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<meta name="DC.Title" content="Clinical Benefits of Rotational 3D Angiography in Endovascular Treatment of Ruptured Cerebral Aneurysm" />
<meta name="DC.Date" content="2002-04-01" />
<meta name="DC.Publisher" content="American Journal of Neuroradiology" />
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<meta name="DC.Description" content="BACKGROUND AND PURPOSE: Recent neurointerventional and neurosurgical technologies require an understanding of lesions and adjacent structures in three dimensions. To clarify the clinical benefits of rotational 3D digital subtraction angiography (DSA), we retrospectively analyzed its advantages and disadvantages at the time of interventional procedures for ruptured cerebral aneurysms.

METHODS: From January 1998 through September 2000, 85 patients with a ruptured cerebral aneurysm were treated with Guglielmi detachable coils in the acute phase. Data for the patients treated before availability of 3D DSA (group A, 52 patients) were compared with data for patients treated after availability of 3D DSA (group B, 33 patients). Variables analyzed were age, sex, location of aneurysm, size of aneurysm, number of implanted coils, number of DSA exposures, and total amount of contrast medium used.

RESULTS: No statistically significant differences between the groups were noted when we compared the age, sex, aneurysm location, aneurysm size, and number of implanted coils. The number of DSA exposures was decreased in total by using 3D DSA ( P &lt; .0001), not only to determine the working projection ( P &lt; .0001) but also during the procedure ( P &lt; .0002). However, no statistically significant difference was noted in the comparison of total amount of contrast medium.

CONCLUSION: Three-dimensional DSA allows acquisition of high-quality 3D images of cerebral arteries and also allows observation and analysis from multiple directions to determine the appropriate working projection for embolization. Three-dimensional DSA is essential for optimal diagnosis and embolization of cerebral aneurysms and can reduce the number of exposures." />
<meta name="DC.Contributor" content="Toshi Abe" />
<meta name="DC.Contributor" content="Masaru Hirohata" />
<meta name="DC.Contributor" content="Norimitsu Tanaka" />
<meta name="DC.Contributor" content="Yusuke Uchiyama" />
<meta name="DC.Contributor" content="Kazuyuki Kojima" />
<meta name="DC.Contributor" content="Kiminori Fujimoto" />
<meta name="DC.Contributor" content="Alexander M. Norbash" />
<meta name="DC.Contributor" content="Naofumi Hayabuchi" />
<meta name="article:published_time" content="2002-04-01" />
<meta name="article:section" content="INTERVENTIONAL" />
<meta name="citation_title" content="Clinical Benefits of Rotational 3D Angiography in Endovascular Treatment of Ruptured Cerebral Aneurysm" />
<meta name="citation_abstract" lang="en" content="&lt;p&gt;&lt;i&gt;BACKGROUND AND PURPOSE:&lt;/i&gt; Recent neurointerventional and neurosurgical technologies require an understanding of lesions and adjacent structures in three dimensions. To clarify the clinical benefits of rotational 3D digital subtraction angiography (DSA), we retrospectively analyzed its advantages and disadvantages at the time of interventional procedures for ruptured cerebral aneurysms.&lt;/p&gt;&lt;p&gt;&lt;i&gt;METHODS:&lt;/i&gt; From January 1998 through September 2000, 85 patients with a ruptured cerebral aneurysm were treated with Guglielmi detachable coils in the acute phase. Data for the patients treated before availability of 3D DSA (group A, 52 patients) were compared with data for patients treated after availability of 3D DSA (group B, 33 patients). Variables analyzed were age, sex, location of aneurysm, size of aneurysm, number of implanted coils, number of DSA exposures, and total amount of contrast medium used.&lt;/p&gt;&lt;p&gt;&lt;i&gt;RESULTS:&lt;/i&gt; No statistically significant differences between the groups were noted when we compared the age, sex, aneurysm location, aneurysm size, and number of implanted coils. The number of DSA exposures was decreased in total by using 3D DSA (&lt;i&gt;P&lt;/i&gt; &amp;lt; .0001), not only to determine the working projection (&lt;i&gt;P&lt;/i&gt; &amp;lt; .0001) but also during the procedure (&lt;i&gt;P&lt;/i&gt; &amp;lt; .0002). However, no statistically significant difference was noted in the comparison of total amount of contrast medium.&lt;/p&gt;&lt;p&gt;&lt;i&gt;CONCLUSION:&lt;/i&gt; Three-dimensional DSA allows acquisition of high-quality 3D images of cerebral arteries and also allows observation and analysis from multiple directions to determine the appropriate working projection for embolization. Three-dimensional DSA is essential for optimal diagnosis and embolization of cerebral aneurysms and can reduce the number of exposures.&lt;/p&gt;" />
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<meta name="citation_author" content="Yusuke Uchiyama" />
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<meta name="citation_author" content="Kiminori Fujimoto" />
<meta name="citation_author" content="Alexander M. Norbash" />
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<meta name="twitter:title" content="Clinical Benefits of Rotational 3D Angiography in Endovascular Treatment of Ruptured Cerebral Aneurysm" />
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<meta name="twitter:description" content="BACKGROUND AND PURPOSE: Recent neurointerventional and neurosurgical technologies require an understanding of lesions and adjacent structures in three dimensions. To clarify the clinical benefits of rotational 3D digital subtraction angiography (DSA), we retrospectively analyzed its advantages and disadvantages at the time of interventional procedures for ruptured cerebral aneurysms.

METHODS: From January 1998 through September 2000, 85 patients with a ruptured cerebral aneurysm were treated with Guglielmi detachable coils in the acute phase. Data for the patients treated before availability of 3D DSA (group A, 52 patients) were compared with data for patients treated after availability of 3D DSA (group B, 33 patients). Variables analyzed were age, sex, location of aneurysm, size of aneurysm, number of implanted coils, number of DSA exposures, and total amount of contrast medium used.

RESULTS: No statistically significant differences between the groups were noted when we compared the age, sex, aneurysm location, aneurysm size, and number of implanted coils. The number of DSA exposures was decreased in total by using 3D DSA ( P &lt; .0001), not only to determine the working projection ( P &lt; .0001) but also during the procedure ( P &lt; .0002). However, no statistically significant difference was noted in the comparison of total amount of contrast medium.

CONCLUSION: Three-dimensional DSA allows acquisition of high-quality 3D images of cerebral arteries and also allows observation and analysis from multiple directions to determine the appropriate working projection for embolization. Three-dimensional DSA is essential for optimal diagnosis and embolization of cerebral aneurysms and can reduce the number of exposures." />
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<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE: Recent neurointerventional and neurosurgical technologies require an understanding of lesions and adjacent structures in three dimensions. To clarify the clinical benefits of rotational 3D digital subtraction angiography (DSA), we retrospectively analyzed its advantages and disadvantages at the time of interventional procedures for ruptured cerebral aneurysms.

METHODS: From January 1998 through September 2000, 85 patients with a ruptured cerebral aneurysm were treated with Guglielmi detachable coils in the acute phase. Data for the patients treated before availability of 3D DSA (group A, 52 patients) were compared with data for patients treated after availability of 3D DSA (group B, 33 patients). Variables analyzed were age, sex, location of aneurysm, size of aneurysm, number of implanted coils, number of DSA exposures, and total amount of contrast medium used.

RESULTS: No statistically significant differences between the groups were noted when we compared the age, sex, aneurysm location, aneurysm size, and number of implanted coils. The number of DSA exposures was decreased in total by using 3D DSA ( P &lt; .0001), not only to determine the working projection ( P &lt; .0001) but also during the procedure ( P &lt; .0002). However, no statistically significant difference was noted in the comparison of total amount of contrast medium.

CONCLUSION: Three-dimensional DSA allows acquisition of high-quality 3D images of cerebral arteries and also allows observation and analysis from multiple directions to determine the appropriate working projection for embolization. Three-dimensional DSA is essential for optimal diagnosis and embolization of cerebral aneurysms and can reduce the number of exposures." />
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    <div class="highwire-article-citation highwire-citation-type-highwire-article node10002--5" data-node-nid="10002" id="top-node-10002--6381841888" data-pisa="ajnr;23/4/686" data-pisa-master="ajnr;23/4/686" data-apath="/ajnr/23/4/686.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a">
  
  
      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Research Article</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">INTERVENTIONAL</span></span></div>
  
      <div class="highwire-cite-access"><span class="highwire-citation-access highwire-citation-access-check" data-pisa-id="ajnr;23/4/686" data-atom-uri="/ajnr/23/4/686.atom" data-request-view="full"></span></div>
  
      <h1 class="highwire-cite-title" id="page-title">Clinical Benefits of Rotational 3D Angiography in Endovascular Treatment of Ruptured Cerebral Aneurysm</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">Toshi Abe</span>, <span class="highwire-citation-author" data-delta="1">Masaru Hirohata</span>, <span class="highwire-citation-author" data-delta="2">Norimitsu Tanaka</span>, <span class="highwire-citation-author" data-delta="3">Yusuke Uchiyama</span>, <span class="highwire-citation-author" data-delta="4">Kazuyuki Kojima</span>, <span class="highwire-citation-author" data-delta="5">Kiminori Fujimoto</span>, <span class="highwire-citation-author" data-delta="6">Alexander M. Norbash</span> and <span class="highwire-citation-author" data-delta="7">Naofumi Hayabuchi</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">April 2002,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">23 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(4) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">686-688; </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-10002--6381841888" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">Toshi Abe </div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Toshi%2BAbe%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Abe%20T&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AToshi%2BAbe%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">Masaru Hirohata </div><ul 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    <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" xmlns:xhtml="http://www.w3.org/1999/xhtml" class="section ref-list" id="ref-list-1"><h2>References</h2><ol class="cit-list"><li><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1 in text" id="ref-1">↵</a><div class="cit ref-cit ref-other" id="cit-23.4.686.1" data-doi="10.1148/radiology.217.2.r00nv06361"><div class="cit-metadata"><cite>White PM, Wardlaw JM, Easton V. <strong>Can noninvasive imaging accurately depict intracranial aneurysms? A systemic review.</strong> <span class="cit-source">Radiology</span> <span class="cit-pub-date">2000</span>;<span class="cit-vol">217</span>:<span class="cit-fpage">361</span>–370</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.1148/radiology.217.2.r00nv06361&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=11058629&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F4%2F686.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=000090058800007&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2 in text" id="ref-2">↵</a><div class="cit ref-cit ref-other" id="cit-23.4.686.2"><div class="cit-metadata"><cite>Anxionnat R, Bracard S, Ducrocq X, et al. <strong>Intracranial aneurysms: clinical value of 3D digital subtraction angiography in the therapeutic decision and endovacular treatment.</strong> <span class="cit-source">Radiology</span> <span class="cit-pub-date">2001</span>;<span class="cit-vol">3</span>:<span class="cit-fpage">799</span>–808</cite></div><div class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-3-1" title="View reference 3 in text" id="ref-3">↵</a><div class="cit ref-cit ref-other" id="cit-23.4.686.3" data-doi="10.1097/00006123-200010000-00016"><div class="cit-metadata"><cite>Tanoue S, Kiyosue H, Kenai H, Nakamura T, Yamashita M, Mori H. <strong>Three-dimensional reconstructed images after rotational angiography in the evaluation of intracranial aneurysm: surgical correlation.</strong> <span class="cit-source">Neurosurgery</span> <span class="cit-pub-date">2000</span>;<span class="cit-vol">47</span>:<span class="cit-fpage">866</span>–871</cite></div><div 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cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.4.686.6"><div class="cit-metadata"><cite>Turjman F, Bendib K, Girerd C, Froment JC, Amiel M. <strong>Pretherapeutic evaluation of intracranial aneurysms using three-dimensional angiography (3D morphometer): preliminary results.</strong> In: Taki W, Picard L, Kikuchi H, eds. <span class="cit-source">Advances in Interventional Neuroradiology and Intravascular Neurosurgery.</span> Amsterdam, the Netherlands: Elsevier Science B.V.,<span class="cit-pub-date">1996</span>;<span class="cit-fpage">75</span>–79</cite></div><div class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-7-1" title="View reference 7 in text" id="ref-7">↵</a><div class="cit ref-cit ref-other" id="cit-23.4.686.7"><div class="cit-metadata"><cite>Anxionnat R, Bracard S, Macho J, et al. <strong>3D angiography: clinical interest and first applications in interventional 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href="#xref-ref-10-1" title="View reference 10 in text" id="ref-10">↵</a><div class="cit ref-cit ref-other" id="cit-23.4.686.10"><div class="cit-metadata"><cite>Kumazaki T. <strong>Development of rotational digital angiography and new cone-beam 3D image clinical value in vascular lesions.</strong> <span class="cit-source">Comput Methods Programs Biomed</span> <span class="cit-pub-date">1998</span>;<span class="cit-vol">57</span>:<span class="cit-fpage">139</span>–142</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=9804011&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F4%2F686.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.4.686.11"><div class="cit-metadata"><cite>Fahrig R, Fox AJ, Lownie S, Holdsworth W. <strong>Use of C-arm system to generate true three-dimensional computed rotational angiograms: preliminary in vitro and in vivo results.</strong> <span class="cit-source">AJNR Am J Neuroradiol</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">18</span>:<span class="cit-fpage">1507</span>–1514</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czo5OiIxOC84LzE1MDciO3M6NDoiYXRvbSI7czoxOToiL2FqbnIvMjMvNC82ODYuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span></span></a></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.4.686.12" data-doi="10.1016/S1076-6332(98)80244-4"><div class="cit-metadata"><cite>Bidaut LM, Laurent C, Piotin M, et al. <strong>Second-generation three-dimensional reconstruction for rotational three-dimensional angiography.</strong> <span class="cit-source">Acad Radiol</span> <span class="cit-pub-date">1998</span>;<span class="cit-vol">5</span>:<span class="cit-fpage">836</span>–849</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.1016/S1076-6332(98)80244-4&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=9862002&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F4%2F686.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-13-1" title="View reference 13 in text" id="ref-13">↵</a><div class="cit ref-cit ref-other" id="cit-23.4.686.13" data-doi="10.1007/s002340050568"><div class="cit-metadata"><cite>Heautot JF, Chabert E, Gandon Y, et al. <strong>Analysis of cerebrovascular diseases by a new 3-dimensional computerized x-ray angiography system.</strong> <span class="cit-source">Neuroradiology</span> <span class="cit-pub-date">1998</span>;<span class="cit-vol">40</span>:<span class="cit-fpage">203</span>–209</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.1007/s002340050568&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=9592788&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F4%2F686.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li></ol></div></div>  </div>

  
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 23</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 4 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Apr 2002 </div></div>
      
      
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      <div class="highwire-cite-title">Clinical Benefits of Rotational 3D Angiography in Endovascular Treatment of Ruptured Cerebral Aneurysm</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">Toshi</span> <span class="nlm-surname">Abe</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">Masaru</span> <span class="nlm-surname">Hirohata</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">Norimitsu</span> <span class="nlm-surname">Tanaka</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">Yusuke</span> <span class="nlm-surname">Uchiyama</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">Kazuyuki</span> <span class="nlm-surname">Kojima</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">Kiminori</span> <span class="nlm-surname">Fujimoto</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">Alexander M.</span> <span class="nlm-surname">Norbash</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">Naofumi</span> <span class="nlm-surname">Hayabuchi</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Apr 2002, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">23 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(4) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">686-688; </span></div>
  
  
  
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      <div class="highwire-cite-title">Clinical Benefits of Rotational 3D Angiography in Endovascular Treatment of Ruptured Cerebral Aneurysm</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">Toshi</span> <span class="nlm-surname">Abe</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">Masaru</span> <span class="nlm-surname">Hirohata</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">Norimitsu</span> <span class="nlm-surname">Tanaka</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">Yusuke</span> <span class="nlm-surname">Uchiyama</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">Kazuyuki</span> <span class="nlm-surname">Kojima</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">Kiminori</span> <span class="nlm-surname">Fujimoto</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">Alexander M.</span> <span class="nlm-surname">Norbash</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">Naofumi</span> <span class="nlm-surname">Hayabuchi</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Apr 2002, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">23 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(4) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">686-688; </span></div>
  
  
  
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