- Pipeline Embolization Device in the Treatment of Recurrent Previously Stented Cerebral Aneurysms
Twenty-one patients with previously stented recurrent aneurysms who later underwent Pipeline Embolization Device placement (group 1) were retrospectively identified and compared with 63 patients who had treatment with the Pipeline with no prior stent placement (group 2). Pipeline treatment resulted in complete aneurysm occlusion in 55.6% of patients in group 1 versus 80.4% of patients in group 2. The retreatment rate in group 1 was 11.1% versus 7.1% in group 2. The authors conclude that the Pipeline is less effective in the management of previously stented aneurysms than when used in nonstented aneurysms.
- The Added Value of Volume-of-Interest C-Arm CT Imaging during Endovascular Treatment of Intracranial Aneurysms
VOI C-arm CT images were obtained in 28 patients undergoing endovascular treatment of intracranial aneurysms and the VOI images were reconstructed by using a novel prototype reconstruction algorithm to minimize truncation artifacts from double collimation. The reconstruction accuracy of VOI C-arm CT images was assessed quantitatively by comparing them with the full-head noncollimated images. Quality of VOI C-arm CT images was comparable with that of the standard Feldkamp, Davis, and Kress reconstruction of noncollimated C-arm CT images. The authors conclude that VOI imaging allows multiple 3D C-arm CT acquisitions and provides information related to device expansion, parent wall apposition, and neck coverage during the procedure, with very low additional radiation exposure to the patient.
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