record for C. Zaeske
T. Hickethier
aFrom the Institute for Diagnostic and Interventional Radiology (C.Z., T.H., J.B., L.G., M.S., N.A., C.K.)
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  • ORCID record for T. Hickethier
J. Borggrefe
aFrom the Institute for Diagnostic and Interventional Radiology (C.Z., T.H., J.B., L.G., M.S., N.A., C.K.)
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L. Goertz
aFrom the Institute for Diagnostic and Interventional Radiology (C.Z., T.H., J.B., L.G., M.S., N.A., C.K.)
bCenter for Neurosurgery (L.G.), Faculty of Medicine, University Hospital Cologne, Cologne, Germany
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R. Dettmeyer
cInstitute of Forensic Medicine (R.D.), Justus-Liebig-University, Giessen, Germany
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M. Schlamann
aFrom the Institute for Diagnostic and Interventional Radiology (C.Z., T.H., J.B., L.G., M.S., N.A., C.K.)
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N. Abdullayev
aFrom the Institute for Diagnostic and Interventional Radiology (C.Z., T.H., J.B., L.G., M.S., N.A., C.K.)
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  • ORCID record for N. Abdullayev
C. Kabbasch
aFrom the Institute for Diagnostic and Interventional Radiology (C.Z., T.H., J.B., L.G., M.S., N.A., C.K.)
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  • FIG 1.
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    FIG 1.

    CT of the examined devices. Left column: flow diverters. Right column: conventional stents. The windowing was adjusted according to the lowest artifact interference of all stents (same settings for all devices).

  • FIG 2.
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    FIG 2.

    Composition of different reconstructions of the DED. The windowing was adjusted according to the lowest artifact interference and the most comparable vessel appearance (adjusted settings depending on the type of reconstruction; see Materials and Methods, CT Acquisition Parameters).

  • FIG 3.
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    FIG 3.

    Graphic illustration of the different lumen density ratios/lumen iodine content ratios. Asterisks mark statistical significance (*P < .05, **P < .01, ***P < .001).

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    FIG 4.

    Graphic illustration of the SNR. Asterisks mark statistical significance (*P < .05, **P < .01, ***P < .001, ****P < .0001).

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    Table 1:

    Details of the flow diverters used in this study

    Flow DiverterAbbreviationDiameter × Length [mm]ManufacturerMain MaterialMetal Coverage
    DerivoDED4 × 24AcandisNitinol, platinum35%–38%
    p64p644 × 40PhenoxNitinol34%
    Pipeline Flex with Shield technologyPED4 × 20MedtronicCobalt chromium, platinum30%–35%
    Surpass StreamlineSUR4 × 40StrykerCobalt chromium30%
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    Table 2:

    Details of the stents used in this study

    StentAbbreviationDiameter × Length [mm]ManufacturerMain MaterialMetal Coverage
    AcceroACO4 × 20AcandisNitinol platinum15%–19%
    Acclino Flex PlusACC4 × 35AcandisNitinol6%–9%
    Enterprise 2ENT4 × 30CodmanNitinol10%
    Neuroform AtlasNFA4 × 24StrykerNitinol6%–9%
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American Journal of Neuroradiology: 42 (3)
American Journal of Neuroradiology
Vol. 42, Issue 3
1 Mar 2021
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Cite this article
C. Zaeske, T. Hickethier, J. Borggrefe, L. Goertz, R. Dettmeyer, M. Schlamann, N. Abdullayev, C. Kabbasch
Postinterventional Assessment after Stent and Flow-Diverter Implantation Using CT: Influence of Spectral Image Reconstructions and Different Device Types
American Journal of Neuroradiology Mar 2021, 42 (3) 516-523; DOI: 10.3174/ajnr.A6952

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Postinterventional Assessment after Stent and Flow-Diverter Implantation Using CT: Influence of Spectral Image Reconstructions and Different Device Types
C. Zaeske, T. Hickethier, J. Borggrefe, L. Goertz, R. Dettmeyer, M. Schlamann, N. Abdullayev, C. Kabbasch
American Journal of Neuroradiology Mar 2021, 42 (3) 516-523; DOI: 10.3174/ajnr.A6952
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